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对青少年及青年二级护理精神科门诊患者故意自伤行为与童年创伤经历之间关系的评估。

Evaluation of the Relation between Deliberate Self-Harm Behavior and Childhood Trauma Experiences in Patients Admitted to a Secondary-Care Psychiatric Outpatient Clinic for Adolescents and Young Adults.

作者信息

Saçarçelik Gülhazar, Türkcan Ahmet, Güveli Hülya, Yeşilbaş Dilek

机构信息

Afşin Public Hospital, Division of Psychiatry, Kahramanmaraş, Turkey.

Bakırköy Ord. Prof. Dr. Mazhar Osman Mental Health Education and Research Hospital, Department of Psychiatry Clinic, İstanbul, Turkey.

出版信息

Noro Psikiyatr Ars. 2013 Sep;50(3):222-229. doi: 10.4274/npa.y6257. Epub 2013 Sep 1.

Abstract

INTRODUCTION

The aim of this study was to determine the prevalence and the features of deliberate self-harm (DSH) behavior in patients admitted to the psychiatric outpatient clinic for adolescents and young adults and also to detect the association between the act of DSH and childhood traumas.

METHOD

In this study, we included all patients who were admitted to the secondary-care psychiatric outpatient clinic for adolescents and young adults in Bakırkoy Research and Training Hospital Psychiatry, Neurology and Neurosurgery throughout a month. A sociodemographic data form, the Childhood Trauma Questionnaire (CTQ-28), Childhood Abuse and Neglect Question List and the Deliberate Self-Harm and Intent Screening Form were applied to three hundred participants.

RESULT

The prevalence of DSH was 50.0% among the participants (56.8% for females and 28.8% for males). Childhood abuse was detected in 57.0% of all participants (60.4% of females and 46.6% of males). Among patients with act of DSH, the rate of childhood abuse was 71.3%, while it was 42.7% in the subjects without act of DSH.

CONCLUSION

DSH is a common behavior among adolescent psychiatric patients. It is more common in females than in males. The prevalence of experience of childhood abuse and neglect is remarkably high and is associated with self-harm behavior.

摘要

引言

本研究旨在确定青少年及青年精神科门诊患者中故意自伤(DSH)行为的患病率及特征,并检测DSH行为与童年创伤之间的关联。

方法

在本研究中,我们纳入了巴克尔柯伊研究与培训医院精神病学、神经病学和神经外科整个月内收治的所有青少年及青年二级护理精神科门诊患者。向300名参与者发放了社会人口统计学数据表格、儿童创伤问卷(CTQ - 28)、儿童虐待与忽视问题清单以及故意自伤与意图筛查表格。

结果

参与者中DSH的患病率为50.0%(女性为56.8%,男性为28.8%)。所有参与者中57.0%检测出有童年虐待经历(女性为60.4%,男性为46.6%)。在有DSH行为的患者中,童年虐待发生率为71.3%,而在无DSH行为的受试者中为42.7%。

结论

DSH是青少年精神科患者中的常见行为。女性比男性更常见。童年虐待和忽视经历的患病率极高,且与自伤行为相关。

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The role of dissociation and abuse among adolescents who self-harm.青少年自伤中解离和虐待的作用。
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本文引用的文献

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Childhood traumatic events and dissociation in university students.大学生的童年创伤事件与解离。
Int J Psychiatry Clin Pract. 2009;13(1):25-30. doi: 10.1080/13651500802331540.
5
Deliberate self-harm in adolescents.青少年蓄意自我伤害行为。
Curr Opin Psychiatry. 2007 Jul;20(4):337-42. doi: 10.1097/YCO.0b013e3281c49ff1.

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