Thai Truc Thanh, Jones Mairwen K, Nguyen Thao Phuong, Pham Thao Van, Bui Han Hy Thi, Kim Loan Xuan, Nguyen Tap Van
Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City Vietnam.
Faculty of Medicine & Health, The University of Sydney, Sydney, New South Wales, Australia.
Psychol Res Behav Manag. 2021 Nov 27;14:1915-1927. doi: 10.2147/PRBM.S339168. eCollection 2021.
Research conducted across different countries has consistently identified non-suicidal self-injury (NSSI) to be a common and significant public health problem. This study examined the prevalence, associated factors and functions of NSSI, among a large sample of Vietnamese adolescents.
A total of 1316 high school students (15-18 years old, 63.3% female) across urban and suburban areas in Ho Chi Minh City, participated in this cross-sectional study. NSSI was assessed by the Functional Assessment of Self-Mutilation.
Almost half (43.9%) of the adolescents engaged in at least one type of NSSI within the preceding 12-month period and more than one quarter (26.1%) engaged in multiple types of NSSI. Hitting self on purpose (23.1%), picking at a wound (17.0%), or biting self (16.7%) were the most frequent behaviours. Severe forms of NSSI such as scraping, burning or erasing skin were reported by 17.2%. The most common functions for NSSI were to stop bad feelings (56.0%), to punish self (48.7%), to get control of a situation (44.0%) and to feel relaxed (42.2%). Symptoms of depression, anxiety and stress were significant factors associated with NSSI, particularly for participants who engaged in moderate/severe NSSI and multiple types of NSSI.
High rates of NSSI were found in Vietnamese adolescents. There is a pressing need for the development and implementation of effective interventions to reduce NSSI. Strategies that promote positive mental health and reduce symptoms of depression, anxiety and stress as well as approaches that help adolescents manage their internal emotions are likely to be beneficial.
不同国家开展的研究一致认定，非自杀性自伤行为（NSSI）是一个常见且严重的公共卫生问题。本研究调查了大量越南青少年样本中NSSI的患病率、相关因素及功能。
胡志明市城乡地区的1316名高中生（15 - 18岁，63.3%为女性）参与了这项横断面研究。通过自残功能评估来评定NSSI。
近一半（43.9%）的青少年在过去12个月内至少实施过一种NSSI行为，超过四分之一（26.1%）的青少年实施过多种NSSI行为。故意击打自己（23.1%）、抠伤口（17.0%）或咬自己（16.7%）是最常见的行为。17.2%的青少年报告有刮擦、灼烧或划破皮肤等严重的NSSI形式。NSSI最常见的功能是停止不良情绪（56.0%）、惩罚自己（48.7%）、掌控局面（44.0%）和感到放松（42.2%）。抑郁、焦虑和压力症状是与NSSI相关的重要因素，尤其是对于那些实施中度/重度NSSI和多种NSSI行为的参与者。
越南青少年中NSSI发生率较高。迫切需要制定并实施有效的干预措施以减少NSSI。促进积极心理健康、减轻抑郁、焦虑和压力症状的策略以及帮助青少年管理内心情绪的方法可能会有所助益。
