Yen Shirley, Kuehn Kevin, Melvin Caitlin, Weinstock Lauren M, Andover Margaret S, Selby Edward A, Solomon Joel B, Spirito Anthony
Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Department of Psychology, Fordham University, Bronx, NY, USA.
Suicide Life Threat Behav. 2016 Feb;46(1):13-22. doi: 10.1111/sltb.12167. Epub 2015 Apr 24.
Prospective predictors of persistent nonsuicidal self-injury (NSSI) were examined in adolescents admitted to an inpatient psychiatric unit for suicidal behaviors and followed naturalistically for 6 months. Seventy-one (77%) participants reported NSSI at baseline, and 40 (56%) persisted at the 6 month follow-up. Those who endorsed automatic positive reinforcement (APR) as the predominant reason for NSSI were more likely to persist in NSSI. Depression over follow-up, but not at baseline, also predicted persistence. These results suggest that helping high-risk adolescents to identify alternative ways of generating emotion(s) to counter the effects of APR that may accompany NSSI should be a high priority treatment target.
对因自杀行为入住住院精神科病房并进行6个月自然随访的青少年，研究了持续性非自杀性自伤（NSSI）的前瞻性预测因素。71名（77%）参与者在基线时报告有NSSI，40名（56%）在6个月随访时仍持续存在。那些认可自动积极强化（APR）是NSSI主要原因的人更有可能持续进行NSSI。随访期间而非基线时的抑郁也可预测持续性。这些结果表明，帮助高危青少年识别产生情绪的替代方式，以对抗可能伴随NSSI出现的APR的影响，应成为高度优先的治疗目标。
