diff --git a/clippy_lints/src/items_after_statements.rs b/clippy_lints/src/items_after_statements.rs
index afb8863f1b94..0e5f9f12432f 100644
--- a/clippy_lints/src/items_after_statements.rs
+++ b/clippy_lints/src/items_after_statements.rs
@@ -1,7 +1,10 @@
 use clippy_utils::diagnostics::span_lint_hir;
+use clippy_utils::source::SpanExt as _;
 use rustc_hir::{Block, ItemKind, StmtKind};
+use rustc_lexer::{FrontmatterAllowed, TokenKind, tokenize};
 use rustc_lint::{LateContext, LateLintPass, LintContext as _};
 use rustc_session::declare_lint_pass;
+use rustc_span::{Pos as _, Span};
 
 declare_clippy_lint! {
     /// ### What it does
@@ -49,25 +52,87 @@ declare_clippy_lint! {
 
 declare_lint_pass!(ItemsAfterStatements => [ITEMS_AFTER_STATEMENTS]);
 
+/// `cfg_select!` splices the tokens of the selected arm into the enclosing block without applying
+/// any expansion marker, so both the span and the syntax context of the resulting items are
+/// indistinguishable from items written directly in the block.
+fn are_direct_children_of_block(cx: &LateContext<'_>, block: &Block<'_>, stmt_spans: &[Span]) -> Vec<bool> {
+    if stmt_spans.is_empty() {
+        return vec![];
+    }
+    let mut direct_children = vec![true; stmt_spans.len()];
+
+    // Only the block's own opening delimiter may be left open at a statement's position. Comments and
+    // string literals are single tokens, so delimiters inside them can't skew the count.
+    block.span.with_source_text(cx, |src| {
+        let Some(stmt_offsets) = stmt_spans
+            .iter()
+            .map(|stmt_span| {
+                (stmt_span.lo() >= block.span.lo() && stmt_span.lo() <= block.span.hi())
+                    .then(|| (stmt_span.lo() - block.span.lo()).to_usize())
+                    .filter(|&offset| offset <= src.len())
+            })
+            .collect::<Option<Vec<_>>>()
+        else {
+            return;
+        };
+        if !stmt_offsets.is_sorted() {
+            return;
+        }
+
+        let mut depth = 0i32;
+        let mut offset = 0;
+        let mut next_item = 0;
+        for token in tokenize(src, FrontmatterAllowed::No) {
+            while let Some(&stmt_offset) = stmt_offsets.get(next_item)
+                && stmt_offset <= offset
+            {
+                direct_children[next_item] = depth == 1;
+                next_item += 1;
+            }
+
+            match token.kind {
+                TokenKind::OpenParen | TokenKind::OpenBrace | TokenKind::OpenBracket => depth += 1,
+                TokenKind::CloseParen | TokenKind::CloseBrace | TokenKind::CloseBracket => depth -= 1,
+                _ => {},
+            }
+            offset += token.len as usize;
+        }
+
+        while stmt_offsets.get(next_item).is_some() {
+            direct_children[next_item] = depth == 1;
+            next_item += 1;
+        }
+    });
+
+    // If source text isn't available or the spans can't be mapped, preserve the lint.
+    direct_children
+}
+
 impl LateLintPass<'_> for ItemsAfterStatements {
     fn check_block(&mut self, cx: &LateContext<'_>, block: &Block<'_>) {
         if block.stmts.len() > 1 {
             let ctxt = block.span.ctxt();
             let mut in_external = None;
-            block
+            let items = block
                 .stmts
                 .iter()
                 .skip_while(|stmt| matches!(stmt.kind, StmtKind::Item(..)))
                 .filter_map(|stmt| match stmt.kind {
-                    StmtKind::Item(id) => Some(cx.tcx.hir_item(id)),
+                    StmtKind::Item(id) => Some((stmt.span, cx.tcx.hir_item(id))),
                     _ => None,
                 })
                 // Ignore macros since they can only see previously defined locals.
-                .filter(|item| !matches!(item.kind, ItemKind::Macro(..)))
+                .filter(|(_, item)| !matches!(item.kind, ItemKind::Macro(..)))
                 // Stop linting if macros define items.
-                .take_while(|item| item.span.ctxt() == ctxt)
-                // Don't use `next` due to the complex filter chain.
-                .for_each(|item| {
+                .take_while(|(_, item)| item.span.ctxt() == ctxt)
+                .collect::<Vec<_>>();
+            let stmt_spans = items.iter().map(|(stmt_span, _)| *stmt_span).collect::<Vec<_>>();
+            let direct_children = are_direct_children_of_block(cx, block, &stmt_spans);
+            items
+                .into_iter()
+                .zip(direct_children)
+                .filter(|(_, direct)| *direct)
+                .for_each(|((_, item), _)| {
                     // Only do the macro check once, but delay it until it's needed.
                     if !*in_external.get_or_insert_with(|| block.span.in_external_macro(cx.sess().source_map())) {
                         span_lint_hir(
diff --git a/tests/ui/items_after_statement.rs b/tests/ui/items_after_statement.rs
index a308d8d78934..60d50ec4de58 100644
--- a/tests/ui/items_after_statement.rs
+++ b/tests/ui/items_after_statement.rs
@@ -68,6 +68,47 @@ fn item_from_macro() {
     static_assert_size!(u32, 4);
 }
 
+fn cfg_select_arm() {
+    let x = 1;
+    // `cfg_select!` splices the tokens of the arm into this block, without any expansion marker
+    std::cfg_select! {
+        true => {
+            use std::{cmp, mem};
+            let _ = (x, cmp::max(0, 1), mem::size_of::<u8>());
+        },
+    }
+}
+
+fn item_after_cfg_select() {
+    let x = 1;
+    std::cfg_select! {
+        true => {
+            use std::{cmp, mem};
+            let _ = (x, cmp::max(0, 1), mem::size_of::<u8>());
+        },
+    }
+    fn foo() {}
+    //~^ items_after_statements
+}
+
+fn grouped_use_after_statement() {
+    let x = 1;
+    use std::cmp::{max, min};
+    //~^ items_after_statements
+    //~| items_after_statements
+    //~| items_after_statements
+    let _ = (x, max(0, 1), min(0, 1));
+}
+
+fn nested_block() {
+    let _ = 1;
+    {
+        let _ = 2;
+        fn foo() {}
+        //~^ items_after_statements
+    }
+}
+
 fn allow_attribute() {
     let _ = 1;
     #[allow(clippy::items_after_statements)]
diff --git a/tests/ui/items_after_statement.stderr b/tests/ui/items_after_statement.stderr
index 7a5ae2c8d47d..105ea1e5bb3b 100644
--- a/tests/ui/items_after_statement.stderr
+++ b/tests/ui/items_after_statement.stderr
@@ -35,5 +35,35 @@ LL |       b!();
    |
    = note: this error originates in the macro `b` (in Nightly builds, run with -Z macro-backtrace for more info)
 
-error: aborting due to 3 previous errors
+error: adding items after statements is confusing, since items exist from the start of the scope
+  --> tests/ui/items_after_statement.rs:90:5
+   |
+LL |     fn foo() {}
+   |     ^^^^^^^^^^^
+
+error: adding items after statements is confusing, since items exist from the start of the scope
+  --> tests/ui/items_after_statement.rs:96:5
+   |
+LL |     use std::cmp::{max, min};
+   |     ^^^^^^^^^^^^^^^^^^^^^^^^^
+
+error: adding items after statements is confusing, since items exist from the start of the scope
+  --> tests/ui/items_after_statement.rs:96:20
+   |
+LL |     use std::cmp::{max, min};
+   |                    ^^^
+
+error: adding items after statements is confusing, since items exist from the start of the scope
+  --> tests/ui/items_after_statement.rs:96:25
+   |
+LL |     use std::cmp::{max, min};
+   |                         ^^^
+
+error: adding items after statements is confusing, since items exist from the start of the scope
+  --> tests/ui/items_after_statement.rs:107:9
+   |
+LL |         fn foo() {}
+   |         ^^^^^^^^^^^
+
+error: aborting due to 8 previous errors