新加坡青少年精神科门诊患者的蓄意自伤行为：患病率、性质及危险因素。
Deliberate self-harm among adolescent psychiatric outpatients in Singapore: prevalence, nature and risk factors.
作者信息
Lauw Michelle Siu Min, Abraham Abishek Mathew, Loh Cheryl Bee Lock
机构信息
Department of Psychological Medicine, Changi General Hospital, 2 Simei Street 3, Singapore, 529889 Singapore.
出版信息
Child Adolesc Psychiatry Ment Health. 2018 Jul 6;12:35. doi: 10.1186/s13034-018-0242-3. eCollection 2018.
BACKGROUND
Deliberate self-harm (DSH) is a prominent mental health concern among adolescents. Few studies have examined adolescent DSH in non-Western countries. This study examines the prevalence, types and associated risk factors of DSH in a clinical sample of adolescents in Singapore.
METHODS
Using a retrospective review of medical records, demographic and clinical data were obtained from 398 consecutive adolescent psychiatric outpatients (mean age = 17.5 ± 1.4 years, range = 13-19 years) who presented at Changi General Hospital from 2013 to 2015.
RESULTS
23.1% (n = 92) of adolescents engaged in at least one type of DSH. Cutting was the most common type of DSH reported. Females were three times more likely to engage in DSH than males. DSH was positively associated with female gender (odds ratio [OR] 5.03), depressive disorders (OR 2.45), alcohol use (OR 3.49) and forensic history (OR 3.66), but not with smoking behaviour, living arrangement, parental marital status, past abuse or family history of psychiatric illness.
CONCLUSION
Interventions targeting adolescent DSH should also alleviate depressive symptoms, alcohol use and delinquent behaviours.
背景
蓄意自伤（DSH）是青少年中一个突出的心理健康问题。很少有研究在非西方国家考察青少年蓄意自伤情况。本研究考察新加坡青少年临床样本中蓄意自伤的患病率、类型及相关危险因素。
方法
通过对病历进行回顾性分析，从2013年至2015年在樟宜综合医院就诊的398例连续青少年精神科门诊患者（平均年龄 = 17.5 ± 1.4岁，范围 = 13 - 19岁）中获取人口统计学和临床数据。
结果
23.1%（n = 92）的青少年曾有至少一种蓄意自伤行为。割伤是最常报告的蓄意自伤类型。女性蓄意自伤的可能性是男性的三倍。蓄意自伤与女性性别（优势比[OR] 5.03）、抑郁症（OR 2.45）、饮酒（OR 3.49）和犯罪史（OR 3.66）呈正相关，但与吸烟行为、居住安排、父母婚姻状况、既往虐待史或精神疾病家族史无关。
结论
针对青少年蓄意自伤的干预措施还应减轻抑郁症状、饮酒和犯罪行为。
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