{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:33:34Z","timestamp":1790346814099,"version":"4.1.0"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T00:00:00Z","timestamp":1762646400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Institute of Health Carlos II"},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","award":["PI20\/00133"],"award-info":[{"award-number":["PI20\/00133"]}],"id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","award":["PI24\/00028"],"award-info":[{"award-number":["PI24\/00028"]}],"id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Adolescents\u2019 failure to embrace healthy lifestyles constitutes a serious public health issue, such that its relationship to non-suicidal self-injury (NSSI) merits further research. The aim of the study was to ascertain the association between a Global Index of Lifestyle Quality (GILQ) and the presence of NSSI. Cross-sectional analysis of a sample of 2nd- to 4th-year ESO students (Obligatory Secondary Education, from ages 14 to 16) recruited for the SESSAMO project, a multicenter prospective cohort study. Exposure variables were collected, including eating patterns, physical activity, screen use, the consumption of cannabis, alcohol and tobacco, risky sexual behavior, gambling, spend time with friends, and sleep quality. To determine the presence of NSSI, a validated questionnaire was administered. The association between different lifestyles and the presence of NSSI was analyzed through multivariate logistic regression models. 2042 adolescents were included. Physical activity, screen use, risky sexual behavior, sleep quality, and daytime sleepiness showed inverse and statistically significant associations with the presence of NSSI in multivariate models. A higher lifestyle score was associated with a 71% reduction in the likelihood of engaging in NSSI (OR for extreme quartiles of GILQ adherence =0.29; 95% CI\u2009=\u20090.15\u20130.57). The result was similar when boys and girls were analyzed separately. A healthy lifestyle was inversely associated with the presence of NSSI in this sample of Spanish adolescents. Lifestyles could function as potential predictors of NSSI.<\/jats:p>","DOI":"10.1093\/eurpub\/ckaf159","type":"journal-article","created":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T21:48:04Z","timestamp":1762724884000},"page":"77-83","source":"Crossref","is-referenced-by-count":2,"title":["Global index of lifestyle quality and non-suicidal self-injury in the SESSAMO project: a Spanish adolescents cohort"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2624-3724","authenticated-orcid":false,"given":"Adriana","family":"Go\u00f1i-Sarri\u00e9s","sequence":"first","affiliation":[{"name":"Mental Health Network, Navarre Health Service , Navarre,","place":["Spain"]},{"name":"IdiSNA, Navarre Institute for Health Research , Navarre,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2177-9001","authenticated-orcid":false,"given":"Leticia","family":"Morata-Sampaio","sequence":"additional","affiliation":[{"name":"Department of Psychology, Sociology, and Social Work, University Las Palmas de Gran Canaria , Las Palmas de Gran Canaria,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1531-9351","authenticated-orcid":false,"given":"Azucena","family":"D\u00edez-Su\u00e1rez","sequence":"additional","affiliation":[{"name":"IdiSNA, Navarre Institute for Health Research , Navarre,","place":["Spain"]},{"name":"Child and Adolescents Psychiatry Unit, Cl\u00ednica Universidad de Navarra , Navarre,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillermo","family":"P\u00edrez","sequence":"additional","affiliation":[{"name":"Children and Adolescent Psychiatry at Insular University Hospital of Gran Canaria , Las Palmas de Gran Canaria,","place":["Spain"]},{"name":"Department of Medical Sciences, Area of Psychiatry, University Las Palmas de Gran Canaria , Las Palmas de Gran Canaria,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6444-8208","authenticated-orcid":false,"given":"I\u00f1aki","family":"Zorrilla","sequence":"additional","affiliation":[{"name":"OSI Araba, Osakidetza Basque Health Service , Vitoria-Gasteiz,","place":["Spain"]},{"name":"Department of Neurosciences, University of the Basque Country UPV\/EHU , Vitoria-Gasteiz,","place":["Spain"]},{"name":"CIBER of Mental Health (CIBERSAM), Institute of Health Carlos III , Madrid,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7733-9238","authenticated-orcid":false,"given":"Almudena","family":"S\u00e1nchez-Villegas","sequence":"additional","affiliation":[{"name":"IdiSNA, Navarre Institute for Health Research , Navarre,","place":["Spain"]},{"name":"ISFOOD, Institute for Innovation & Sustainable Development in Food Chain, Public University of Navarre , Navarre,","place":["Spain"]},{"name":"CIBEROBN, Biomedical Research Center Network on Physiopathology of Obesity and Nutrition, Institute of Health Carlos III , Madrid,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,11,9]]},"reference":[{"key":"2026021717514499300_ckaf159-B1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1186\/s12966-016-0413-7","article-title":"Development of sedentary behavior across childhood and adolescence: longitudinal analysis 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