Durham Veterans Affairs Health Care System, 3022 Croasdaile Drive, Durham, NC 27705, USA; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA.
Department of Psychology, University of Toledo, Toledo, OH, USA.
Psychiatry Res. 2022 Sep;315:114708. doi: 10.1016/j.psychres.2022.114708. Epub 2022 Jul 13.
Nonsuicidal self-injury (NSSI) is a robust predictor of suicidal thoughts and behaviors; however, while there are typically only small differences observed in the prevalence of NSSI between men and women, this condition has been largely overlooked and underestimated among men. Assessing NSSI methods more common in men may address misidentification as well as allow for more precise NSSI prevalence estimates. Survey data from a national sample of Gulf War I-Era veterans (N = 1063) was used to estimate the prevalence of NSSI and compare prevalence of NSSI methods between men and women veterans. Demographic and clinical correlates of NSSI engagement were also examined. The national lifetime prevalence rate of NSSI among Gulf War I-Era veterans was 22.40%, whereas the past year prevalence rate was 8.10%. In both men and women, wall/object punching was the most common NSSI method endorsed across the lifetime. Men had slightly higher overall NSSI prevalence rates compared with women. This study highlights the need to systematically assess NSSI, particularly among veterans, to better identify, and consequently treat, NSSI in men. This is the first available prevalence estimate of NSSI to include the assessment of wall/object punching in a national sample of adult veterans.
非自杀性自伤（NSSI）是自杀意念和行为的有力预测指标；然而，尽管男性和女性之间通常只有很小的 NSSI 患病率差异，但这种情况在男性中基本上被忽视和低估了。评估更常见于男性的 NSSI 方法可能有助于识别错误，同时还可以更准确地估计 NSSI 的患病率。本研究使用来自海湾战争 I 时代退伍军人的全国样本（N=1063）的调查数据来估计 NSSI 的患病率，并比较男女退伍军人中 NSSI 方法的患病率。还检查了 NSSI 参与的人口统计学和临床相关性。海湾战争 I 时代退伍军人的全国终生 NSSI 患病率为 22.40%，而过去一年的患病率为 8.10%。在男性和女性中，墙壁/物体击打是一生中最常见的 NSSI 方法。与女性相比，男性的总体 NSSI 患病率略高。这项研究强调了需要系统地评估 NSSI，特别是在退伍军人中，以便更好地识别和治疗男性中的 NSSI。这是首次在全国成年退伍军人样本中包括墙壁/物体击打评估的 NSSI 患病率估计。
