From anxiety and depression to non-suicidal self-injury in youths: the mediating effect of neuroticism and the moderating effect of thyroid hormones - Report - MDSpire

From anxiety and depression to non-suicidal self-injury in youths: the mediating effect of neuroticism and the moderating effect of thyroid hormones

  • By

  • Hui Ma

  • Jing Zhang

  • Tiandao Wang

  • Fang Huang

  • Lei Li

  • July 3, 2026

  • 0 min

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Clinical Report: Neuroticism and Thyroid Hormones in NSSI Among Adolescents

Overview

This study investigates the mediating role of neuroticism and the moderating effects of thyroid hormones on the relationship between anxiety, depression, and non-suicidal self-injury (NSSI) in adolescents.

Background

Non-suicidal self-injury (NSSI) is a significant behavioral concern among adolescents, often linked with anxiety and depression. Understanding the psychological and neuroendocrine mechanisms behind NSSI is crucial.

Data Highlights

VariableEffectp-value
Neuroticism mediation (HAMA-NSSI)0.0798-
TT3 moderation (HAMD-NSSI)0.31120.0147
FT3 moderation (HAMD-NSSI)0.11180.0371
TSH moderation (HAMD-NSSI)-0.09760.0011

Key Findings

  • Neuroticism fully mediates the relationship between anxiety symptoms and NSSI.
  • TT3 and FT3 positively moderate the relationship between depressive symptoms and NSSI.
  • TSH negatively moderates the depression-NSSI relationship, significant in high-neuroticism subgroup.
  • No significant moderating effects of thyroid hormones on the anxiety-NSSI pathway were found.
  • Neuroticism is linked to emotional instability and poor impulse control, contributing to NSSI behaviors.

Clinical Implications

Clinicians should consider assessing neuroticism and thyroid hormone levels in adolescents exhibiting NSSI behaviors. Understanding these factors may enhance the identification of at-risk youths and inform tailored intervention strategies.

Conclusion

The study examines the interplay between psychological traits and neuroendocrine factors in adolescent NSSI.

Related Resources & Content

  1. Frontiers in Psychiatry, 2026 -- Predictive value of antioxidant and thyroid function indicators for non-suicidal self-injury in adolescents with major depressive disorder
  2. BMC Psychiatry, 2025 -- Sleep characteristics and non-suicidal self-injury: unveiling the association in depressed adolescents
  3. BMC Psychiatry, 2025 -- Altered cortical structure and networks associated with psychosocial adversity and pain hyposensitivity in adolescents with non-suicidal self-injury
  4. BMC Psychiatry, 2025 -- A review of the scope of non-suicidal self-injury behavior in adolescents with depressive disorders: an analysis of related influencing factors
  5. NICE, 2022 -- Recommendations | Self-harm: assessment, management and preventing recurrence
  6. PubMed, 2025 -- Stratified Stepped-Care for Reducing Suicide Attempts and Self-Harm in Youth: A Randomized Clinical Trial
  7. Frontiers in Psychiatry, 2025 -- Impulsivity and non-suicidal self-injury in adolescents: a systematic review and meta-analysis of longitudinal studies
  8. Recommendations | Self-harm: assessment, management and preventing recurrence | Guidance | NICE
  9. Stratified Stepped-Care for Reducing Suicide Attempts and Self-Harm in Youth: A Randomized Clinical Trial - PubMed
  10. Frontiers | Impulsivity and non-suicidal self-injury in adolescents: a systematic review and meta-analysis of longitudinal studies

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