Examining the Association Between Internet Addiction and Nonsuicidal Self-Injury Among Chinese Middle School Students: Prospective Cohort Study - Summary - MDSpire

Examining the Association Between Internet Addiction and Nonsuicidal Self-Injury Among Chinese Middle School Students: Prospective Cohort Study

  • By

  • Tianqing Fan

  • Lintong Song

  • Sihong Li

  • Xingyue Jing

  • Mireille Twayigira

  • Chunxiang Huang

  • Xuerong Luo

  • Yanmei Shen

  • June 17, 2026

  • 0 min

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Objective:

To investigate the effect of baseline internet addiction (IA) on incident nonsuicidal self-injury (NSSI) and explore potential sex differences in this relationship.

Approach:
    Key Findings:
    • NSSI is common among adolescents and is associated with higher risks of suicide and mental health issues.
    • Internet addiction may serve as a maladaptive coping strategy that exacerbates emotional dysregulation and social isolation.
    • Sex differences exist in patterns of internet addiction and nonsuicidal self-injury, with males more susceptible to gaming addiction and females more affected by social networking challenges.
    Interpretation:

    The study aims to clarify the directionality of the relationship between IA and NSSI and whether IA is a modifiable risk factor for NSSI.

    Limitations:
    • High attrition rate with 46.5% of participants lost to follow-up.
    • The study was conducted in a single urban public middle school, which may limit generalizability.
    Conclusion:

    The study seeks to provide insights into the longitudinal relationship between internet addiction and nonsuicidal self-injury among adolescents, with a focus on sex differences.

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