Wilkinson Beverly
Waltham Public Schools, Waltham, MA, USA.
J Sch Nurs. 2011 Apr;27(2):120-8. doi: 10.1177/1059840510388570. Epub 2010 Nov 10.
The increasing prevalence of self-injurious behavior (SIB) among mainstream adolescents has led to a growing body of research. This maladaptive behavior is used as a means of regulating negative emotions. Best practices regarding therapy are unclear, with many types of intervention being tried. Analysis of 36 qualitative and quantitative studies, reviews, and theory articles addressing adolescent SIB was conducted looking at aspects such as history, demographics, motivators, risk factors, techniques, and treatment options. An explosion of research is surfacing to determine effective care through creative approaches. Dialectical Behavior Therapy (DBT) shows great promise. The school setting is a natural environment for the identification and intervention of SIB which requires knowledge of indicators and risk factors. Education of school staff will increase awareness and enhance communication among disciplines. A circle of care can then surround the student to provide support and guidance while the proper interventions for emotional regulation and individual health promotion are developed.
主流青少年中自伤行为（SIB）的患病率不断上升，引发了越来越多的研究。这种适应不良行为被用作调节负面情绪的一种方式。关于治疗的最佳实践尚不清楚，人们尝试了多种干预类型。对36项针对青少年自伤行为的定性和定量研究、综述及理论文章进行了分析，研究内容包括病史、人口统计学、动机、风险因素、技巧和治疗选择等方面。大量研究正在涌现，以通过创新方法确定有效的治疗方案。辩证行为疗法（DBT）显示出巨大的前景。学校环境是识别和干预自伤行为的天然场所，这需要了解相关指标和风险因素。对学校工作人员进行教育将提高认识并加强各学科之间的沟通。然后可以围绕学生形成一个关怀圈，在制定情绪调节和个人健康促进的适当干预措施时提供支持和指导。
