Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bangalore, 560029, India.
Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bangalore, 560029, India.
Asian J Psychiatr. 2017 Oct;29:123-128. doi: 10.1016/j.ajp.2017.04.024. Epub 2017 May 6.
The complex intersections between non-suicidal self-injurious (NSSI) behaviours; like cutting, burning or self-hitting, and suicide attempts, are an important domain of enquiry among vulnerable adolescents and young adults. A cross-sectional survey in urban schools and colleges assessed the rates of self-injurious behaviour among Indian adolescents and young adults. Predictors of NSSI and of self-injurious behaviours with associated suicidal intent, were also examined.
The sample comprised 1571 male and female students, from 19 private and government aided high schools, pre-university colleges and undergraduate colleges in an urban city in South India. Participants completed the Functional Assessment of Self-Mutilation which assesses the methods, characteristics and functions of self-injurious acts in the past 12 months. The measures of psychopathology included the Youth Self-Report and the Young-Adult Self-Report.
The results indicated that rate of NSSI was 33.8%, with minor forms of self-injury reported more often (19.4%) than the moderate/severe forms (14.6%). A smaller proportion (6.8%) reported self-injurious acts with associated suicidal intent. Certain self-injury characteristics and levels of internalizing and externalizing problems differentiated self-injuring youth with and without suicidal intent. Logistic regression analyses identified predictors of any self-injurious behaviour and of self-injury associated with suicidal intent. The implications for assessment and intervention frameworks for self-injuring youth are discussed.
非自杀性自伤（NSSI）行为，如切割、烧伤或自伤，与自杀企图之间的复杂关系，是易受伤害的青少年和年轻人研究的一个重要领域。在城市学校和学院进行的横断面调查评估了印度青少年和年轻人的自伤行为发生率。还检查了 NSSI 的预测因素以及具有自杀意图的自伤行为的预测因素。
该样本包括来自印度南部城市 19 所私立和政府资助的高中、预科和本科院校的 1571 名男女学生。参与者完成了自我伤害功能评估，评估了过去 12 个月内自我伤害行为的方法、特征和功能。心理病理学的衡量标准包括青少年自我报告和青年自我报告。
结果表明，NSSI 的发生率为 33.8%，报告的轻度自伤形式（19.4%）比中度/重度自伤形式（14.6%）更常见。较小比例（6.8%）报告有自杀意图的自我伤害行为。某些自我伤害特征和内化和外化问题的水平区分了有和没有自杀意图的自我伤害年轻人。逻辑回归分析确定了任何自我伤害行为和与自杀意图相关的自我伤害的预测因素。讨论了针对自我伤害年轻人的评估和干预框架的意义。
