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In a cross\u2010sectional study, 392 children with DSM\u20105 specific LD (aged 8\u201312\u2009years) were recruited through clinical and community channels and assessed for lifetime NSSI and self\u2010harm using structured interviews and self\u2010report. A comprehensive set of sociodemographic, academic, clinical and psychosocial variables was screened using recursive feature elimination, and four supervised ML algorithms (penalized logistic regression, random forests, extreme gradient boosting, and support vector machines) and simple ensembles were trained and evaluated using tenfold cross\u2010validation. Lifetime NSSI was reported by 16.1% of children and self\u2010harm by 9.2%. All ML models showed excellent discrimination for NSSI (AUC up to 0.99), with extreme gradient boosting and majority\u2010voting ensembles achieving the best overall performance. For self\u2010harm, a weighted\u2010average ensemble yielded the most favourable balance of sensitivity and precision (AUC\u2009=\u20090.93). Across outcomes and algorithms, peer victimization\/bullying, emotion dysregulation and depressive symptoms emerged as the most robust predictors, whereas LD severity and anxiety symptoms contributed minimally. Self\u2010harm and NSSI are common among Saudi children with LD, and ML models can accurately identify those at highest risk, highlighting bullying and emotion dysregulation as key intervention targets in educational and clinical settings.<\/jats:p>","DOI":"10.1002\/cpp.70245","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T22:57:53Z","timestamp":1773010673000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prediction and Prevalence of Self\u2010Harm and Nonsuicidal Self\u2010Injury in Children With Learning Disabilities: A Machine\u2010Learning Approach in Saudi Arabia"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1952-3083","authenticated-orcid":false,"given":"Mazen\u00a0Omar","family":"Almulla","sequence":"first","affiliation":[{"name":"Department of Education and psychology, College of Education King Faisal University  Al\u2010Ahsa Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6920-8421","authenticated-orcid":false,"given":"Abdullah\u00a0Ahmed","family":"Almulla","sequence":"additional","affiliation":[{"name":"Department of Special Education, College of Education King Faisal University  Al\u2010Ahsa Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1390-3765","authenticated-orcid":false,"given":"Mohamad\u00a0Ahmad\u00a0Saleem","family":"Khasawneh","sequence":"additional","affiliation":[{"name":"Special Education Department King Khalid University  Abha Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2023.104424"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2025.1605508"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-80928-7_5"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0328350"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.58532\/V4BIS3CH1"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0883073817744325"},{"key":"e_1_2_14_8_1","doi-asserted-by":"crossref","unstructured":"Blackorby J. E.Schiller S.Mallik K.Hebbeler T.Huang andH.Javitz.2010. \u201cPatterns in the Identification of and Outcomes for Children and Youth With Disabilities (NCSER 2010\u20133005).\u201d National Center for Special Education Research Institute of Education Sciences U.S. Department of Education.https:\/\/ies.ed.gov\/ncser\/pubs\/20100005.","DOI":"10.1037\/e600082011-001"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.04.082"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13101211"},{"key":"e_1_2_14_11_1","unstructured":"Cortiella C. andK. 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