非自杀性自伤与自杀相关行为的交集：风险升高模式及其对大学生心理健康的影响
The intersection of nonsuicidal self-injury and suicide-related behavior: Patterns of elevated risk and implications for college mental health.
作者信息
Cramer Robert J, La Guardia Amanda C, Bryson Claire, Morgan Kelley
机构信息
a School of Community and Environmental Health , Old Dominion University , Norfolk , Virginia , USA.
b School of Human Services , University of Cincinnati , Cincinnati , Ohio , USA.
出版信息
J Am Coll Health. 2017 Aug-Sep;65(6):363-371. doi: 10.1080/07448481.2017.1312416. Epub 2017 May 8.
OBJECTIVE
To analyze the overlap of nonsuicidal self-injury (NSSI) and suicide-related behaviors (SRB) among college students with regard to demographics, mental health, and coping styles.
PARTICIPANTS
Respondents were 572 undergraduate students at a southwestern public university.
METHODS
Data were collected in 2015. Respondents completed a demographic survey and assessments of NSSI, SRB, internalizing symptoms (ie, anxiety, stress, and depression), aggression, and negative coping strategies. The survey was administered via a Web-based procedure.
RESULTS
Women reported more frequent cutting behaviors than men. Endorsement of NSSI was also associated with an increased likelihood of lifetime SRB. A subgroup of students endorsing both NSSI and SRB demonstrated poorer mental health, more negative coping, and self-reported female sex.
CONCLUSIONS
College healthcare providers may benefit from competency-based training in techniques for the combination treatment of NSSI and SRB, as well as culturally based models of suicide.
目的
分析大学生中非自杀性自伤（NSSI）与自杀相关行为（SRB）在人口统计学、心理健康和应对方式方面的重叠情况。
参与者
572名来自西南一所公立大学的本科生参与了调查。
方法
数据于2015年收集。参与者完成了一项人口统计学调查，并对非自杀性自伤、自杀相关行为、内化症状（即焦虑、压力和抑郁）、攻击性和消极应对策略进行了评估。该调查通过基于网络的程序进行。
结果
女性报告的割伤行为比男性更频繁。认可非自杀性自伤也与终生自杀相关行为的可能性增加有关。一组既认可非自杀性自伤又认可自杀相关行为的学生表现出较差的心理健康、更多的消极应对方式，且自我报告为女性。
结论
大学医疗保健提供者可能会从基于能力的非自杀性自伤和自杀相关行为联合治疗技术培训以及基于文化的自杀模型培训中受益。
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