Childhood adversity, social support, problematic internet use, psychological vulnerability, and pathways to non-suicidal self-injury and suicidality in adolescents and young adults: a prospective cohort study protocol - Scorecard - MDSpire

Childhood adversity, social support, problematic internet use, psychological vulnerability, and pathways to non-suicidal self-injury and suicidality in adolescents and young adults: a prospective cohort study protocol

  • By

  • Yi-An Liao

  • Shih-Ying Ni

  • Tzu‐Jung Chiu

  • Chun-I Liu

  • June 29, 2026

  • 0 min

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Clinical Scorecard: Exploring the Links Between Childhood Adversity, Social Support, Internet Use Issues, Psychological Vulnerability, and Their Impact on Non-Suicidal Self-Injury and Suicidal Behavior in Adolescents and Young Adults: A Study Protocol for a Prospective Cohort Analysis

At a Glance

CategoryDetail
ConditionNon-suicidal self-injury (NSSI) and suicidality
Key MechanismsChildhood adversity, inadequate family and social support, psychological vulnerability
Target PopulationAdolescents and young adults aged 13–29 years
Care SettingClinical and community settings

Key Highlights

  • NSSI is increasingly recognized as a major mental health concern in youth populations.
  • Childhood adversity and inadequate support are significant risk factors for NSSI and suicidality.
  • The study aims to examine the interplay of psychosocial factors leading to NSSI and suicidality.
  • Problematic internet use and psychological vulnerabilities are explored as contributing factors.
  • The research utilizes structural equation modeling to analyze the data.

Guideline-Based Recommendations

Diagnosis

  • Assess NSSI and suicidality using standardized measures such as ISAS and C-SSRS.

Management

  • Implement context-sensitive prevention strategies targeting upstream vulnerabilities.

Monitoring & Follow-up

  • Monitor psychosocial and clinical characteristics in adolescents and young adults.

Risks

  • Recognize the impact of childhood adversity and inadequate support on mental health.

Patient & Prescribing Data

Adolescents and young adults with a history of self-harm or suicidality.

Focus on integrated approaches addressing both psychosocial and psychological factors.

Clinical Best Practices

  • Utilize a biopsychosocial developmental framework in assessment and intervention.
  • Encourage family and social support as protective factors against NSSI.
  • Address impulsivity and emotional regulation in therapeutic settings.

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