Non-suicidal self-harm (NSSI) is the behavior that an individual will not take suicide as the purpose, to harm their own body, and will not be recognized by the society. This behavior will mainly produce very serious negative consequences, which has been widely valued by the parents of university hospitals. According to previous studies, the incidence of NSSI is relatively high in early adolescence, and the existence of non-suicidal NSSI behaviors among college students is also highly universal. College students have certain particularity, and belong to the group of collective life, their own education level is relatively high, with personality and ideal. In recent years, the number of NSSI among college students has been further increased, and NSSI has also received wide attention from scholars. The detection rate of NSSI among Chinese college students has reached 16.6%. Although in essence, the actual purpose of NSSI is not suicide, the behavior also represents that individuals are prone to various types of psychological and spiritual problems. Based on the above perspectives, this paper analyzes the behavior of NSSI of college students, and explores the influencing factors. We hope that on this basis, Chinese college students can pay attention to NSSI related problems, and the mental health of college students can be effectively improved [1].

Yuan Qin. Analysis of NSSI Behavior and Influencing Factors. Frontiers in Educational Research (2023) Vol. 6, Issue 15: 135-142. https://doi.org/10.25236/FER.2023.061519.

[1] Duan Dengai, Zhang Yonghui, Wang Wei, Liao Xinju, Zhang Zhixiong. Effect of childhood maltreatment on non-suicidal NSSI behaviors in adolescents with first-episode depression. Journal of Kunming Medical University, 2023, 44 (03): 120-124. 

[2] Simone AC, Hamza CA. A longitudinal examination of predictors of nonsuicidal self-injury disclosures among university students. J Clin Psychol. 2021 Dec; 77(12): 2860-2877. doi: 10. 1002/jclp. 23277. Epub 2021 Nov 13. PMID: 34773410. 

[3] Liu H, Wang W, Yang J, Guo F, Yin Z. The effects of alexithymia, experiential avoidance, and childhood sexual abuse on non-suicidal self-injury and suicidal ideation among Chinese college students with a history of childhood sexual abuse. J Affect Disord. 2021 Mar 1; 282: 272-279. doi: 10. 1016/j. jad. 2020. 12. 181. Epub 2020 Dec 30. PMID: 33418378. 

[4] Luo Haibo. Retrospective analysis of the status and risk factors of non-suicidal self-injury behavior in adolescent depression. The Electronic Journal of Modern Medicine and Health Research, 2023, 7 (05): 119-121. 

[5] Li Chang, Zhang Yingli. Establishment and validation of a diagnostic prediction model for non-suicidal self-injury behavior in adolescents with depressive disorder. Mental Health, Sichuan Province, 2023, 36 (01): 12-18. 

[6] Slabbert A, Hasking P, Greene D, Boyes M. Measurement invariance of the distress tolerance scale among university students with and without a history of non-suicidal self-injury. PeerJ. 2021 Mar 15; 9: e10915. doi: 10. 7717/peerj. 10915. PMID: 33777518; PMCID: PMC7971082. 

[7] Christoforou R, Boyes M, Hasking P. Emotion profiles of university students engaging in non-suicidal self-injury: Association with functions of self-injury and other mental health concerns. Psychiatry Res. 2021 Nov; 305: 114253. doi: 10. 1016/j. psychres. 2021. 114253. Epub 2021 Oct 27. PMID: 34743063. 

[8] Liao C, Gu X, Wang J, Li K, Wang X, Zhao M, Feng Z. The Relation between Neuroticism and Non-Suicidal Self-Injury Behavior among College Students: Multiple Mediating Effects of Emotion Regulation and Depression. Int J Environ Res Public Health. 2022 Mar 2; 19(5): 2885. doi: 10. 3390/ijerph19052885. PMID: 35270578; PMCID: PMC8910599. 

[9] Casey SM, Varela A, Marriott JP, Coleman CM, Harlow BL. The influence of diagnosed mental health conditions and symptoms of depression and/or anxiety on suicide ideation, plan, and attempt among college students: Findings from the Healthy Minds Study, 2018-2019. J Affect Disord. 2022 Feb 1; 298(Pt A): 464-471. doi: 10. 1016/j. jad. 2021. 11. 006. Epub 2021 Nov 10. PMID: 34774646. 

[10] Park YH, Jeong YW, Kang YH, Kim SW, Park SY, Kim KJ, Lee JY, Choi DB. Mediating the effects of depression in the relationship between university students' attitude toward suicide, frustrated interpersonal needs, and non-suicidal self-injury during the COVID-19 pandemic. Arch Psychiatr Nurs. 2022 Apr; 37: 25-32. doi: 10. 1016/j. apnu. 2021. 11. 005. Epub 2021 Nov 27. PMID: 35337435. 

[11] Luo Yuan, Ren Pengyu, Ma Chencui, Zhu Jintao, Wu Rong, Liu Yu, Lei Ting, Zhang Yaqin, Yan Zheng. The mediating role of social support between non-suicidal NSSI behaviors and left-behind experiences. Modern preventive medicine, 2023, 50 (03): 535-539 + 550. 

[12] da Silva Bandeira BE, Dos Santos Júnior A, Dalgalarrondo P, de Azevedo RCS, Celeri EHVR. Nonsuicidal self-injury in undergraduate students: a cross-sectional study and association with suicidal behavior. Psychiatry Res. 2022 Dec; 318: 114917. doi: 10. 1016/j. psychres. 2022. 114917. Epub 2022 Oct 22. PMID: 36332506. 

[13] Hamza CA, Robinson K, Hasking PA, Heath NL, Lewis SP, Lloyd-Richardson E, Whitlock J, Wilson MS. Educational stakeholders' attitudes and knowledge about nonsuicidal self-injury among university students: A cross-national study. J Am Coll Health. 2021 Aug 11: 1-11. doi: 10. 1080/07448481. 2021. 1961782. Epub ahead of print. PMID: 34380005. 

[14] Li Y, He K, Xue C, Li C, Gu C. The Impact of Self-Consistency Congruence on Non-Suicidal Self-Injury in College Students: The Mediating Role of Negative Emotion and the Moderating Role of Gender. Int J Environ Res Public Health. 2022 Sep 20; 19(19): 11898. doi: 10. 3390/ijerph191911898. PMID: 36231200; PMCID: PMC9564789. 

[15] Guérin-Marion C, Bureau JF, Lafontaine MF, Gaudreau P, Martin J. Profiles of Emotion Dysregulation Among University Students Who Self-Injure: Associations with Parent-Child Relationships and Non-Suicidal Self-Injury Characteristics. J Youth Adolesc. 2021 Apr; 50(4): 767-787. doi: 10. 1007/s10964-020-01378-9. Epub 2021 Jan 15. PMID: 33449284. 

[16] Liao Jiwu, Xiang Ting, and Pan Jiyang. Microecological characteristics of intestinal microflora in adolescents with bipolar disorder with non-suicidal NSSI behavior. Chinese Journal of Neuropsychiatric Disorders, 2023, 49 (01): 23-28. 

[17] Holden RR, Lambert CE, La Rochelle M, Billet MI, Fekken GC. Invalidating childhood environments and nonsuicidal self-injury in university students: Depression and mental pain as potential mediators. J Clin Psychol. 2021 Mar; 77(3): 722-731. doi: 10. 1002/jclp. 23052. Epub 2020 Sep 2. PMID: 32880952. 

[18] Petrovic J, Mettler J, Böke BN, Rogers MA, Hamza CA, Bloom E, Di Genova L, Romano V, Arcuri GG, Heath NL. The effectiveness and acceptability of formal versus informal mindfulness among university students with and without recent nonsuicidal self-injury: Protocol for an online, parallel-group, randomized controlled trial. Contemp Clin Trials. 2023 Mar; 126: 107109. doi: 10. 1016/j. cct. 2023. 107109. Epub 2023 Feb 3. PMID: 36740043. 

[19] Wang Zhiyi, Jiang Zhongliang, He Qiang, Ma Yihan, Yang Jing, Cheng Xiaojing, Chen Jie, Tian Geng, Liu Jintong. Association between the behavioral inhibition / activation system and non-suicidal self-injury in junior high school students: the mediating effect of depression. Neurological Disorders and Mental Health, 2023, 23 (01): 25-31. 

[20] Lewis SP, Kenny TE, Pritchard TR, Labonte L, Heath NL, Whitley R. Self-Injury During COVID-19: Views From University Students With Lived Experience. J Nerv Ment Dis. 2022 Nov 1; 210(11): 824-830. doi: 10. 1097/NMD. 0000000000001541. Epub 2022 May 4. PMID: 36302080; PMCID: PMC9616563. 

[21] Yue Yan, Zhu Feng, Lu Xinchuan, Zhou Yongjie, Du Xiangdong. Effect of peer victimization on non-suicidal self-injury in adolescents with depressive episodes: a mediating role of self-esteem. Neurological Disorders and Mental Health, 2023, 23 (01): 18-24. 

[22] Hu Yan, Xu Huiqiong, Wan Yuhui, et al. The current situation and influencing factors of non-suicidal self-injury behavior of middle school students in Anhui Province. Chinese Journal of Disease Control, 2020, 24 (8): 6. 

[23] Gong Zuoping, Zhu Cui, Yang Qun, et al. Analysis of the current situation and influencing factors of non-suicidal self-injury behavior among middle school students in Yingshan County. Journal of Psychiatric Medicine, 2021, 34 (4): 5. 

[24] Zhang Shuai, Fan Xiaoli, Li Shilong, et al. Analysis of the factors influencing non-suicidal NSSI behavior in adolescent depression. 2022. 

[25] Fang Jintao and Li Wenxiu. Analysis of non-suicidal self-injury behavior and its risk factors in patients with depressive disorder. Journal of Clinical Psychiatry, 2019, 029 (001): 19-22. 

[26] He Qiang, Wang Kangcheng, Yang Ying, et al. Non-suicidal self-injury behavior and function and associated factors in adolescent depression. Chinese Journal of Mental Health, 2023, 37 (1): 6. 

[27] Lei Ting, Ma Chencui, Liu Yu, et al. Investigation on the current situation of non-suicidal self-SI in poor college students in Guiyang. Journal of Guizhou Medical University, 2023, 48 (3): 6. 

[28] Xiang Junyi, Gong Yin, Qian Hong, etc. Effect of interpersonal relationships on non-suicidal NSSI behavior in the depressed adolescent patients. Nerve injury and functional reconstruction, 2022 (008): 017

[29] Wen Xiaoqing, Lao Zhiyang. Analysis of HIV testing willingness and testing behavior and influencing factors of college students in Guilin city. Sexual AIDS disease in China, 2022, 28 (12): 4.