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自我割伤作为故意自我伤害的常见方式:一项来自尼泊尔的回顾性研究。

Self-inflicted Cut Injury as Common Method of Deliberate Self Harm: A Retrospective Study from Nepal.

作者信息

Rabi Shakya, Sulochana Joshi, Pawan Sharma

机构信息

Department of Psychiatry, Patan Academy of Health Sciences, Kathmandu, Nepal.

出版信息

Indian J Psychol Med. 2017 Sep-Oct;39(5):579-583. doi: 10.4103/IJPSYM.IJPSYM_438_16.

Abstract

CONTEXT

Deliberate self-injury, a fairly common condition is present across all culture. It is defined as intentional, direct injuring of body tissue without suicidal intent. We continue to lack a sufficient understanding of this behavior in the context of South East Asian region.

AIMS

This study aims to explore the characteristics of self-cutting, and gender differences in homologous group of youth applying for foreign employment in Nepal.

SETTINGS AND DESIGN

Cross-sectional, single interview method in an out-patient setting.

SUBJECTS AND METHODS

The youths applying for foreign employment were screened for self-harm attempt using single question. Screen positive individuals were applied with inclusion and exclusion criteria. The data were collected in a single interview by consultant psychiatrist.

RESULTS

Males were more than females and the mean age (standard deviation) at the time of act and current presentation were 16.52 (3.13) and 24.70 (5.54) years, respectively. Various methods were used in self-inflicting cut, and certain amount of stress was present in the majority of the participants. There was no significant difference between male and female in all descriptive characteristics except for mean age at the time of presentation.

CONCLUSIONS

The descriptive results from Nepal are keeping with most of the published literature. The study is the first one from Nepal, and we expect that this will help in laying a good foundation for further studies with stronger methodologies.

摘要

背景

故意自我伤害是一种在所有文化中都相当常见的情况。它被定义为故意、直接伤害身体组织且无自杀意图。在东南亚地区的背景下,我们对这种行为仍缺乏充分的了解。

目的

本研究旨在探讨尼泊尔申请出国就业的青年同源群体中自我切割行为的特征以及性别差异。

设置与设计

在门诊环境中采用横断面单访谈法。

研究对象与方法

使用单一问题对申请出国就业的青年进行自我伤害尝试筛查。对筛查呈阳性的个体应用纳入和排除标准。数据由顾问精神科医生在一次访谈中收集。

结果

男性多于女性,行为发生时和当前就诊时的平均年龄(标准差)分别为16.52(3.13)岁和24.70(5.54)岁。自我切割使用了多种方法,大多数参与者存在一定程度的压力。除就诊时的平均年龄外,所有描述性特征在男性和女性之间均无显著差异。

结论

尼泊尔的描述性结果与大多数已发表的文献一致。该研究是来自尼泊尔的首个此类研究,我们期望这将有助于为采用更强大方法的进一步研究奠定良好基础。

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本文引用的文献

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Deliberate self-harm in adolescents.青少年蓄意自我伤害行为。
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Self-harm.自我伤害
Lancet. 2005;366(9495):1471-83. doi: 10.1016/S0140-6736(05)67600-3.
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Self-injurious behavior as a separate clinical syndrome.作为一种独立临床综合征的自伤行为。
Am J Orthopsychiatry. 2005 Apr;75(2):324-33. doi: 10.1037/0002-9432.75.2.324.
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Adolescent and young adult self-mutilation incidents in a general psychiatric hospital.
Arch Gen Psychiatry. 1960 Aug;3:194-204. doi: 10.1001/archpsyc.1960.01710020078010.

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