Luyckx Koen, Gandhi Amarendra, Bijttebier Patricia, Claes Laurence
KU Leuven, Leuven, Belgium.
KU Leuven, Leuven, Belgium.
J Adolesc. 2015 Jun;41:76-85. doi: 10.1016/j.adolescence.2015.03.003. Epub 2015 Mar 29.
Non-suicidal self-injury (NSSI) refers to the direct, deliberate destruction of one's body tissue without suicidal intent. Research has highlighted the importance of identity synthesis versus confusion for NSSI. However, the association with identity processes and statuses remains unknown. A total of 568 adolescents reported on NSSI, identity, anxiety, and depression. Although identity processes of identification with commitment (negatively) and ruminative exploration (positively) were related to NSSI variables, these relationships were no longer significant when controlling for anxiety and depression. When examining identity statuses (using cluster analysis), individuals who had engaged in NSSI in the past (but not currently) were more likely to be in the moratorium cluster and less likely to be in the achievement cluster. Individuals who were currently engaging in NSSI were more likely to be in the troubled diffusion cluster. Clinicians should be attentive to the complex interplay between identity and NSSI when treating adolescents.
非自杀性自伤（NSSI）是指在无自杀意图的情况下直接、故意地破坏自己的身体组织。研究强调了身份认同整合与身份认同困惑对非自杀性自伤的重要性。然而，与身份认同过程和状态的关联仍然未知。共有568名青少年报告了非自杀性自伤、身份认同、焦虑和抑郁情况。尽管认同投入（负向）和反复思考性探索（正向）的身份认同过程与非自杀性自伤变量有关，但在控制焦虑和抑郁后，这些关系不再显著。在检查身份认同状态（使用聚类分析）时，过去曾有过非自杀性自伤行为（但目前没有）的个体更有可能处于延缓期聚类，而处于成就期聚类的可能性较小。目前正在进行非自杀性自伤的个体更有可能处于混乱扩散期聚类。临床医生在治疗青少年时应注意身份认同和非自杀性自伤之间的复杂相互作用。
