University of Pittsburgh School of Medicine, 201 North Craig Street Suite 408, Pittsburgh, PA 15213, USA.
University of Wisconsin - Eau Claire, Hibbard Hall 277, 105 Garfield Avenue, Eau Claire, WI 54701, USA.
Compr Psychiatry. 2018 Apr;82:53-60. doi: 10.1016/j.comppsych.2018.01.009. Epub 2018 Feb 4.
While nonsuicidal self-injury (NSSI) is common in both men and women, research exploring the intersection of NSSI and gender has been limited by the use of small samples of males drawn primarily from non-clinical populations. To address these limitations, we analyzed data from a large sample of patients enrolled in an NSSI partial hospitalization program (PHP) to compare males and females across several variables, including NSSI characteristics, correlates, and pre-post treatment outcomes. Results indicated similar NSSI characteristics and treatment outcomes for males and females, with few exceptions. Males notably reported lower severity levels for most NSSI correlates (e.g., psychopathology, suicidality), highlighting the need to screen males for NSSI even when reporting comparatively less impairment. Finally, our results also suggest that PHP treatment for NSSI can be beneficial for both males and females. These findings have implications for the assessment, diagnosis, conceptualization, and treatment of NSSI in males and females.
虽然非自杀性自伤(NSSI)在男性和女性中都很常见,但由于研究主要使用了来自非临床人群的小样本男性,因此探索 NSSI 与性别交叉问题的研究受到了限制。为了解决这些限制,我们分析了参加 NSSI 部分住院治疗计划(PHP)的大量患者的数据,以比较男性和女性在多个变量上的差异,包括 NSSI 特征、相关性和治疗前后的结果。结果表明,男性和女性的 NSSI 特征和治疗结果相似,只有少数例外。男性特别报告了大多数 NSSI 相关性(例如,精神病理学、自杀意念)的较低严重程度水平,这突出表明,即使在报告相对较少的损伤时,也需要对男性进行 NSSI 筛查。最后,我们的结果还表明,PHP 治疗 NSSI 对男性和女性都可能有益。这些发现对男性和女性的 NSSI 的评估、诊断、概念化和治疗具有影响。