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Relationship between family functioning and adolescent non-suicidal self-injury: the chain mediating role of internet addiction and depression
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Yu-hang LU1, Er-pei ZHANG1, Meng-jiao YU2, Bao-jun YE1, Guo-jian YAN3, Yue CHEN1, Xiao-li LEI1, Bo YI1, Zhi-xing SONG4, Tian JIANG5
Modern Preventive Medicine | 2026, 53(7) : 1251 - 1256
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Modern Preventive Medicine | 2026, 53(7): 1251-1256
• Child and Adolescent Health, Maternal and Child Health •
Relationship between family functioning and adolescent non-suicidal self-injury: the chain mediating role of internet addiction and depression
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Yu-hang LU1, Er-pei ZHANG1, Meng-jiao YU2, Bao-jun YE1, Guo-jian YAN3, Yue CHEN1, Xiao-li LEI1, Bo YI1, Zhi-xing SONG4, Tian JIANG5
Affiliations
  • West China School of Public Health, Sichuan University/West China Fourth Hospital, Chengdu, Sichuan 610041, China
Published: 2026-04-10 doi: 10.20043/j.cnki.MPM.202510203
Outline
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Objective

To explore the relationship between family functioning and non-suicidal self-injury (NSSI) among adolescents in a specific western region of China, and to examine the chain mediating role of internet addiction and depression in this relationship.

Methods

A cross-sectional study was conducted among 1 331 seventh and eighth-grade students from a middle school in a western region of China. Assessments were carried out using the Internet Addiction Test (IAT), the Center for Epidemiological Studies Depression Scale for Children (CES-DC), the Chinese version of the Family Assessment Instrument (C-FAI), and the Deliberate Self-Harm Inventory (DSHI).

Results

The detection rate of NSSI among adolescents was 32.5%. Statistically significant differences in NSSI were found across gender (χ2=39.539), history of smoking (χ2=29.838), history of alcohol use (χ2=35.042), academic burden (χ2=49.824), and sleep duration (χ2=54.838), with all P<0.001. Mediation analysis indicated that family dysfunction not only directly influenced NSSI but also exerted indirect effects through three pathways: internet addiction alone (accounting for 13.2%), depression alone (accounting for 39.7%), and the sequential chain of internet addiction followed by depression (accounting for 7.4%). The total indirect effect accounted for 58.8% of the overall influence.

Conclusion

Family dysfunction is a significant risk factor for adolescent NSSI in the studied region. Its mechanism of action involves exerting influence through the chain mediating effects of internet addiction and depression. Interventions aimed at improving family functioning, promoting healthy internet use habits, and addressing depressive symptoms may help reduce the risk of NSSI among adolescents.

Adolescents  /  Non-suicidal self-injury  /  Family functioning  /  Internet addiction  /  Depression
鲁宇航, 张尔沛, 余孟娇, 叶保君, 严国建, 陈玥, 雷小莉, 易博, 宋知行, 姜恬. 青少年家庭功能与非自杀性自伤行为的关联——网络成瘾和抑郁的链式中介作用. 现代预防医学, 2026 , 53 (7) : 1251 -1256 . DOI: 10.20043/j.cnki.MPM.202510203
Yu-hang LU, Er-pei ZHANG, Meng-jiao YU, Bao-jun YE, Guo-jian YAN, Yue CHEN, Xiao-li LEI, Bo YI, Zhi-xing SONG, Tian JIANG. Relationship between family functioning and adolescent non-suicidal self-injury: the chain mediating role of internet addiction and depression[J]. Modern Preventive Medicine, 2026 , 53 (7) : 1251 -1256 . DOI: 10.20043/j.cnki.MPM.202510203
Year 2026 volume 53 Issue 7
24
15
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Article Info
doi: 10.20043/j.cnki.MPM.202510203
  • Receive Date:2025-10-13
  • Online Date:2026-11-02
  • Published:2026-04-10
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  • Received:2025-10-13
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    West China School of Public Health, Sichuan University/West China Fourth Hospital, Chengdu, Sichuan 610041, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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