Wright State University School of Medicine, Ohio and Kettering Medical Center, Ohio, USA.
Int J Psychiatry Med. 2012;43(2):179-87. doi: 10.2190/PM.43.2.f.
While a number of previous studies have examined limited forms of self-harm behavior, such as suicidal ideation/attempts/completions, or one specific behavior such as cutting or burning oneself(most frequently in psychiatric populations), few studies have examined the lifetime prevalence of multiple self-harm behaviors in a single non-psychiatric population and no study has done so among obstetrics/gynecology outpatients.
Using a cross-sectional consecutive sample of 370 women presenting to an obstetrics/gynecology outpatient clinic and a self-report survey methodology, we examined the lifetime prevalence of 22 self-harm behaviors.
In this sample, the most frequently self-reported self-harm behaviors were: engaged in emotionally abusive relationships (24.7%), abused alcohol (22.0%), been promiscuous (21.0%), attempted suicide (18.3%), and tortured self with self-defeating thoughts (16.7%). Four of these preceding behaviors were also the most commonly reported 5 of 22 behaviors in 3 previous studies of self-harm behavior in different clinical populations.
It appears that the most frequently reported lifetime self-harm behaviors are relatively common across various non-psychiatric clinical populations of adults, albeit in different proportions, with some exceptions (i.e., suicide attempts in the present sample).
虽然之前有许多研究考察了有限形式的自伤行为，如自杀意念/尝试/完成，或一种特定的行为，如切割或烧伤自己（最常见于精神科人群），但很少有研究在单一非精神科人群中考察多种自伤行为的终生患病率，也没有研究在妇产科门诊患者中进行过此类研究。
我们使用横断面连续样本对 370 名妇产科门诊就诊的女性进行了调查，并采用自我报告调查方法，考察了 22 种自伤行为的终生患病率。
在该样本中，最常报告的自伤行为包括：陷入情感虐待关系（24.7%）、滥用酒精（22.0%）、滥交（21.0%）、自杀未遂（18.3%）和用自我挫败的想法折磨自己（16.7%）。这四个行为在前述 22 个行为中也是最常报告的 5 个行为，分别来自于三个不同临床人群中关于自伤行为的研究。
似乎最常报告的终生自伤行为在各种非精神科成人临床人群中相当普遍，尽管比例不同，存在一些例外（即，本样本中的自杀未遂）。
