{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T05:39:04Z","timestamp":1792647544146,"version":"4.5.0"},"reference-count":45,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72304212"],"award-info":[{"award-number":["72304212"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Adolescents who engage in non\u2010suicidal self\u2010injury (NSSI) are at heightened risk for suicidal ideation. Nevertheless, there is a scarcity of population\u2010level evidence in China to guide school\u2010based health initiatives. This study aimed to explore the prevalence and correlates of suicidal ideation among adolescents with NSSI in central China.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A multicenter study in central China assessed 3730 adolescents with NSSI using standardized measures of depression, anxiety, family functioning, and suicidal ideation. Multiple linear regression identified associated factors (\n p<\/jats:italic>\n \u2009<\u20090.05).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 74.05% reported suicidal ideation in the past year, and 68.2% were at elevated suicide risk. Higher suicidal ideation was associated with female sex, only\u2010child status, higher parental education, greater depressive\/anxiety symptoms, and poorer family functioning.<\/jats:p>\n <\/jats:sec>\n \n Implications for School Health Policy, Practice, and Equity<\/jats:title>\n Findings emphasize the need for school\u2010based mental health screening, early intervention, and family\u2010school collaboration, alongside equitable policies to ensure psychosocial support across diverse socioeconomic and regional contexts.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Suicidal ideation is highly prevalent among adolescents with NSSI and is closely linked to emotional distress and family functioning, highlighting the importance of school\u2010centered prevention strategies.<\/jats:p>\n 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Lei","family":"Jiang","sequence":"additional","affiliation":[{"name":"Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing Wuhan University Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9422-6868","authenticated-orcid":false,"given":"Xiao Qin","family":"Wang","sequence":"additional","affiliation":[{"name":"Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing Wuhan University Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.g5954","article-title":"Clinical and Social Outcomes of Adolescent Self Harm: Population Based Birth Cohort Study","volume":"349","author":"Mars 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