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Wenxian Fu,1– 4 Xinyi Li,1– 4 Sifan Ji,1– 4 Tingting Yang,1,3– 5 Lu Chen,1,3– 5 Yaru Guo,1,3– 5 Kongliang He1– 5 1Affiliated Psychological Hospital of Anhui Medical University, Hefei Fourth People’s Hospital, Hefei, 230022, People’s Republic of China; 2School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, 230022, People’s Republic of China; 3Anhui Mental Health Center, Hefei Fourth People’s Hospital, Hefei, 230022, People’s Republic of China; 4Psychiatry Department, Hefei Fourth People’s Hospital, Hefei, 230022, People’s Republic of China; 5Psychological Counseling department, Hefei Fourth People’s Hospital, Hefei, 230022, People’s Republic of ChinaCorrespondence: Kongliang He, Affiliated Psychological Hospital of Anhui Medical University, Hefei Fourth People’s Hospital, Hefei, 230022, People’s Republic of China, Tel +8613966721862, Email hefei413@126.comObjective: Non-suicidal self-injury (NSSI) behavior is very common in adolescents with depression, and childhood trauma is considered one of the distal risk factors for its exacerbation. Rumination caused by adverse traumatic experiences, which can be transferred through NSSI behavior, can alleviate symptoms of depression in adolescents. The current research focuses on the relationship between the three, further exploring whether rumination is a mediator in the relationship between childhood trauma and NSSI behavior on the basis of previous studies, and provides some suggestions for future early intervention for adolescents with depression.Methods: A total of 833 adolescent patients with depression who met the DSM-5 criteria for depressive episode were recruited from 12 hospitals in China. The Chinese version of the Function Assessment of Self-mutilation, Childhood Trauma Questionnaire, and Rumination Inventory were used as research tools.Results: The scores of childhood trauma and rumination in adolescents with depression in the NSSI group were high

Kongliang He,1– 3 Sifan Ji,3 Lingmin Sun,3 Tingting Yang,2 Lu Chen,2 Huanzhong Liu,4 Kai Wang1,3 1Department of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, 230022, People’s Republic of China; 2Psychological Counseling Department, Hefei Fourth People’s Hospital, Hefei, 230022, People’s Republic of China; 3School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, 230022, People’s Republic of China; 4Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, 230022, People’s Republic of ChinaCorrespondence: Huanzhong Liu; Kai Wang, Email huanzhongliu@ahmu.edu.cn; wangkai1964@126.comObjective: Despite the perception that healthy female are superior at emotional identification, it remains unclear whether gender-specific differences exist in adolescent depression and whether such specific differences in emotional recognition are associated with the most salient feature of adolescent depression---non-suicidal self-injury (NSSI).Methods: In this study, 1428 adolescents (1136 females and 292 males) with depression and NSSI were examined using the Facial Emotion Recognition Task, Patient Health Questionnaire-9 (PHQ-9), and Functional Assessment of Self-mutilation questionnaire (FASM). This study was grouped by gender. Data were analyzed using the descriptive statistics, independent sample t-test, chi-square test, non-parametric test (Mann–Whitney U-test), Spearman correlation and Multiple linear regression analysis.Results: Depressed females reported a significantly greater frequency of self-injurious behaviour and more severe depressive symptoms than males. Face emotion recognition was also significantly more accurate in females and was positively correlated with levels of self-injury and depression, whereas no such correlations were found in males. Among depressed adolescents, face emotion recognition is better in females and is associated with self-injurious behaviour.Conclusion: T