{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:57:50Z","timestamp":1790675870256,"version":"4.1.0"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"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. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Self-harm is a major public health concern among adolescents, particularly those hospitalized with psychiatric disorders. Despite its clinical salience, risk stratification tools incorporating both individual-level and family-level factors remain limited. This study aimed to develop and preliminarily evaluate a prediction model for self-harm among adolescent inpatients with mental disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study included 123 adolescent inpatients (aged 12\u201317 years). Self-harm was defined as intentional self-injury or poisoning regardless of suicidal intent. Demographic, clinical, and familial variables were extracted from electronic medical records. Psychological assessments included the Children\u2019s Depression Inventory (CDI), Parent-child Relationship Scale, Parents\u2019 Perception of Uncertainty Scale (PPUS), parental Generalized Anxiety Disorder-7 (GAD-7), and parental Patient Health Questionnaire-9 (PHQ-9). The dataset was split into a training set (80%, n = 98) and a test set (20%, n = 25). Logistic regression with backward stepwise selection was used to construct a nomogram, with model performance assessed by the area under the curve and decision curve analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Four independent predictors of self-harm were identified: female sex (OR\u00a0=\u00a09.484, 95% CI: 2.736-32.868), higher CDI score (OR\u00a0=\u00a01.175 per 1-point increase, 95% CI: 1.058-1.305), higher parental PHQ-9 score (OR\u00a0=\u00a01.235 per 1-point increase, 95% CI: 1.064-1.433), and parental marital status (overall\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.001). The model showed good discrimination in the training set (AUC\u00a0=\u00a00.873) and acceptable performance in the testing set (AUC\u00a0=\u00a00.720). Decision curve analysis confirmed clinical utility across relevant threshold probabilities.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Female sex, higher depressive symptom severity, higher parental depressive symptoms, and parental marital status were associated with self-harm among hospitalized adolescents with mental disorders. The developed nomogram may serve as a preliminary screening aid for individualized risk stratification and may help clinicians identify patients requiring further assessment. External validation in larger, multicenter cohorts is needed before routine clinical use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1848287","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T05:38:20Z","timestamp":1789364300000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A preliminary prediction model for self-harm in adolescent inpatients with mental disorders: integrating individual and family factors"],"prefix":"10.3389","volume":"17","author":[{"given":"Shufen","family":"Wang","sequence":"first","affiliation":[{"name":"Beijing Huilongguan Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongna","family":"Wang","sequence":"additional","affiliation":[{"name":"Beijing Huilongguan Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Shao","sequence":"additional","affiliation":[{"name":"Beijing Huilongguan Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Wu","sequence":"additional","affiliation":[{"name":"Beijing Huilongguan Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingyan","family":"Yang","sequence":"additional","affiliation":[{"name":"Beijing Huilongguan Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanfang","family":"Zhou","sequence":"additional","affiliation":[{"name":"Beijing Huilongguan Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(12)60322-5","article-title":"Self-harm and suicide in adolescents","volume":"379","author":"Hawton","year":"2012","journal-title":"Lancet"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1001\/2013.jamapsychiatry.55","article-title":"Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement","volume":"70","author":"Nock","year":"2013","journal-title":"JAMA Psychiatry"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61141-6","article-title":"Premature death after self-harm: a multicentre cohort study","volume":"380","author":"Bergen","year":"2012","journal-title":"Lancet"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-024-01969-w","article-title":"Risk and protective factors of self-harm and suicidality in adolescents: An umbrella review with meta-analysis","volume":"53","author":"Richardson","year":"2024","journal-title":"J Youth Adolesc"},{"key":"B5","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1111\/j.1467-8721.2009.01613.x","article-title":"Why do people hurt themselves? 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