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Protective role of perceived social support against adolescent self-injury addiction: Serial mediation of negative emotion and impulsivity

Bing Pan, Mei-yi Guo, Yun Gong, Zheng Lin, Bing-Ren Zhang

World Journal of Psychiatry, 2026

102 participants · 1 citation

Abstract

BACKGROUND: Repeated non-suicidal self-injury (NSSI) behaviors are frequently associated with negative emotions, impulsivity and addictive-like characteristics. AIM: To explore the protective role of perceived social support against self-injury addiction among adolescents engaging in NSSI. METHODS: This cross-sectional study enrolled 102 Chinese adolescents with NSSI from outpatient clinics at a local hospital between January 2024 and April 2024, and their perceived social support, depression and anxiety emotions, impulsivity, and self-injury addiction were assessed using the Multidimensional Scale of Perceived Social Support (MSPSS), Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS), Barratt Impulsiveness Scale (BIS-11), and addiction subscale of the Revised Chinese Version of Ottawa Self-injury Inventory (ROSI-addiction). RESULTS: Among adolescents with NSSI, ROSI-addiction scores were negatively correlated with MSPSS factors and positively correlated with SAS scores, SDS scores, and all BIS-11 factors except Cognitive instability. Meanwhile, MSPSS factors were negatively correlated with SAS and SDS scores; SAS and SDS scores exhibited positively correlations with the BIS-11 dimensions of Attention, Perseverance, Self-control and Cognitive complexity. Moreover, perceived social support demonstrated both direct and indirect negative relations with self-injury addiction, mediated by anxiety, depression and impulsivity. CONCLUSION: Negative emotions and…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 102 participants or records.

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