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Observational Study
Copyright ©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Feb 19, 2026; 16(2): 112817
Published online Feb 19, 2026. doi: 10.5498/wjp.v16.i2.112817
Associations of excessive smartphone duration and unlock frequency with non-suicidal self-injury in college students
Jian Yin, Guang-Dong Wang, Pei-Xi Wu, Hui Yang, Ze-Shi Liu, Yan-Ping Zhang
Jian Yin, Ze-Shi Liu, Yan-Ping Zhang, Department of Laboratory, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710004, Shaanxi Province, China
Guang-Dong Wang, Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shaanxi Province, China
Pei-Xi Wu, Xi’an Mingde Institute of Technology, Xi’an 710124, Shaanxi Province, China
Hui Yang, Department of External Cooperation and Exchange, Shaanxi Provincial Health Commission, Xi’an 710003, Shaanxi Province, China
Co-first authors: Jian Yin and Guang-Dong Wang.
Author contributions: Yin J and Wang GD made equal contributions as co-first authors; Yin J, Wang GD, and Zhang YP contributed to the conception and design of the study, drafted the manuscript; Wu PX, Yang H, and Liu ZS contributed to the acquisition, analysis, or interpretation of data for the work; Zhang YP conducted critical revision of the manuscript before final approval for submission. All authors approved the final version to publish.
Institutional review board statement: This study is approved by the Second Affiliated Hospital of Xi’an Jiaotong University, No. 2022248.
Informed consent statement: All participants provided informed consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: Dataset available from the corresponding author. Participants gave informed consent for data sharing was not obtained but the presented data are anonymized and risk of identification is low.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan-Ping Zhang, PhD, Associate Chief Physician, Department of Laboratory, The Second Affiliated Hospital of Xi’an Jiaotong University, No. 157 West Wulu Road, Xincheng District, Xi’an 710004, Shaanxi Province, China. hongpijidan@mail.xjtu.edu.cn
Received: August 20, 2025
Revised: September 30, 2025
Accepted: November 21, 2025
Published online: February 19, 2026
Processing time: 167 Days and 2.9 Hours
Core Tip

Core Tip: The mental health impact of smartphone use remains incompletely understood. The present study assessed objective smartphone duration and unlock frequency by collecting participants’ smartphone use records screenshots, finding that excessive smartphone duration and unlock frequency were positively associated with non-suicidal self-injury among college students. Restricted cubic spline analyses found a monotonic increase in non-suicidal self-injury risk with increasing smartphone duration and unlock frequency, emphasizing the need to consider digital behavior patterns in developing prevention strategies.