{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:49:40Z","timestamp":1791355780389,"version":"4.3.1"},"reference-count":18,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aims to investigate the prospective association between unintentional injuries and subsequent suicidal ideation among children and adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study is a two-wave longitudinal school-based cohort derived from repeated surveys administered in Anhui, China, in November 2023 (Wave 1) and April 2025 (Wave 2). As grade 12 students in Wave 1 would graduate by July 2024 and thus be unavailable for follow-up, we included only students in grades 5\u201311 from Wave 1. We identified 24,522 students who participated in both waves, yielding a follow-up rate of 84.18% (47.08% female).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 12 types of unintentional injuries, after adjustment for socio-demographic characteristics and Wave 1 suicidal ideation, all 12 types were significantly associated with Wave 2 suicidal ideation, with adjusted odds ratios ranging from 1.31 to 1.65; all associations remained significant after Benjamini\u2013Hochberg FDR correction (q\u202f&amp;lt;\u202f0.05). The strongest associations were observed for explosion injuries (OR\u202f=\u202f1.65, 95% CI\u202f=\u202f1.27\u20132.13, q\u202f&amp;lt;\u202f0.001), injuries from sharp objects (OR\u202f=\u202f1.62, 95% CI\u202f=\u202f1.50\u20131.75, q\u202f&amp;lt;\u202f0.001), and poisoning (OR\u202f=\u202f1.54, 95% CI\u202f=\u202f1.19\u20131.99, q\u202f=\u202f0.001), while the weakest, though still significant, was for Swallow a foreign object (OR\u202f=\u202f1.31, 95% CI\u202f=\u202f1.21\u20131.42, q\u202f&amp;lt;\u202f0.001). Formal interaction tests indicated that only 3 of the 12 injury types (fall injuries, explosion injuries, and electric-current exposure) showed statistically significant gender \u00d7 injury interactions, suggesting that the overall pattern of associations is largely consistent across sexes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Previous unintentional injuries are associated with an increased likelihood of subsequent suicidal ideation. Given the consistent pattern of associations and the absence of a clearly dominant injury category, broadly framed injury-prevention and early-identification strategies may be warranted, rather than prioritization of any single injury type.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1963201","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T05:51:44Z","timestamp":1791352304000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between unintentional injuries and suicidal ideation of children and adolescents: a longitudinal study"],"prefix":"10.3389","volume":"17","author":[{"given":"Yulian","family":"Yang","sequence":"first","affiliation":[{"name":"The Institute of Social and Family Medicine, School of Public Health, School of Medicine, Zhejiang University","place":["Hangzhou, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biao","family":"Chen","sequence":"additional","affiliation":[{"name":"The Institute of Social and Family Medicine, School of Public Health, School of Medicine, Zhejiang University","place":["Hangzhou, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengyan","family":"Chen","sequence":"additional","affiliation":[{"name":"The Institute of Social and Family Medicine, School of Public Health, School of Medicine, Zhejiang University","place":["Hangzhou, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingjing","family":"Lu","sequence":"additional","affiliation":[{"name":"The Institute of Social and Family Medicine, School of Public Health, School of Medicine, Zhejiang University","place":["Hangzhou, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xudong","family":"Zhou","sequence":"additional","affiliation":[{"name":"The Institute of Social and Family Medicine, School of Public Health, School of Medicine, Zhejiang University","place":["Hangzhou, Zhejiang, China"]},{"name":"The Second Affiliated Hospital, Zhejiang University School of Medicine","place":["Hangzhou, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"ref3","doi-asserted-by":"publisher","first-page":"540","DOI":"10.3389\/fpsyt.2018.00540","article-title":"Suicide and youth: risk factors","volume":"9","author":"Bilsen","year":"2018","journal-title":"Front. 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