Study on the “DIARY” as Clinical Pathway of Diagnosis and Treatment for NSSI in Integration of Traditional Chinese Medicine and Western Medicine in China

Non-suicidal self-injury (NSSI) in adolescents is a common clinical condition among young people, often associated with adolescent depression or bipolar disorder. The clinical diagnosis and treatment remain challending, leading to issues such as diagnostic inconsistency and poor therapeutic outcomes. We invited a panel of Chinese experts from the fields of psychiatry, clinical psychology, traditional Chinese medicine (TCM) for emotional disorders, integrated traditional Chinese and Western medicine, and evidence-based medicine. Based on clinical practice, particularly in relation to adolescent depression and bipolar disorder, we have developed a clinical pathway for the integrated management of adolescent NSSI in China. Guided by principles of practicality, scientific validity, cost-effectiveness, and ease of memorization, this clinical pathway is named “DIARY.” It offers a constructive approach for the comprehensive, in-depth, and effective treatment of adolescent NSSI. This is the first clinical pathway for NSSI, and it is a combination of traditional Chinese and Western medicine. There may be shortcomings, but it provides a foundation for developing more comprehensive clinical pathway in treatments for NSSI in the future.

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Publication Details

Journal
Acupuncture & Electro-Therapeutics Research
Published
2026-07-23
DOI
https://doi.org/10.1177/03601293261465022
Primary Topic
Suicide and Self-Harm Studies
Type
article
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article

Study on the “DIARY” as Clinical Pathway of Diagnosis and Treatment for NSSI in Integration of Traditional Chinese Medicine and Western Medicine in China

Baoping Xing, Bo Wei, DU Biao, Bing Pan et al.
Acupuncture & Electro-Therapeutics Research
Suicide and Self-Harm Studies
article

Study on the “DIARY” as Clinical Pathway of Diagnosis and Treatment for NSSI in Integration of Traditional Chinese Medicine and Western Medicine in China

Baoping Xing, Bo Wei, DU Biao, Bing Pan, Zhengxin Chen, GuoRong Li, Yujun Gao, Wei Lv, Gangqiao Qi, 杨海晨, Deng Yun-long, Yu Zhang, Shaojia Lu, Luxian Lv, Weiwei Li, Jiyang Pan, Weiwei Xie, Fengli Sun, Yong Lin, Weidong Jin, Yang Du, Dong Shen, Zhanjiang Li, Suhong Ye, Kedeng Fu, Gaohua Wang, Zhihan Gao, Zhonglin Tan, Daihui Peng, Songquan Xu, Wei Chen, Liang Li, Ning Zhang
article en

Abstract

Non-suicidal self-injury (NSSI) in adolescents is a common clinical condition among young people, often associated with adolescent depression or bipolar disorder. The clinical diagnosis and treatment remain challending, leading to issues such as diagnostic inconsistency and poor therapeutic outcomes. We invited a panel of Chinese experts from the fields of psychiatry, clinical psychology, traditional Chinese medicine (TCM) for emotional disorders, integrated traditional Chinese and Western medicine, and evidence-based medicine. Based on clinical practice, particularly in relation to adolescent depression and bipolar disorder, we have developed a clinical pathway for the integrated management of adolescent NSSI in China. Guided by principles of practicality, scientific validity, cost-effectiveness, and ease of memorization, this clinical pathway is named “DIARY.” It offers a constructive approach for the comprehensive, in-depth, and effective treatment of adolescent NSSI. This is the first clinical pathway for NSSI, and it is a combination of traditional Chinese and Western medicine. There may be shortcomings, but it provides a foundation for developing more comprehensive clinical pathway in treatments for NSSI in the future.

Acupuncture & Electro-Therapeutics Research
Ningbo University (CN), Zhejiang Chinese Medical University (CN), Central South University (CN), Capital University (US), Shanghai Jiao Tong University (CN), Capital Medical University (CN), Anhui Medical University (CN), Wenzhou Medical University (CN), First Affiliated Hospital of Wenzhou Medical University (CN), Sir Run Run Shaw Hospital (CN), Westlake University (CN), Wuhan University (CN), Longgang Central Hospital (CN), Jiaxing University (CN), Taizhou Second People's Hospital (CN), Chongqing City Mental Health Center (CN), Tongde Hospital of Zhejiang Province (CN), Ningbo No. 2 Hospital (CN), Henan Psychiatric Hospital (CN), Zhejiang Technical Institute of Economics (CN), Nanjing Brain Hospital (CN), Ningbo Kangning Hospital (CN), Wuchang University of Technology (CN), Guang Fu Hospital (CN), Chongqing Three Gorges Central Hospital (CN), Jiangxi Mental Health Center (CN), First Hospital of Jiaxing (CN), Renmin Hospital of Wuhan University (CN), Third People's Hospital of Huzhou (CN), Affiliated Hangzhou First People's Hospital, Westlake University, School of Medicine (CN), Second Affiliated Hospital of Zhejiang University (CN), Xiangya Hospital Central South University (CN), Fourth Affiliated Hospital of Anhui Medical University (CN), Jinhua Central Hospital (CN), First Affiliated Hospital of Jinan University (CN), Ningbo No.6 Hospital (CN), First Affiliated Hospital Zhejiang University (CN), Chongqing Three Gorges University (CN), Zhejiang University (CN)
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Suicide and Self-Harm Studies
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