{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T05:40:01Z","timestamp":1792647601913,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"vor","delay-in-days":1,"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>Non\u2010suicidal self\u2010injury (NSSI) is a critical clinical marker in early psychiatric intervention for adolescents. It often co\u2010occurs with suicidal ideation (SI), but it remains unclear which component\u2014NSSI or SI\u2014more accurately reflects the underlying psychological burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this retrospective cross\u2010sectional study, 417 adolescent outpatients (13\u201318\u2009years) were classified into four groups: no NSSI\/no SI (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009292), SI without NSSI (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200966), NSSI without SI (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200931) and NSSI with SI (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200928). At intake, participants completed the QIDS (depressive symptoms; QIDS_noSI), HQ\u201025 (social withdrawal), TACS\u201022 (modern\u2010type depressive traits) and BRS (resilience). Group differences were tested using ANOVA with variance\u2010robust procedures as needed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Non\u2010suicidal self\u2010injury (NSSI) was present in 14.1% of participants, and suicidal ideation (SI) was endorsed by 22.5%. Depressive symptom severity (excluding suicidal ideation) was higher in both groups with SI regardless of their NSSI status; furthermore, among adolescents with NSSI, the presence of SI was associated with greater depressive severity. Social withdrawal was elevated primarily in adolescents who reported SI without NSSI compared to those with neither behaviour. Scores for modern\u2010type depressive traits were also higher in the two groups experiencing SI. Psychological resilience showed only a marginal overall group effect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In routine outpatient settings, psychological profiles often attributed to NSSI were more strongly driven by the presence of SI. These findings suggest that for early intervention, stratifying adolescent patients by SI status\u2014rather than focusing on NSSI alone\u2014is essential for identifying those with greater depressive burden and social withdrawal. This approach allows for more precise risk assessment and individualised care planning at the point of initial clinical contact.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/eip.70262","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T04:24:17Z","timestamp":1791001457000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Distinct Psychological Profiles of Adolescent Psychiatric Outpatients With Non\u2010Suicidal Self\u2010Injury Stratified by Suicidal Ideation"],"prefix":"10.1111","volume":"20","author":[{"given":"Erina","family":"Nakane","sequence":"first","affiliation":[{"name":"Department of Psychiatry Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2375-0467","authenticated-orcid":false,"given":"Hiroyuki","family":"Ogata","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7654-0085","authenticated-orcid":false,"given":"Masaki","family":"Seki","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine Dokkyo Medical University  Mibu Japan"},{"name":"Okute Hospital  Mizunami Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohei","family":"Saima","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Ihara","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.13452"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964\u2010009\u20109482\u20100"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010017\u20100767\u20109"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.70125"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2017.02.018"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787\u2010019\u201001327\u20103"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.09.002"},{"issue":"1","key":"e_1_2_12_9_1","first-page":"43","article-title":"Cross\u2010Cultural Adaptation of the Quick Inventory of Depressive Symptomatology\u2013Self Report (QIDS\u2010SR\u2010J)","volume":"25","author":"Fujisawa D.","year":"2010","journal-title":"Japanese Journal of Stress Sciences"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3102\/10769986001002113"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0029429"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2010.07.056"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.2132\/personality.19.94"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12360"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12842"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.06.030"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0030278"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2013.00863"},{"key":"e_1_2_12_19_1","first-page":"278","volume-title":"Contributions to Probability and Statistics: Essays in Honor of Harold Hotelling","author":"Levene H.","year":"1960"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/1753\u20102000\u20106\u201010"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.121208.131258"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2006.05.010"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u2010006X.72.5.885"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0006\u20103223(02)01866\u20108"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.3402\/ejpt.v5.25338"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12691"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/38.3\u20104.330"}],"container-title":["Early Intervention in Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eip.70262","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/eip.70262","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eip.70262","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T05:23:46Z","timestamp":1792646626000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/eip.70262"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":26,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/eip.70262"],"URL":"https:\/\/doi.org\/10.1111\/eip.70262","archive":["Portico"],"relation":{},"ISSN":["1751-7885","1751-7893"],"issn-type":[{"value":"1751-7885","type":"print"},{"value":"1751-7893","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-01-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70262"}}