Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Int J Inj Contr Saf Promot. 2022 Mar;29(1):15-22. doi: 10.1080/17457300.2021.1993266. Epub 2021 Oct 18.
We examined the prevalence and correlates of self-harm among adolescents in the three years following an investigation by U.S. Child Protective Services (CPS) into alleged child maltreatment. Participants (N = 1573, 47% Male, 45% White) were drawn from the National Survey of Child and Adolescent Well-Being, cohort II. Self-harm was assessed at the conclusion of the CPS investigation, and at 18- and 36-months follow-up. Descriptive statistics and multivariable logistic regression were used to assess differences in self-harm over time by demographic characteristics, maltreatment type, and out-of-home placement. The prevalence of self-harm among older adolescents (15-17 years) remained stable at ∼10%, while among younger adolescents (11-14 years), it declined from 13% to 3.5%. Approximately 4.5% of youth reported self-harm at multiple survey waves. Native American and Asian/Pacific Islander youth were five times more likely to report repeated self-harm. Further research is warranted to understand this heightened risk.
我们调查了美国儿童保护服务（CPS）对涉嫌虐待儿童进行调查后的三年内，青少年自残的发生率及其相关因素。参与者（N=1573，47%为男性，45%为白人）来自全国儿童和青少年福利调查，队列 II。自残情况在 CPS 调查结束时以及 18 个月和 36 个月随访时进行评估。使用描述性统计和多变量逻辑回归来评估人口统计学特征、虐待类型和家庭外安置在不同时间点自残差异。年龄较大的青少年（15-17 岁）自残的发生率保持在约 10%左右，而年龄较小的青少年（11-14 岁）自残的发生率从 13%下降到 3.5%。大约 4.5%的年轻人在多个调查波次报告了自残。美洲原住民和亚太裔青少年重复自残的可能性是其他青少年的五倍。需要进一步研究以了解这种风险增加的原因。
