Stewart Shannon L, Baiden Philip, Theall-Honey Laura
a Child and Parent Resource Institute , London , Ontario , Canada.
Arch Suicide Res. 2014;18(4):392-409. doi: 10.1080/13811118.2013.824838.
The objectives of this study were to examine the prevalence of non-suicidal self-injury (NSSI) among adolescents with mental health needs and specific factors associated with NSSI among adolescents aged 14 to 18 years who received mental health services in adult mental health facilities in Ontario, Canada. Data on 2,013 adolescents were obtained from the Ontario Mental Health Reporting System using the Resident Assessment Instrument-Mental Health (RAI-MH) and were analyzed using logistic regression. Approximately, 20.2% (407 adolescents) of the sample engaged in NSSI within the last 12 months. Results from multivariate logistic regression indicate that females were 2.19 times more likely to engage in NSSI than males. Intentional misuse of prescription medication emerged as the most important factor associated with NSSI. Other factors found to be associated with NSSI included multiple psychiatric admissions, sexual abuse, use of alcohol, mood disorders (e.g., depression), adjustment disorders, personality disorders and symptoms of depression. The article discusses the implications of the findings, with suggestions for future research.
本研究的目的是调查在加拿大安大略省成人心理健康机构接受心理健康服务的14至18岁青少年中，有心理健康需求者的非自杀性自伤（NSSI）患病率以及与NSSI相关的特定因素。使用居民评估工具-心理健康（RAI-MH）从安大略省心理健康报告系统获取了2013名青少年的数据，并采用逻辑回归进行分析。在样本中，约20.2%（407名青少年）在过去12个月内有过NSSI行为。多变量逻辑回归结果表明，女性进行NSSI的可能性是男性的2.19倍。故意滥用处方药是与NSSI相关的最重要因素。其他与NSSI相关的因素包括多次精神病住院、性虐待、饮酒、情绪障碍（如抑郁症）、适应障碍、人格障碍和抑郁症状。本文讨论了研究结果的意义，并对未来研究提出了建议。
