Centre for Forensic Behavioural Science, Swinburne University of Technology, Melbourne, Victoria, Australia.
Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
PLoS One. 2018 Feb 15;13(2):e0193172. doi: 10.1371/journal.pone.0193172. eCollection 2018.
The purpose of this study was to ascertain the prevalence and correlates of self-harm among young people in detention in Australia. The sample included 215 (177 male; 38 female) young people who were in youth detention in the state of Victoria, Australia. Participants were administered a series of questionnaires related to self-harm, mental health, socio-environmental experiences and behaviours. Overall, one-third (33%) of the sample reported previous self-harm and 12% reported at least one suicide attempt. In a multivariate logistic regression analysis, a history of childhood trauma, contact with mental health services, and low educational interest significantly increased the likelihood of self-harm. Young people who reported a suicide attempt scored significantly higher on the measure of childhood trauma than did youth who had engaged in non-suicidal self-harm. Findings demonstrate a strong connection between childhood traumatic experiences and suicidal behaviours for youth in detention. Trauma histories and mental health concerns must be considered when identifying youth at increased risk of self-harm.
本研究旨在确定澳大利亚被拘留青少年自残的流行率及其相关因素。样本包括来自澳大利亚维多利亚州的 215 名（177 名男性；38 名女性）年轻人。参与者接受了一系列与自残、心理健康、社会环境经历和行为有关的问卷。总体而言，三分之一（33%）的样本报告了之前有过自残行为，12%的样本报告至少有过一次自杀企图。在多变量逻辑回归分析中，童年创伤史、接触心理健康服务以及教育兴趣低显著增加了自残的可能性。报告自杀企图的年轻人在童年创伤量表上的得分明显高于有非自杀性自残行为的年轻人。研究结果表明，被拘留的青少年的童年创伤经历与自杀行为之间存在很强的关联。在确定自残风险较高的青少年时，必须考虑创伤史和心理健康问题。
