Ayton Agnes, Rasool Hufrize, Cottrell David
West End Child and Family Service, 2062-68 Hessle Road, Hessle HU13 9NW, North Humberside, UK.
Eur Child Adolesc Psychiatry. 2003 Dec;12(6):303-7. doi: 10.1007/s00787-003-0344-0.
It has been demonstrated that adult suicidal behaviour is associated with unemployment and social deprivation. The association between self-harm and social deprivation in young people is less clear.
To examine the relationship between social deprivation and deliberate self-harm in children and adolescents in an UK district.
Computer records of patients under 18 years of age presenting with self-harm at the district casualty department were analysed in Hull and East Yorkshire. The relationship with social deprivation was examined using Townsend scores.
730 young people presented with self-harm during a period of two years. Socio-economic deprivation was associated with overdose, self-injury, and poisoning by illicit substances. After controlling for the proportion of single parent households, moving households with children, and adult long-term sickness in each ward, partial correlations remained significant between overdose, self-injury, and Townsend scores.
The results highlight the importance of socio-economic deprivation in the aetiology of deliberate self-harm in young people. Primary and secondary prevention programs cannot be successful without taking this into consideration.
已有研究表明，成年人的自杀行为与失业和社会剥夺有关。而年轻人自我伤害与社会剥夺之间的关联尚不清楚。
探讨英国某地区儿童和青少年社会剥夺与蓄意自我伤害之间的关系。
对赫尔和东约克郡地区急诊部门收治的18岁以下自我伤害患者的计算机记录进行分析。使用汤森得分来研究与社会剥夺的关系。
在两年时间里，有730名年轻人出现自我伤害行为。社会经济剥夺与药物过量、自我伤害以及非法物质中毒有关。在控制了每个病房单亲家庭比例、有孩子的流动家庭比例以及成年人长期疾病比例后，药物过量、自我伤害与汤森得分之间的偏相关性仍然显著。
研究结果凸显了社会经济剥夺在年轻人蓄意自我伤害病因学中的重要性。如果不考虑这一点，初级和二级预防项目就不可能成功。
