Chartrand Hayley, Tefft Bruce, Sareen Jitender, Hiebert-Murphy Diane, Katz Laurence Y, Kim Huntae, Bolton James M
Department of Psychology, University of Manitoba, Winnipeg, MB, Canada.
Department of Psychiatry, University of Manitoba, Winnipeg, MB, Canada.
Crisis. 2020 Sep;41(5):389-397. doi: 10.1027/0227-5910/a000654. Epub 2020 Mar 6.
In the , the distinction between nonsuicidal self-injury (NSSI) and suicide attempts (SA) is highlighted in the section of conditions for further study. The objective of this study was to examine the correlates of people who presented to emergency departments (ED) with NSSI compared with those who presented with SA and no self-harm or suicidal ideation (no SH or SI). Data came from 4,772 presentations to ED of tertiary care hospitals in Manitoba, Canada, between January 2009 and June 2012. Chart reviews were conducted for presentations with NSSI ( = 158), and a sample of SA ( = 172) and no SH or SI ( = 173). NSSI was associated with borderline personality traits/disorders, previous history of SH, and aggression/impulsivity compared with no SH or SI. SA was associated with a lower likelihood of adjustment disorder ( = 0.58; 95 % CI [0.34, 0.99]) and previous history of NSSI ( = 0.30; 95 % CI [0.17, 0.53]) compared with NSSI. A limitation of this study is its cross-sectional design. Conclusion: Given the distress associated with NSSI, the findings highlight the need for treatment plans that address all those who present to ED with SH regardless of intent.
在进一步研究的条件部分，非自杀性自伤（NSSI）和自杀未遂（SA）之间的区别得到了强调。本研究的目的是检查与因SA以及无自我伤害或自杀意念（无SH或SI）而前往急诊科（ED）的患者相比，因NSSI前往ED的患者的相关因素。数据来自2009年1月至2012年6月期间加拿大曼尼托巴省三级护理医院向ED的4772例就诊病例。对NSSI就诊病例（n = 158）、SA样本（n = 172）和无SH或SI的样本（n = 173）进行了病历审查。与无SH或SI相比，NSSI与边缘性人格特质/障碍、既往SH史以及攻击性/冲动性有关。与NSSI相比，SA与适应障碍的可能性较低（OR = 0.58；95%CI [0.34, 0.99]）和既往NSSI史（OR = 0.30；95%CI [0.17, 0.53]）有关。本研究的一个局限性是其横断面设计。结论：鉴于与NSSI相关的痛苦，研究结果强调需要制定治疗计划，以应对所有因SH前往ED的患者，无论其意图如何。
