Barnafrid, Department of Child and Adolescent Psychiatry and Clinical and Experimental Medicine, Child and Adolescent Psychiatry, Linköping University, Linköping, Sweden.
Department of Psychology, IKV, Lund University, Lund, Sweden.
Suicide Life Threat Behav. 2019 Feb;49(1):120-136. doi: 10.1111/sltb.12417. Epub 2017 Oct 26.
Differences and similarities were studied in the functions of two different self-injurious behaviors (SIB): nonsuicidal self-injury (NSSI) and sex as self-injury (SASI). Based on type of SIB reported, adolescents were classified in one of three groups: NSSI only (n = 910), SASI only (n = 41), and both NSSI and SASI (n = 76). There was support for functional equivalence in the two forms of SIB, with automatic functions being most commonly endorsed in all three groups. There were also functional differences, with adolescents in the SASI only group reporting more social influence functions than those with NSSI only. Adolescents reporting both NSSI and SASI endorsed the highest number of functions for both behaviors. Clinical implications are discussed, emphasizing the need for emotion regulation skills.
研究了两种不同的自伤行为（SIB）——非自杀性自伤（NSSI）和性作为自伤（SASI）——的功能差异和相似之处。根据报告的 SIB 类型，青少年被分为三组之一：仅 NSSI（n=910）、仅 SASI（n=41）和同时有 NSSI 和 SASI（n=76）。这两种 SIB 形式具有自动功能，在所有三组中最常被认可，支持功能等效性。也存在功能差异，仅 SASI 组的青少年报告的社会影响功能比仅 NSSI 组多。同时报告 NSSI 和 SASI 的青少年对两种行为的功能认可最多。讨论了临床意义，强调了情绪调节技能的重要性。
