2f:I[703058,["/_next/static/immutable/chunks/3bhq_5eh1d760.js","/_next/static/immutable/chunks/1855-ogyi8eh4.js","/_next/static/immutable/chunks/2pfsjpn6k6zlg.js","/_next/static/immutable/chunks/26c7v3_3uwnwu.js","/_next/static/immutable/chunks/25a3ozcrvi1ff.js","/_next/static/immutable/chunks/2r4wx50nvjh_4.js","/_next/static/immutable/chunks/23fsw06hsi5b1.js","/_next/static/immutable/chunks/06_yt270h41rg.js","/_next/static/immutable/chunks/3ezsiz-7shkna.js","/_next/static/immutable/chunks/20x2y96ldu5wx.js","/_next/static/immutable/chunks/2lxntcm3pd1_h.js","/_next/static/immutable/chunks/00dgco8irq3jw.js","/_next/static/immutable/chunks/00nwe-kq0rboc.js","/_next/static/immutable/chunks/2051ffx3xzio9.js"],"PaperListPageClient"] 30:T7bf,Providing lethal means counseling to caregivers is an underutilized component of emergency department (ED)-based suicide prevention. We assessed the feasibility and acceptability of Lock and Protect, a web-based lethal means counseling decision aid, among caregivers of adolescents who presented to the ED for self-injurious and/or suicidal thoughts and behaviors. We conducted a pilot feasibility study of caregiver-adolescent dyads in a pediatric ED. Adolescents were 13-17 years old with current suicidal ideation, suicide attempt, or non-suicidal self-injury. Caregivers received the Lock and Protect intervention plus usual care while their child was in the ED. Feasibility was measured via enrollment rates, duration of time caregivers interacted with Lock and Protect, and tool completion rates. Caregiver acceptability was measured with the Ottawa Acceptability Scale. Follow-up assessments measured changes in home storage at 2- and 4-weeks after enrollment. Of 47 caregivers screened and eligible, 40 enrolled (85.1%), of whom 39/40 and 1/40 reported home access to medications and firearms, respectively. Caregivers found Lock and Protect respectful of their family values about medications (100%) and firearms (97.5%). Almost all caregivers (95.0%) reported the length was "just right" and 92.5% reported the amount of information was "just right". All caregivers completed the tool in the ED, using it for a mean of 8 min (SD = 3.4 min). All would recommend the tool to others. Ottawa Acceptability Scale scores demonstrated that 95.0% of caregivers found the options in Lock and Protect realistic, and 97.5% found the tool useful for changing home medication access. Follow-up was completed for 77.5% of caregivers, with 20/31 (64.5%) reporting safer home storage of medications. Lock and Protect, a web-based lethal means counseling decision aid, was feasible to administer in the pediatric ED and acceptable to caregivers of adolescents at risk for suicide.31:Ta5c,ABSTRACT Background Providing lethal means counseling to caregivers is an underutilized component of emergency department (ED)‐based suicide prevention. We assessed the feasibility and acceptability of Lock and Protect, a web‐based lethal means counseling decision aid, among caregivers of adolescents who presented to the ED for self‐injurious and/or suicidal thoughts and behaviors. Methods We conducted a pilot feasibility study of caregiver‐adolescent dyads in a pediatric ED. Adolescents were 13–17 years old with current suicidal ideation, suicide attempt, or non‐suicidal self‐injury. Caregivers received the Lock and Protect intervention plus usual care while their child was in the ED. Feasibility was measured via enrollment rates, duration of time caregivers interacted with Lock and Protect, and tool completion rates. Caregiver acceptability was measured with the Ottawa Acceptability Scale. Follow‐up assessments measured changes in home storage at 2‐ and 4‐weeks after enrollment. Results Of 47 caregivers screened and eligible, 40 enrolled (85.1%), of whom 39/40 and 1/40 reported home access to medications and firearms, respectively. Caregivers found Lock and Protect respectful of their family values about medications (100%) and firearms (97.5%). Almost all caregivers (95.0%) reported the length was “just right” and 92.5% reported the amount of information was “just right”. All caregivers completed the tool in the ED, using it for a mean of 8 min (SD = 3.4 min). All would recommend the tool to others. Ottawa Acceptability Scale scores demonstrated that 95.0% of caregivers found the options in Lock and Protect realistic, and 97.5% found the tool useful for changing home medication access. Follow‐up was completed for 77.5% of caregivers, with 20/31 (64.5%) reporting safer home storage of medications. Conclusions Lock and Protect, a web‐based lethal means counseling decision aid, was feasible to administer in the pediatric ED and acceptable to caregivers of adolescents at risk for suicide. 25:[[["$","script","0",{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"CollectionPage\",\"name\":\"Non-Suicidal Self-Injury: condition Research & Clinical Takeaways\",\"description\":\"Explore peer-reviewed papers on Non-Suicidal Self-Injury (condition). Clinician-written summaries and actionable practice insights. 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Despite sensory overlaps with nonsuicidal self-injury (NSSI), body modifications carried distinct positive connotations and outcomes that NSSI did not.","limitations":"Small, likely self-selected qualitative sample (N=47) limits generalizability; no control group without BPD for comparison; reliance on self-report retrospective interview data introduces recall bias.","practice_takeaway":"Clinicians working with BPD patients should ask about body modification as a potential identity-affirming coping strategy—distinct from NSSI—rather than automatically linking it to self-harm. Understanding a patient's modification experiences may open productive conversations about identity disturbance and affect regulation needs."}},{"doi":"10.1007/s10508-026-03492-4","pmid":"42446863","title":"Differential Impacts of Childhood and Adulthood Sexual Violence on Social Inclusion, Non-Suicidal Self-Injury, and Health Outcomes Among Asexual Young Adults","journal_title":"Archives of Sexual Behavior","journal_issn":"0004-0002","published_at":"2026-07-14T00:00:00.000Z","url":"https://doi.org/10.1007/s10508-026-03492-4","source_score":5,"is_retracted":false,"is_open_access":false,"raw_metadata":{"pubmed":true,"crossref":true,"unpaywall":true},"created_at":"2026-07-22T13:37:14.913Z","updated_at":"2026-07-22T13:37:14.913Z","tags":[{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"age_group","value":"adolescent","value_numeric":null},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"age_group","value":"adult","value_numeric":null},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"category","value":"Psychology, Clinical","value_numeric":null},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"condition","value":"Mental Health Disorders","value_numeric":null},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"condition","value":"Non-Suicidal Self-Injury","value_numeric":null},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"condition","value":"Sexual Violence","value_numeric":null},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"condition","value":"Social Exclusion","value_numeric":null},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"impact_flag","value":"limited_evidence","value_numeric":null},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"level_of_evidence","value":"4","value_numeric":null},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"sample_size","value":"n=6163","value_numeric":6163},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"study_design","value":"Cross-Sectional Survey Study","value_numeric":null},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"warning","value":"Full text was not accessible — summary is based solely on the abstract and reference list; specific effect sizes, mediation statistics, and adjusted odds ratios are not available.","value_numeric":null},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"warning","value":"Sample is drawn from an online asexual community survey, which may over-represent more community-engaged or English-speaking asexual individuals.","value_numeric":null},{"paper_doi":"10.1007/s10508-026-03492-4","tag_type":"warning","value":"The study design is cross-sectional, so causal language used in the abstract (e.g., 'impacts') should be interpreted cautiously.","value_numeric":null}],"summaries":{"what_studied":"This cross-sectional study examined how childhood vs. adulthood sexual violence relate to impaired social inclusion, non-suicidal self-injury (NSSI), and health/well-being among asexual young adults (ages 18–30) using data from the 2021 Ace Community Survey (N = 6,163).","key_result":"Both childhood and adulthood sexual violence were significantly linked to worse health/well-being, greater impaired social inclusion, and higher NSSI likelihood. Childhood sexual violence showed **broader and stronger** associations with health impairment and NSSI than adulthood sexual violence. Impaired social inclusion significantly **mediated** the path from both types of sexual violence to adverse health outcomes and NSSI.","limitations":"- Cross-sectional design prevents causal inference between sexual violence, social inclusion, and outcomes.\n- Self-selected online community survey sample may not represent all asexual individuals.\n- Retrospective self-report of childhood sexual violence introduces recall and response bias.","practice_takeaway":"Clinicians should not assume asexual identity protects against sexual victimization — screen asexual patients for both childhood and adult trauma. Trauma-informed care for this group should also address identity-related social exclusion, as it mediates the link between sexual violence and NSSI/poor health."}},{"doi":"10.1038/s41562-026-02505-5","pmid":"42373822","title":"Prevalence and severity of mental health problems in early-career researchers: a systematic review and meta-analysis","journal_title":"Nature Human Behaviour","journal_issn":"2397-3374","published_at":"2026-06-29T00:00:00.000Z","url":"https://doi.org/10.1038/s41562-026-02505-5","source_score":86,"is_retracted":false,"is_open_access":true,"raw_metadata":{"pubmed":true,"crossref":true,"unpaywall":true},"created_at":"2026-07-02T13:33:20.132Z","updated_at":"2026-07-02T13:33:20.132Z","tags":[{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"age_group","value":"adult","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"category","value":"Neurosciences","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"condition","value":"Alcohol Misuse","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"condition","value":"Anxiety","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"condition","value":"Depression","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"condition","value":"Eating Disorders","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"condition","value":"Non-Suicidal Self-Injury","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"condition","value":"Psychological Distress","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"condition","value":"Suicidal Ideation","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"impact_flag","value":"practice_changing","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"level_of_evidence","value":"1","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"sample_size","value":"n=138446","value_numeric":138446},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"study_design","value":"Systematic Review and Meta-Analysis","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"warning","value":"Study population ('early-career researchers') is not a clinical group; generalizability to specific ECR subpopulations (e.g., by discipline or country) is unclear from the abstract alone.","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"warning","value":"The full text of the PDF was not extractable — only metadata and the abstract were available. All summary content is sourced from the abstract only; findings from the body, methods detail, and moderator tables could not be verified.","value_numeric":null},{"paper_doi":"10.1038/s41562-026-02505-5","tag_type":"warning","value":"The PDF metadata suggests a different document title ('EMT Report') and an older creation date (2020), which may indicate a mismatch between the supplied PDF and the paper described in the abstract. Interpret with caution.","value_numeric":null}],"summaries":{"what_studied":"A preregistered systematic review and multilevel meta-analysis (PROSPERO: CRD42024596813) examined the prevalence and severity of mental health problems — including depression, anxiety, eating disorders, alcohol misuse, non-suicidal self-injury (NSSI), and suicidal ideation — among early-career researchers (ECRs) across 148 studies (k=228; N=138,446), using validated case-identification thresholds.","key_result":"29.9% (95% CI: 26.1–33.9%) of ECRs reported elevated psychological distress overall. Specific pooled estimates: depression 29.8%, anxiety 29.7%, eating disorder symptoms 28.3%, alcohol misuse 22.9%, NSSI 18.6%, and suicidal ideation 18.8%. Depression prevalence was ~2–3× higher and anxiety ~3–5× higher than in age-matched general-population samples. Mean symptom severity was 'mild' for depression and anxiety, and 'moderate' for stress.","limitations":"- The full text content was inaccessible (PDF metadata only); all data are drawn from the abstract alone.\n- Moderator analyses found that demographic and individual characteristics explained limited variance, leaving much heterogeneity unexplained.\n- Estimates rely on self-report validated scales, which may not reflect clinical diagnoses.","practice_takeaway":"Nearly 1 in 3 early-career researchers screens positive for depression or anxiety — rates far above the general population — suggesting institutions should prioritize structured, evidence-based mental health support and systemic reforms rather than relying solely on individual-level interventions."}},{"doi":"10.1007/s10608-026-10726-1","pmid":null,"title":"The Effectiveness of Emotion Regulation–Focused Interventions on Non-Suicidal Self-injury: A Meta-Analysis","journal_title":"Cognitive Therapy and Research","journal_issn":"0147-5916","published_at":"2026-05-22T00:00:00.000Z","url":"https://doi.org/10.1007/s10608-026-10726-1","source_score":5,"is_retracted":false,"is_open_access":true,"raw_metadata":{"pubmed":false,"crossref":true,"unpaywall":true},"created_at":"2026-05-30T13:22:38.953Z","updated_at":"2026-05-30T13:22:38.953Z","tags":[{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"age_group","value":"mixed","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"category","value":"Psychology, Clinical","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"condition","value":"Borderline Personality Disorder","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"condition","value":"Non-Suicidal Self-Injury","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"generic","value":"Emotion Regulation Individual Therapy for Adolescents","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"generic","value":"Unified Protocol","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"impact_flag","value":"confirms_prior","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"level_of_evidence","value":"1","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"modality","value":"Cognitive Behavioral Therapy","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"modality","value":"Dialectical Behavior Therapy","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"modality","value":"Emotion Regulation Group Therapy","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"modality","value":"Transdiagnostic Psychotherapy","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"sample_size","value":"n=1580","value_numeric":1580},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"study_design","value":"Meta-Analysis","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"warning","value":"High heterogeneity (I²=86%) for the primary NSSI outcome was unexplained by any subgroup analysis, so the pooled effect size should be interpreted cautiously across different clinical contexts.","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"warning","value":"Mix of RCT and non-randomized designs in the same pool may inflate effect estimates; causal conclusions are limited.","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"warning","value":"Most samples were predominantly female and had comorbid BPD; generalizability to males or NSSI without BPD comorbidity is unclear.","value_numeric":null},{"paper_doi":"10.1007/s10608-026-10726-1","tag_type":"warning","value":"Trim-and-fill analysis suggested up to 8 missing studies, implying the true NSSI effect size could be larger (adjusted g=0.84) or that the unadjusted g=0.61 is conservative—direction of bias is uncertain.","value_numeric":null}],"summaries":{"what_studied":"This meta-analysis examined whether emotion regulation–focused interventions (DBT, ERGT, ERITA, and Unified Protocol) reduce NSSI frequency and improve emotion regulation (DERS scores) across 20 studies (22 effect sizes, n=1,580), including both RCTs and non-randomized designs, published up to January 2026.","key_result":"Interventions produced a significant medium effect on NSSI frequency (Hedges' g=0.61, 95% CI [0.40–0.83]) and a significant large effect on DERS scores (g=0.81, 95% CI [0.64–0.98]). Heterogeneity was high for NSSI (I²=85.94%) but low for DERS (I²=22.92%). Therapist training in the specific protocol was the only significant moderator—for DERS outcomes only (b=0.32, p=.02).","limitations":"- High heterogeneity (I²=86%) for NSSI outcomes limits confidence in the pooled estimate; no moderator explained this variability.\n- Only 9 studies contributed DERS data, reducing power to detect moderators for the secondary outcome.\n- Most participants were female with comorbid BPD; 11 of 20 studies used non-randomized designs, limiting causal inference.","practice_takeaway":"DBT, ERGT, ERITA, and the Unified Protocol all show meaningful reductions in NSSI—clinicians need not restrict choice to DBT alone when resources are limited. Ensure therapists receive formal training in the chosen protocol, as this is linked to greater improvements in emotion regulation capacity."}},{"doi":"10.1111/acem.70313","pmid":"42101340","title":"Lock and Protect, Reducing Access to Adolescent Means of Suicide: A Pilot Feasibility Study","journal_title":"Academic Emergency Medicine","journal_issn":"1069-6563","published_at":"2026-05-08T00:00:00.000Z","url":"https://doi.org/10.1111/acem.70313","source_score":3,"is_retracted":false,"is_open_access":false,"raw_metadata":{"ooir":{"day":"2026-05-09","doi":"10.1111/acem.70313","days":"7","issn":"1069-6563","rank":"4","field":"Clinical Medicine","score":"3","category":"Emergency Medicine","categories":["Emergency Medicine"],"_categories":["Emergency Medicine"]},"pubmed":{"doi":"10.1111/acem.70313","title":"Lock and Protect, Reducing Access to Adolescent Means of Suicide: A Pilot Feasibility Study.","journal":"Academic emergency medicine : official journal of the Society for Academic Emergency Medicine","methods":"","results":"Of 47 caregivers screened and eligible, 40 enrolled (85.1%), of whom 39/40 and 1/40 reported home access to medications and firearms, respectively. Caregivers found Lock and Protect respectful of their family values about medications (100%) and firearms (97.5%). Almost all caregivers (95.0%) reported the length was \"just right\" and 92.5% reported the amount of information was \"just right\". All caregivers completed the tool in the ED, using it for a mean of 8 min (SD = 3.4 min). All would recommend the tool to others. Ottawa Acceptability Scale scores demonstrated that 95.0% of caregivers found the options in Lock and Protect realistic, and 97.5% found the tool useful for changing home medication access. Follow-up was completed for 77.5% of caregivers, with 20/31 (64.5%) reporting safer home storage of medications.","abstract":"$30","keywords":["adolescent suicide","lethal means counseling","suicide prevention"],"pubmed_id":"42101340","conclusions":"","publication_date":"2026-05-08T00:00:00"},"crossref":{"DOI":"10.1111/acem.70313","URL":"https://doi.org/10.1111/acem.70313","ISSN":["1069-6563","1553-2712"],"link":[{"URL":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/acem.70313","content-type":"application/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https://onlinelibrary.wiley.com/doi/full-xml/10.1111/acem.70313","content-type":"application/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/acem.70313","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"page":null,"type":"journal-article","issue":"5","score":1,"title":["Lock and Protect, Reducing Access to Adolescent Means of Suicide: A Pilot Feasibility Study"],"author":[{"given":"Ashley M.","family":"Blanchard","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Columbia University Medical Center New York New York USA"}]},{"given":"Joandalys","family":"Tejada","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Columbia University Medical Center New York New York USA"}]},{"given":"Shekinah","family":"Pettway","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Columbia University Medical Center New York New York USA"}]},{"given":"Emma","family":"Cornell","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Columbia University Medical Center New York New York USA"},{"name":"Center for Gun Violence Prevention, Northwell Health New Hyde Park New York USA"}]},{"given":"Jennifer A.","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency Medicine, Department of Pediatrics and Medical Social Sciences Northwestern University, Ann and Robert H. 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P.Rivara “Effectiveness of Interventions to Promote Safe Firearm Storage ”(2026) https://doi.org/10.1093/epirev/mxv006.","article-title":null,"journal-title":null,"doi-asserted-by":"crossref"}],"short-title":[],"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"update-policy":"https://doi.org/10.1002/crossmark_policy","alternative-id":["10.1111/acem.70313"],"article-number":"e70313","content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"original-title":[],"container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2026,5]]},"reference-count":57,"published-online":{"date-time":null,"timestamp":null,"date-parts":[[2026,5,8]]},"references-count":57,"short-container-title":["Academic Emergency Medicine"],"is-referenced-by-count":0},"unpaywall":{"doi":"10.1111/acem.70313","is_oa":false,"title":"Lock and Protect, Reducing Access to Adolescent Means of Suicide: A Pilot Feasibility Study","updated":"2026-05-09T14:24:07+00:00","published_date":"2026-05-01","best_oa_location":null}},"created_at":"2026-05-11T13:21:04.334Z","updated_at":"2026-05-14T15:13:26.918Z","tags":[{"paper_doi":"10.1111/acem.70313","tag_type":"age_group","value":"adolescent","value_numeric":null},{"paper_doi":"10.1111/acem.70313","tag_type":"category","value":"Emergency Medicine","value_numeric":null},{"paper_doi":"10.1111/acem.70313","tag_type":"condition","value":"Non-Suicidal Self-Injury","value_numeric":null},{"paper_doi":"10.1111/acem.70313","tag_type":"condition","value":"Suicidal Ideation","value_numeric":null},{"paper_doi":"10.1111/acem.70313","tag_type":"condition","value":"Suicide Attempt","value_numeric":null},{"paper_doi":"10.1111/acem.70313","tag_type":"impact_flag","value":"limited_evidence","value_numeric":null},{"paper_doi":"10.1111/acem.70313","tag_type":"level_of_evidence","value":"4","value_numeric":null},{"paper_doi":"10.1111/acem.70313","tag_type":"modality","value":"Digital Decision Aid","value_numeric":null},{"paper_doi":"10.1111/acem.70313","tag_type":"modality","value":"Lethal Means Counseling","value_numeric":null},{"paper_doi":"10.1111/acem.70313","tag_type":"sample_size","value":"n=40","value_numeric":40},{"paper_doi":"10.1111/acem.70313","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1111/acem.70313","tag_type":"study_design","value":"Pilot Feasibility Study","value_numeric":null},{"paper_doi":"10.1111/acem.70313","tag_type":"warning","value":"Follow-up was limited to 77.5% of enrolled caregivers, introducing potential attrition bias in the storage outcome data.","value_numeric":null},{"paper_doi":"10.1111/acem.70313","tag_type":"warning","value":"Only 1 of 40 caregivers reported home firearm access, so the tool's impact on firearm storage cannot be assessed from this study.","value_numeric":null},{"paper_doi":"10.1111/acem.70313","tag_type":"warning","value":"This is a single-arm pilot with no control group; changes in home storage behavior cannot be attributed to the intervention alone.","value_numeric":null}],"summaries":{"what_studied":"This pilot feasibility study evaluated 'Lock and Protect,' a web-based lethal means counseling decision aid, among caregivers of adolescents (ages 13–17) presenting to a pediatric ED with suicidal ideation, suicide attempt, or non-suicidal self-injury. Enrollment, tool completion, acceptability (Ottawa Acceptability Scale), and changes in home storage were assessed at 2- and 4-week follow-up.","key_result":"Of 47 eligible caregivers, 40 enrolled (85.1%); 100% completed the tool in the ED (mean use: 8 min). At follow-up (77.5% completion), 20/31 (64.5%) reported safer home storage of medications. Acceptability was high: 97.5% found the tool useful for changing home medication access and all caregivers would recommend it.","limitations":"Small pilot sample (n=40) limits generalizability; only 1/40 caregivers reported home firearm access, so firearm-specific outcomes could not be meaningfully assessed; follow-up was completed by only 77.5% of enrollees.","practice_takeaway":"A brief (~8-min) web-based lethal means counseling tool is feasible to deploy in the pediatric ED during an adolescent's visit and is highly acceptable to caregivers. Over 60% of caregivers reported safer medication storage at follow-up, supporting its routine use as part of ED-based suicide prevention."}},{"doi":"10.1016/j.jad.2026.121747","pmid":"41951158","title":"Anatomical location of non-suicidal self-injury: A latent class analysis of functional, cognitive, and behavioural profiles of people who self-injure","journal_title":"Journal of Affective Disorders","journal_issn":"0165-0327","published_at":"2026-04-06T00:00:00.000Z","url":"https://doi.org/10.1016/j.jad.2026.121747","source_score":102,"is_retracted":false,"is_open_access":true,"raw_metadata":{"pubmed":true,"crossref":true,"unpaywall":true},"created_at":"2026-05-07T22:49:56.355Z","updated_at":"2026-05-07T22:49:56.355Z","tags":[{"paper_doi":"10.1016/j.jad.2026.121747","tag_type":"age_group","value":"mixed","value_numeric":null},{"paper_doi":"10.1016/j.jad.2026.121747","tag_type":"category","value":"Psychiatry","value_numeric":null},{"paper_doi":"10.1016/j.jad.2026.121747","tag_type":"condition","value":"Non-Suicidal Self-Injury","value_numeric":null},{"paper_doi":"10.1016/j.jad.2026.121747","tag_type":"impact_flag","value":"practice_changing","value_numeric":null},{"paper_doi":"10.1016/j.jad.2026.121747","tag_type":"level_of_evidence","value":"4","value_numeric":null},{"paper_doi":"10.1016/j.jad.2026.121747","tag_type":"modality","value":"Behavioural Assessment","value_numeric":null},{"paper_doi":"10.1016/j.jad.2026.121747","tag_type":"sample_size","value":"n=1103","value_numeric":1103},{"paper_doi":"10.1016/j.jad.2026.121747","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1016/j.jad.2026.121747","tag_type":"study_design","value":"Cross-Sectional Study","value_numeric":null},{"paper_doi":"10.1016/j.jad.2026.121747","tag_type":"warning","value":"Latent class analysis is a data-driven method; class boundaries may vary across different samples or cultures.","value_numeric":null},{"paper_doi":"10.1016/j.jad.2026.121747","tag_type":"warning","value":"Mean age is 24.5 but the full age range is not reported; the age_group tag 'mixed' is an inference based on the online recruitment context.","value_numeric":null},{"paper_doi":"10.1016/j.jad.2026.121747","tag_type":"warning","value":"The paper is dated 2026-04-06 but listed with a DOI suggesting a future publication; today's date is May 7, 2026, so the article appears recently published and peer-reviewed.","value_numeric":null},{"paper_doi":"10.1016/j.jad.2026.121747","tag_type":"warning","value":"The 'practice_changing' impact flag is applied cautiously — findings are novel and theoretically meaningful but derived from a single cross-sectional online sample; replication in clinical settings is needed before broad practice change.","value_numeric":null}],"summaries":{"what_studied":"This study examined whether the anatomical location (by visibility) of non-suicidal self-injury (NSSI) maps onto distinct functional, cognitive, and behavioural profiles in 1,103 adults with a lifetime history of NSSI, using latent class analysis of online self-report data.","key_result":"Three latent classes emerged: a **concealed NSSI** group (32.6%) with the highest endorsement of intrapersonal functions and expectancies; a **visible NSSI** group (20.2%) linked to greater NSSI frequency, broader bodily involvement, and stronger anti-suicide functions — but *not* stronger interpersonal functions; and an **intermediate** group (47.2%) falling between the two.","limitations":"- Cross-sectional, self-report design limits causal inference and may introduce recall bias.\n- Sample was predominantly female (83.4%) and recruited online, limiting generalisability.\n- Visibility was used as a proxy for anatomical location, which may not fully capture clinical nuance.","practice_takeaway":"Clinicians assessing NSSI should ask about the anatomical location and visibility of self-injury — concealed sites may signal strong intrapersonal (emotion-regulation) drivers, while visible sites may reflect higher severity and anti-suicide function rather than attention-seeking.\n Routine location-based assessment could refine functional formulation and tailor intervention targets."}}],"initialOffset":6,"fetchConfig":{"kind":"tags","tags":[{"tag_type":"condition","value":"Non-Suicidal Self-Injury"}]},"breadcrumbItems":[{"name":"Home","href":"/"},{"name":"Research Hub","href":"/hub"},{"name":"Conditions","href":"/hub/tag/condition"},{"name":"Non-Suicidal Self-Injury"}],"hrefConfig":{"basePath":"/hub/papers","webViewQueryParams":{"hub_ctx":"tag","hub_tag_type":"condition","hub_tag_value":"Non-Suicidal Self-Injury"}}}]]

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