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青少年蓄意自伤:文献综述

Deliberate self-harm in adolescents: A review of literature.

作者信息

Patra Bichitra Nanda, Sen Mahadev Singh, Sagar Rajesh, Bhargava Rachna

机构信息

Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Ind Psychiatry J. 2023 Jan-Jun;32(1):9-14. doi: 10.4103/ipj.ipj_215_21. Epub 2022 Nov 10.

DOI:10.4103/ipj.ipj_215_21
PMID:37274564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10236686/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb2a/10236686/856d73e5e730/IPJ-32-9-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb2a/10236686/856d73e5e730/IPJ-32-9-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb2a/10236686/856d73e5e730/IPJ-32-9-g001.jpg

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本文引用的文献

1
What Works in Youth Suicide Prevention? A Systematic Review and Meta-Analysis.青少年自杀预防中哪些措施有效?一项系统评价与荟萃分析。
EClinicalMedicine. 2018 Oct 28;4-5:52-91. doi: 10.1016/j.eclinm.2018.10.004. eCollection 2018 Oct-Nov.
2
Prevalence, distribution, and associated factors of suicide attempts in young adolescents: School-based data from 40 low-income and middle-income countries.青少年自杀未遂的流行率、分布情况及其相关因素:来自 40 个低收入和中等收入国家的基于学校的数据。
PLoS One. 2018 Dec 19;13(12):e0207823. doi: 10.1371/journal.pone.0207823. eCollection 2018.
3
Predictors of self-harm emergency department visits in adolescents: A statewide longitudinal study.
青少年自残急诊就诊的预测因素:一项全州范围的纵向研究。
Gen Hosp Psychiatry. 2019 Jan-Feb;56:28-35. doi: 10.1016/j.genhosppsych.2018.12.004. Epub 2018 Dec 8.
4
Poor school attendance and exclusion: a systematic review protocol on educational risk factors for self-harm and suicidal behaviours.上学出勤率低与被开除:一项关于自我伤害和自杀行为教育风险因素的系统评价方案
BMJ Open. 2018 Dec 14;8(12):e023953. doi: 10.1136/bmjopen-2018-023953.
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Study on risk factors in adolescents admitted with deliberate self-harm in Tata main hospital, Jamshedpur.塔塔主医院青少年蓄意自伤入院风险因素研究,贾姆谢德布尔
Ind Psychiatry J. 2018 Jan-Jun;27(1):80-86. doi: 10.4103/ipj.ipj_62_17.
6
Deliberate Self-harm among Young People Begins to Increase at the Very Early Age: a Nationwide Study.年轻人的故意自残行为很早就开始增加:一项全国性研究。
J Korean Med Sci. 2018 May 29;33(30):e191. doi: 10.3346/jkms.2018.33.e191. eCollection 2018 Jul 23.
7
Suicide prevention in educational settings: a review.教育环境中的自杀预防:综述
Australas Psychiatry. 2018 Apr;26(2):132-140. doi: 10.1177/1039856218759406. Epub 2018 Mar 15.
8
Predictors of non-suicidal and suicidal self-injurious behaviours, among adolescents and young adults in urban India.预测印度城市青少年和年轻人的非自杀性和自杀性自伤行为的因素。
Asian J Psychiatr. 2017 Oct;29:123-128. doi: 10.1016/j.ajp.2017.04.024. Epub 2017 May 6.
9
Youth self-harm in low- and middle-income countries: Systematic review of the risk and protective factors.中低收入国家青少年自伤行为的风险和保护因素的系统评价
Int J Soc Psychiatry. 2017 Jun;63(4):359-375. doi: 10.1177/0020764017700175. Epub 2017 Mar 29.
10
Longitudinal association between self-injurious thoughts and behaviors and suicidal behavior in adolescents and young adults: A systematic review with meta-analysis.青少年和青年中自我伤害性想法与行为和自杀行为之间的纵向关联:一项荟萃分析的系统评价
J Affect Disord. 2017 Jun;215:37-48. doi: 10.1016/j.jad.2017.03.035. Epub 2017 Mar 12.