Zhang Ji-Jie, Liu Yin-Du, Zhang Hua, Huang Zhuo-Hui, Wang Fei, Yang Jing-Jing, Wang Shi-Bin, Jia Fu-Jun, Hou Cai-Lan
The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Guangdong Mental Health Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Front Psychiatry. 2022 Jun 27;13:864150. doi: 10.3389/fpsyt.2022.864150. eCollection 2022.
Non-suicidal self-injury (NSSI) has attracted more and more attention from schools, mental health workers and even the whole society in China. The aim of this study was to explore influencing factors and clinical characteristics of NSSI in adolescent psychiatric patients in China, and provide valuable information for the intervention and treatment of NSSI.
The sample included 157 adolescents, 114 were female (72.6%), aged 12-18 years ( = 15.39, SD = 1.81). Assessments were performed using Childhood Trauma Questionnaire-Short Form, the Revised Olweus Bully/Victim Questionnaire, the modified version of Adolescents Self-Harm Scale, Montgomery-Asberg Depression Rating Scale, Brief Psychiatric Rating Scale, the Young Mania Rating Scale and the Mini International Neuropsychiatric Interview. Clinical characteristics were collected from electronic medical record system.
Adolescent patients with NSSI experienced more adverse life events including peer bullying, childhood trauma and romantic relationship trouble. They had more times of hospitalization, higher dosage of psychotic medication, and more severe depressive symptoms.
It is very necessary to evaluate negative life events, including childhood trauma, peer bullying etc., in adolescent patients with NSSI. It has important clinical implications for evaluating the risk factors of NSSI and giving effective intervention treatment. Timely and effective treatment of these patients' depressive symptoms will also contribute to the relief of NSSI.
非自杀性自伤行为（NSSI）在中国已引起学校、精神卫生工作者乃至全社会越来越多的关注。本研究旨在探讨中国青少年精神科患者NSSI的影响因素及临床特征，为NSSI的干预和治疗提供有价值的信息。
样本包括157名青少年，其中114名女性（72.6%），年龄在12至18岁之间（平均年龄 = 15.39，标准差 = 1.81）。使用儿童创伤问卷简版、修订版奥维尤斯欺负/受欺负问卷、青少年自伤量表修订版、蒙哥马利-阿斯伯格抑郁评定量表、简明精神病评定量表、青年躁狂评定量表和迷你国际神经精神病学访谈进行评估。临床特征从电子病历系统中收集。
患有NSSI的青少年患者经历了更多不良生活事件，包括同伴欺凌、童年创伤和恋爱关系问题。他们有更多次住院经历、更高剂量的精神药物使用，且抑郁症状更严重。
对患有NSSI的青少年患者评估包括童年创伤、同伴欺凌等在内的负面生活事件非常必要。这对评估NSSI的危险因素并给予有效的干预治疗具有重要的临床意义。及时有效地治疗这些患者的抑郁症状也将有助于缓解NSSI。
