School of Public Administrations, Hechi University, Hechi, 546300, China.
Department of Psychology and Counseling, Faculty of Human Development, Sultan Idris Education University, 35900, Tanjong Malim, Perak, Malaysia.
Sci Rep. 2022 Oct 14;12(1):17238. doi: 10.1038/s41598-022-21377-z.
This study analyzed the factors influencing adolescents' non-suicidal self-injury (NSSI) behavior and their interrelationships, and established a total influencing factor model. Through a literature analysis and semi-structured interviews with 87 adolescents and 27 experts in Guangxi Province, China, 13 influencing factors were identified from six aspects: physiological factors, cognitive factors, emotional factors, social support factors, social environment, and NSSI behavior. A system of factors influencing adolescents' NSSI behavior and a model of the factors influencing the comprehensive antagonism multilevel explanatory structure were obtained using a combination of Decision-Making Trial and Evaluation Laboratory technique and Total Adversarial Interpretive Structural Model. In descending order, NSSI, emotional state, self-efficacy, and self-cognition influenced adolescents' NSSI behavior. Social environment, exercise, and recreation had a greater impact on other factors, while NSSI, emotional regulation ability, and emotional state were greatly affected by other factors. Emotion regulation ability, self-cognition, self-efficacy, family support, school support, social support, and sleep were found to be the core factors influencing NSSI behavior of adolescents. These factors could be used to directly intervene in adolescent NSSI behavior. Timely treatment of adolescents' negative emotional states is directly conducive to preventing NSSI behavior and alleviating its severity.
本研究分析了影响青少年非自杀性自伤（NSSI）行为的因素及其相互关系，并建立了一个总影响因素模型。通过对中国广西壮族自治区 87 名青少年和 27 名专家的文献分析和半结构化访谈，从生理因素、认知因素、情绪因素、社会支持因素、社会环境和 NSSI 行为六个方面确定了 13 个影响因素。采用决策试验和评估实验室技术和完全对抗性解释结构模型综合方法，得到了影响青少年 NSSI 行为的因素系统和影响因素综合拮抗多层次解释结构模型。按降序排列，NSSI、情绪状态、自我效能和自我认知影响青少年的 NSSI 行为。社会环境、运动和娱乐对其他因素的影响更大，而 NSSI、情绪调节能力和情绪状态受其他因素的影响较大。情绪调节能力、自我认知、自我效能、家庭支持、学校支持、社会支持和睡眠被认为是影响青少年 NSSI 行为的核心因素。这些因素可直接用于干预青少年的 NSSI 行为。及时治疗青少年的消极情绪状态，直接有助于预防 NSSI 行为的发生，并减轻其严重程度。
