非自杀性自伤的功能与进展及其与自杀未遂的关系：对青少年临床样本的定性调查
Function and progression of non-suicidal self-injury and relationship with suicide attempts: A qualitative investigation with an adolescent clinical sample.
作者信息
Taliaferro Lindsay A, Almeida Joanna, Aguinaldo Laika D, McManama O'Brien Kimberly H
机构信息
Department of Population Health Sciences, College of Medicine, University of Central Florida, USA.
School of Social Work, Simmons University, USA.
出版信息
Clin Child Psychol Psychiatry. 2019 Oct;24(4):821-830. doi: 10.1177/1359104519862340. Epub 2019 Jul 17.
AIM
To investigate the function and progression of non-suicidal self-injury (NSSI) and its relationship with suicide attempts.
METHOD
Qualitative in-depth interviews were conducted with 15 adolescents psychiatrically hospitalized following a suicide attempt who reported NSSI. Applied thematic analysis was used to identify and examine themes from the interview data.
RESULTS
Thematic analysis revealed that the primary function of NSSI was relief from emotional pain, though the function often changed over time. NSSI was often not directly related to patients' suicide attempts, yet risk of suicidal behavior seemed to increase once NSSI lost its effectiveness, and suicide became the only option.
CONCLUSION
Clinicians need to understand and monitor the functions of NSSI, and its relationship with suicidality, to prevent suicide attempts among adolescents.
目的
探讨非自杀性自伤（NSSI）的功能、发展过程及其与自杀未遂的关系。
方法
对15名因自杀未遂而接受精神科住院治疗且报告有NSSI的青少年进行定性深入访谈。采用应用主题分析法从访谈数据中识别和检验主题。
结果
主题分析表明，NSSI的主要功能是缓解情绪痛苦，尽管该功能常随时间变化。NSSI通常与患者的自杀未遂没有直接关系，但一旦NSSI失去效力，自杀行为的风险似乎会增加，自杀成为唯一选择。
结论
临床医生需要了解并监测NSSI的功能及其与自杀倾向的关系，以预防青少年自杀未遂。
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