Injury Prevention Research Unit, Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
J Interpers Violence. 2011 Dec;26(18):3667-81. doi: 10.1177/0886260511403757. Epub 2011 May 20.
This longitudinal population-based study examined pathways to nonsuicidal self-harm (NSSH) in relation to childhood sexual abuse (CSA), assault victimization in early adulthood, posttraumatic stress disorder symptomatology (PTSD), and other mental disorders. At age 21, 476 men and 455 women completed interviews on assault victimization, PTSD, and other mental disorders. At age 26, they completed independent interviews on self-harm and childhood sexual abuse (CSA). Multivariate logistic regression analyses were conducted to determine predictors for NSSH at age 26. For men, anxiety and depressive disorders at age 21 were the only significant predictors of NSSH at age 26. For women, victimization, PTSD, and other anxiety disorders at age 21 all significantly predicted NSSH. CSA predicted later NSSH only indirectly, by increasing the risk of anxiety disorders among men and of assault victimization among women. In conclusion, pathways to nonsuicidal self-harm differed by sex. For women there were direct links with assault victimization and PTSD in early adulthood, whereas for men only internalizing disorders predicted future NSSH.
这项纵向的基于人群的研究探讨了与非自杀性自伤（NSSH）相关的途径，包括儿童期性虐待（CSA）、成年早期的攻击受害、创伤后应激障碍症状（PTSD）和其他精神障碍。在 21 岁时，476 名男性和 455 名女性完成了关于攻击受害、PTSD 和其他精神障碍的访谈。在 26 岁时，他们完成了关于自我伤害和儿童期性虐待（CSA）的独立访谈。进行了多变量逻辑回归分析，以确定 26 岁时 NSSH 的预测因素。对于男性，21 岁时的焦虑和抑郁障碍是 26 岁时 NSSH 的唯一显著预测因素。对于女性，21 岁时的受害、PTSD 和其他焦虑障碍都显著预测了 NSSH。CSA 仅通过增加男性焦虑障碍和女性攻击受害的风险，间接地预测了以后的 NSSH。总之，非自杀性自伤的途径因性别而异。对于女性，与成年早期的攻击受害和 PTSD 存在直接联系，而对于男性，只有内化障碍预测了未来的 NSSH。
