Xiao Qingqing, Song Xiaozhen, Huang Lijuan, Hou Dandan, Huang Xuehua
Mental Health Center, West China Hospital, Sichuan University, Chengdu, China.
West China School of Nursing, Sichuan University, Chengdu, China.
Front Psychiatry. 2023 Jul 3;14:1140597. doi: 10.3389/fpsyt.2023.1140597. eCollection 2023.
Non-suicidal self-injury (NSSI) is a major public health concern among adolescents. Further research is needed into contributors to this behavior, in particular among adolescents with psychiatric disorders. The aim of the present study was to explore the impact of life events and emotional stress on NSSI among hospitalized psychiatric adolescents.
In this cross-sectional study, 505 Chinese psychiatric adolescent inpatients 10-19 years old completed questionnaires about sociodemographic characteristics and NSSI as well as the Adolescent Self-Rating Life Events Checklist (ASLEC), the State-Trait Anxiety Inventory Form Y, and the Center for Epidemiological Studies Depression Scale. Chi-square test was used to compare the incidence of NSSI in psychiatric adolescent patients with different sociodemographic. -test was used to compare the total scores and dimension scores of the ASLEC, STAI-Y, and CES-D between the NSSI group and the non-NSSI group. A binary logistic regression model was built to explore the relationships among sociodemographic characteristics, questionnaire scores and NSSI.
Most psychiatric adolescent inpatients (393, 77.8%) reported NSSI behavior. The higher risk for NSSI was observed among female (odds ratio [OR] 2.665, 95% confidence interval [CI] 1.575-4.510), younger adolescents (10-14 years; OR 2.021, 95% CI 1.258-3.245), with a suicide history (OR 2.479, 95% CI 1.549-3.967), or with depression symptom (OR 3.217, 95% CI 1.572-6.582) and those with higher scores of ASLEC (OR 1.019, 95% CI 1.010-1.029).
Our study in China is one of the first to apply to adolescent inpatients the diagnostic criteria of NSSI in the latest edition of the . Our analysis suggests that NSSI prevalence is disturbingly high among adolescents with mental illness in China. A better understanding of contributing factors, especially negative life events and negative emotions, may guide interventions that can reduce its prevalence.
非自杀性自伤行为（NSSI）是青少年群体中一个主要的公共卫生问题。需要进一步研究导致这种行为的因素，特别是在患有精神疾病的青少年中。本研究的目的是探讨生活事件和情绪压力对住院精神科青少年非自杀性自伤行为的影响。
在这项横断面研究中，505名年龄在10至19岁的中国精神科青少年住院患者完成了关于社会人口学特征、非自杀性自伤行为的问卷，以及青少年自评生活事件量表（ASLEC）、状态-特质焦虑量表Y型（STAI-Y）和流调中心抑郁量表（CES-D）。采用卡方检验比较不同社会人口学特征的精神科青少年患者中非自杀性自伤行为的发生率。采用t检验比较非自杀性自伤行为组和非非自杀性自伤行为组在青少年自评生活事件量表、状态-特质焦虑量表Y型和流调中心抑郁量表上的总分及维度得分。建立二元逻辑回归模型以探讨社会人口学特征、问卷得分与非自杀性自伤行为之间的关系。
大多数精神科青少年住院患者（393例，77.8%）报告有非自杀性自伤行为。在女性（优势比[OR]2.665，95%置信区间[CI]1.575 - 4.510）、年龄较小的青少年（10 - 14岁；OR 2.021，95%CI 1.258 - 3.245）、有自杀史（OR 2.479，95%CI 1.549 - 3.967）、有抑郁症状（OR 3.217，95%CI 1.572 - 6.582）以及青少年自评生活事件量表得分较高（OR 1.019，95%CI 1.010 - 1.029）的患者中，观察到非自杀性自伤行为的风险较高。
我们在中国进行的这项研究是首批将最新版[具体版本未提及]中非自杀性自伤行为的诊断标准应用于青少年住院患者的研究之一。我们的分析表明，在中国患有精神疾病的青少年中，非自杀性自伤行为的患病率高得令人不安。更好地了解促成因素，尤其是负面生活事件和负面情绪，可能会指导采取干预措施以降低其患病率。
