Patra Bichitra Nanda, Sen Mahadev Singh, Sagar Rajesh, Bhargava Rachna
Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
Ind Psychiatry J. 2023 Jan-Jun;32(1):9-14. doi: 10.4103/ipj.ipj_215_21. Epub 2022 Nov 10.
Deliberate self-harm is a rising epidemic in the youth. This review examined the different self-harm behavior, approach to treatment, and the implication of such behaviors in the adolescent population in the academic literature. Using the PubMed database, we searched for specific terms related to different self-harm behaviors in Adolescents. The bibliography of the articles found relevant for the review was also screened. Each study's findings were taken with reference to our topic and findings were summarized. After reviewing the literature, we found that the prevalence of suicidal attempts was as high as 18% in the past year While the nonsuicidal attempts were as high as 31%. Risk factors associated with higher levels of suicide were bullying, loneliness and anxiety, tobacco and alcohol use, and weak family and social relationships. While the factors playing a protective role are being connected to school, having good social support, and attending school. There are very few studies focused on interventions related to suicide prevention in Adolescent and postvention programs. Out of the evidence available, the interventions are not focused on the target individuals and lack replicability. Self-harm is a major public health concern which needs to be understood holistically. The interventions aimed at preventing and managing self-harm behavior still need to be more targeted and precise. Other targets may include interventions suited to different phases of development, stopping the progression of the behavior to adulthood, including the varied population in such intervention, etc.
蓄意自我伤害在青少年中呈上升趋势,已成为一种流行病。本综述研究了不同的自我伤害行为、治疗方法以及这些行为在学术文献中对青少年人群的影响。我们使用PubMed数据库,搜索了与青少年不同自我伤害行为相关的特定术语。对所发现的与该综述相关文章的参考文献也进行了筛选。参照我们的主题梳理了每项研究的结果并进行了总结。在查阅文献后,我们发现过去一年自杀未遂的发生率高达18%,而非自杀性自我伤害行为的发生率高达31%。与较高自杀水平相关的风险因素包括欺凌、孤独和焦虑、吸烟和饮酒以及薄弱的家庭和社会关系。而起到保护作用的因素包括与学校有联系、有良好的社会支持以及上学。很少有研究关注青少年自杀预防干预措施和事后干预项目。在现有证据中,这些干预措施没有针对目标个体,也缺乏可重复性。自我伤害是一个重大的公共卫生问题,需要全面理解。旨在预防和管理自我伤害行为的干预措施仍需更具针对性和精确性。其他目标可能包括适合不同发育阶段的干预措施、阻止该行为发展至成年期、将不同人群纳入此类干预措施等。