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与自我伤害性想法和行为相关的童年创伤亚型概况。

Profile of childhood trauma subtypes associated with self-injurious thoughts and behaviors.

作者信息

Liu Dongyu, Qu Diyang, Xu Shicun, Wang Yuanyuan, Chen Runsen

机构信息

Vanke School of Public Health, Tsinghua University.

Northeast Asian Research Center, Jilin University.

出版信息

Psychol Trauma. 2024 Apr;16(Suppl 1):S63-S71. doi: 10.1037/tra0001544. Epub 2023 Aug 31.

DOI:10.1037/tra0001544
PMID:37650803
Abstract

OBJECTIVE

Childhood trauma has been identified as a risk factor for self-injurious thoughts and behaviors (STBs), but the roles of different types of childhood trauma have not been clarified. The current study aimed to explore the association between different childhood trauma experiences and STB profiles.

METHOD

The current study utilized data from a cross-sectional survey of 89,281 Chinese university and college students ( = 19.6). Participants were classified into one of six STBs groups, including individuals who are not suicidal or having nonsuicidal self-injury (NS) behavior, individuals with suicidal ideation (SI), individuals with nonsuicidal self-injury (NSSI) behavior, individuals with suicide attempt (SA), individuals with both NSSI and SI (NSSI + SI) and individuals with both NSSI and SA (NSSI + SA). Several multinomial logistic regressions were performed.

RESULTS

The individuals reporting more emotional abuse experiences are significantly more likely to report higher-risk STB profiles ( =1.06-1.64). Emotional neglect is also a significant factor predicting higher STB risk compared to NS and SI groups ( = 1.02-1.08). Mixed findings were found for physical neglect and sexual abuse, as they show different directions of risk-predicting effects in different STB groups. Physical abuse did not significantly predict STBs.

CONCLUSIONS

Our results indicate that exposure to childhood emotional abuse increase the risk for all types of STBs, which calls for special attention in future suicide prevention and intervention programs. Our findings further imply possible roles for different subtypes of traumatic experiences to trigger different SBTs, which warrant future exploration. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

童年创伤已被确定为自伤性想法和行为(STB)的一个风险因素,但不同类型童年创伤的作用尚未明确。本研究旨在探讨不同童年创伤经历与STB概况之间的关联。

方法

本研究利用了对89281名中国大学生(平均年龄 = 19.6岁)进行的横断面调查数据。参与者被分为六个STB组之一,包括无自杀或无自杀性自伤(NS)行为者、有自杀意念(SI)者、有非自杀性自伤(NSSI)行为者、有自杀未遂(SA)者、既有NSSI又有SI者(NSSI + SI)以及既有NSSI又有SA者(NSSI + SA)。进行了多项多项逻辑回归分析。

结果

报告有更多情感虐待经历的个体显著更有可能报告更高风险的STB概况(比值比 = 1.06 - 1.64)。与NS和SI组相比,情感忽视也是预测更高STB风险的一个重要因素(比值比 = 1.02 - 1.08)。在身体忽视和性虐待方面发现了混合结果,因为它们在不同的STB组中显示出不同方向的风险预测效应。身体虐待并未显著预测STB。

结论

我们的结果表明,童年期遭受情感虐待会增加所有类型STB的风险,这在未来的自杀预防和干预项目中需要特别关注。我们的研究结果进一步暗示了不同亚型的创伤经历在引发不同SBT方面可能发挥的作用,这值得未来进行探索。(PsycInfo数据库记录(c)2024美国心理学会,保留所有权利)

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