{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:51:35Z","timestamp":1791593495410,"version":"4.3.4"},"reference-count":33,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Childhood sexual abuse is a major developmental trauma associated with elevated risk for non\u2010suicidal self\u2010injury and suicidal behaviour in adolescence. Yet, it remains unclear whether abused adolescents show distinct motivational profiles for self\u2010injury and how depression and emotion dysregulation jointly relate to suicide risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To compare suicide risk, depressive severity, and emotion dysregulation across adolescents with childhood sexual abuse and self\u2010injury, adolescents with self\u2010injury without sexual abuse, and controls; to identify unique predictors of suicide risk; and to examine construct\u2010level symptom and motivation networks using a network analytic approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This cross\u2010sectional study included 120 adolescents (12\u201318\u2009years;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200940 per group) assessed with measures of suicide risk, depressive symptoms, emotion dysregulation, and self\u2010injury characteristics\/motives. Group differences were tested using appropriate parametric\/nonparametric methods. Multiple regression models evaluated predictors of suicide risk. Networks were estimated using regularized partial correlation models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Adolescents with childhood sexual abuse and self\u2010injury showed the highest overall suicide risk, hopelessness, and suicidal ideation, alongside greater depressive severity and emotion dysregulation, particularly in impulse control and limited access to regulation strategies. In regression analyses, depressive severity was the strongest correlate of overall suicide risk, while specific emotion dysregulation facets showed domain\u2010specific associations with hostility and negative self\u2010image. Network analysis identified suicidal ideation and limited access to regulation strategies as the most central nodes. Motivation networks appeared more diffuse in the CSA group, although pronounced floor effects and zero\u2010inflation in this subgroup's responses warrant caution in this interpretation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adolescents with childhood sexual abuse and self\u2010injury represent a high\u2010priority early intervention subgroup with elevated suicidality and regulatory difficulties. Rapid assessment should prioritize depressive severity, suicidal ideation, and emotion regulation strategy deficits, while trauma\u2010informed interventions may be required to address less explicit self\u2010injury motivations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/eip.70251","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:35:02Z","timestamp":1791592502000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Suicidal Behaviour and Non\u2010Suicidal Self\u2010Injury in Adolescents With Childhood Sexual Abuse: Associated Clinical Factors and Psychological Correlates"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4580-7655","authenticated-orcid":false,"given":"Birsen \u015eent\u00fcrk","family":"Pilan","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Ege University  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9441-036X","authenticated-orcid":false,"given":"Yi\u011fit","family":"\u00d6zayd\u0131n","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Ege University  \u0130zmir T\u00fcrkiye"},{"name":"Department of Child and Adolescent Psychiatry D\u00f6rtyol State Hospital  D\u00f6rtyol Hatay T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9340-499X","authenticated-orcid":false,"given":"\u0130layda Baranko\u011flu","family":"Sevin","sequence":"additional","affiliation":[{"name":"Ministry of Health Trabzon Kanuni Training and Research Hospital  Trabzon T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9520-3246","authenticated-orcid":false,"given":"Tu\u011f\u00e7e","family":"\u00d6zcan","sequence":"additional","affiliation":[{"name":"Private Practice  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6631-9549","authenticated-orcid":false,"given":"Sezen","family":"K\u00f6se","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Ege University  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1958-6120","authenticated-orcid":false,"given":"Fevzi Tuna","family":"Ocako\u011flu","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Ege University  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6242-7876","authenticated-orcid":false,"given":"Serpil","family":"Erermi\u015f","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Ege University  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0032-7025","authenticated-orcid":false,"given":"Tezan","family":"Bildik","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Ege University  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"2013"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291718003823"},{"issue":"3","key":"e_1_2_12_4_1","first-page":"111","article-title":"\u0130ntihar Olas\u0131l\u0131\u011f\u0131 \u00d6l\u00e7e\u011fi (\u0130O\u00d6)\u2019nin Klinik \u00d6rneklemdeki Ge\u00e7erlilik ve G\u00fcvenirlik \u00c7al\u0131\u015fmas\u0131","volume":"12","author":"Atl\u0131 Z.","year":"2009","journal-title":"Klinik Psikiyatri Dergisi"},{"issue":"2","key":"e_1_2_12_5_1","first-page":"52","article-title":"\u0130ntihar Olas\u0131l\u0131\u011f\u0131 \u00d6l\u00e7e\u011fi: G\u00f6zden ge\u00e7irme, ge\u00e7erlik ve g\u00fcvenirlik \u00e7al\u0131\u015fmas\u0131","volume":"2","author":"Bat\u0131g\u00fcn A. 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