Koenig Julian, Brunner Romuald, Schmidt Johannes Michael, Parzer Peter, Resch Franz, Kaess Michael
1 Section for Translational Psychobiology in Child and Adolescent Psychiatry, Clinic for Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Germany.
2 Section for Disorders of Personality Development, Clinic for Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Germany.
Z Kinder Jugendpsychiatr Psychother. 2017 Nov;45(6):441-451. doi: 10.1024/1422-4917/a000549. Epub 2017 Oct 27.
Self-injurious behavior (SIB) is a widespread phenomenon among adolescent psychiatric inpatients. It is also reported among delinquent adolescents detained in correctional facilities. While previous studies have addressed different functions of SIB within offender populations, here we investigate particular patterns of borderline personality pathology and psychopathology underlying SIB in both adolescent psychiatric inpatients and detainees.
Adolescent psychiatric inpatients and detainees were recruited consecutively. Participants completed self-reports on SIB, suicidal thoughts and behavior, borderline personality pathology, and general psychopathology. Predictors of lifetime SIB by group were analyzed.
Psychiatric inpatients (n = 77) and detainees (n = 50) did not differ with respect to lifetime SIB (57.14 % versus 54.00 %), whereas SIB within the past year did (67.53 % versus 14 %; χ2 = 6.158, p = .013). Psychiatric inpatients reported greater emotional problems (t = 5.109, p < .0001) and greater borderline personality pathology. Those with lifetime SIB were characterized by greater emotional problems and borderline personality pathology, independent of their group. Results from regression analyses suggest no group-specific predictors of lifetime SIB.
Although psychiatric inpatients endorse greater psychopathological distress, lifetime SIB among adolescent psychiatric inpatients and detainees is associated with similar patterns of psychopathology and borderline personality pathology.
自我伤害行为（SIB）在青少年精神科住院患者中是一种普遍现象。在被关押在教养机构的违法青少年中也有相关报道。虽然先前的研究探讨了犯罪人群中SIB的不同功能，但在此我们调查青少年精神科住院患者和被拘留者中SIB背后的边缘性人格病理学和精神病理学的特定模式。
连续招募青少年精神科住院患者和被拘留者。参与者完成了关于SIB、自杀想法和行为、边缘性人格病理学以及一般精神病理学的自我报告。分析了按组划分的终生SIB的预测因素。
精神科住院患者（n = 77）和被拘留者（n = 50）在终生SIB方面没有差异（57.14%对54.00%），而过去一年中的SIB有差异（67.53%对14%；χ2 = 型6.158，p = 0.013）。精神科住院患者报告有更多的情绪问题（t = 5.109，p < 0.0001）和更严重的边缘性人格病理学。有终生SIB的人其特征是有更多的情绪问题和边缘性人格病理学，与他们所属的组无关。回归分析结果表明没有终生SIB的组特异性预测因素。
虽然精神科住院患者认可更严重的精神病理痛苦，但青少年精神科住院患者和被拘留者中的终生SIB与类似的精神病理学和边缘性人格病理学模式相关。
