Mental Health Sciences Doctoral School, Semmelweis University, Budapest, Hungary.
Faculty of Education and Psychology, Institute of Education, Eötvös Loránd University, Budapest, Hungary.
Eur Child Adolesc Psychiatry. 2024 Oct;33(10):3439-3458. doi: 10.1007/s00787-023-02264-y. Epub 2023 Jul 24.
In the past 10 years, there has been a growing interest in self-injurious behavior (SIB) among adolescents. The lifetime prevalence of SIB is between 16 and 22% in community sample with females more likely to engage in SIB. There are conflicting results about the global distribution of the prevalence of SIB and whether the SIB has increased in the 21st century. Our aim in the current study was to conduct a systematic search of and meta-analysis on the prevalence of SIB in adolescents over the past 5 years' worth of published papers and to examine gender, continental, and year differences. We conducted a systematic search in June 2020 of six databases (PubMed, Scopus, Web of Science, OVID Medline, PsycINFO, EBSCO) with three main search terms: "self-injurious behavior," "prevalence," and "adolescence." Article inclusion criteria were (a) written in English; (b) published between January 1, 2015, and June 18, 2020; and (c) focused on a community sample. Titles and abstracts of the articles were screened first. Then, the relevant full texts were read, and those that met the inclusion criteria were collected. We used Comprehensive Meta-Analysis software was used to conduct the analyses. After the screening process 97, articles were included in the meta-analysis. The age of the samples ranged from 11.00 to 18.53 years. The overall average prevalence of nonsuicidal self-injury in the studies was 16%. There was a significant gender difference: females reported a higher prevalence than males (19.4% and 12.9%, respectively). A significantly higher prevalence was found among Asian articles than those from other continents (19.5% and 14.7%, respectively). The prevalence of SIB did not change significantly between 2013 and 2018. The current research draws attention to the high prevalence of SIB among adolescents, especially among females and those living in Asia. It is important to address this behavior, both in terms of prevention and intervention.
在过去的 10 年中，青少年的自伤行为（SIB）引起了越来越多的关注。在社区样本中，SIB 的终身患病率在 16%至 22%之间，女性更有可能从事 SIB。关于 SIB 的全球分布以及 21 世纪 SIB 是否有所增加，存在相互矛盾的结果。我们目前的研究目的是对过去 5 年发表的论文中青少年 SIB 的患病率进行系统搜索和荟萃分析，并检查性别、大陆和年份差异。我们于 2020 年 6 月在六个数据库（PubMed、Scopus、Web of Science、OVID Medline、PsycINFO、EBSCO）中进行了系统搜索，使用了三个主要搜索词：“自伤行为”、“患病率”和“青春期”。文章纳入标准为：（a）用英文撰写；（b）发表于 2015 年 1 月 1 日至 2020 年 6 月 18 日期间；（c）重点关注社区样本。首先筛选文章的标题和摘要。然后，阅读相关的全文，并收集符合纳入标准的文章。我们使用 Comprehensive Meta-Analysis 软件进行分析。经过筛选过程，共有 97 篇文章纳入荟萃分析。样本的年龄范围从 11.00 岁到 18.53 岁。研究中，非自杀性自伤的总体平均患病率为 16%。存在显著的性别差异：女性报告的患病率高于男性（分别为 19.4%和 12.9%）。亚洲文章的患病率明显高于其他大陆的文章（分别为 19.5%和 14.7%）。2013 年至 2018 年期间，SIB 的患病率没有显著变化。目前的研究引起了人们对青少年，尤其是女性和亚洲青少年 SIB 高患病率的关注。重要的是要解决这种行为，无论是在预防还是干预方面。
