Qu Diyang, Wen Xue, Liu Bowen, Zhang Xuan, He Yuhao, Chen Dongyang, Duan Xueer, Yu Jiaao, Liu Dongyu, Zhang Xiaoqian, Ou Jianjun, Zhou Jiansong, Cui Zaixu, An Jing, Wang Yuanyuan, Zhou Xinyu, Yuan Tifei, Tang Jie, Yue Weihua, Chen Runsen
Vanke School of Public Health, Tsinghua University, Beijing, China.
Institute for Healthy China, Tsinghua University, Beijing, China.
Lancet Reg Health West Pac. 2023 May 26;37:100794. doi: 10.1016/j.lanwpc.2023.100794. eCollection 2023 Aug.
Non-suicidal self-injury behavior (NSSI) is a serious public health concern that requires immediate attention. Despite the high prevalence of NSSI among the Chinese population, there is a significant gap in research on the comprehensive picture of this field. Therefore, a scoping review was conducted to investigate the prevalence, methods, risk factors, and preventive intervention programs related to NSSI in China. The review found that the estimated lifetime prevalence of NSSI among Chinese youth population is alarmingly high at 24.7% (N = 1,088,433). Common methods of NSSI include scratching, hitting, and biting. Additionally, the review synthesized 249 risk factors based on the biopsychosocial-ecological framework, highlighting the urgent need for intervention. However, only 12 empirical studies focus on NSSI prevention or intervention programs were included. These findings underscore the necessity for more clinical practices and larger studies to identify effective interventions and ultimately alleviate the burden of NSSI on the Chinese population.
This review was supported by Humanity and Social Science Youth foundation of Ministry of Education (22YJCZH018), Science and Technology Innovation 2030 (STI2030-Major Projects:2021ZD0200702), National Natural Science Foundation of China (81825009), and Shuimu Tsinghua Scholar. No funding agencies were involved in the data collection, data analysis, and writing of this paper.
非自杀性自伤行为（NSSI）是一个严重的公共卫生问题，需要立即引起关注。尽管NSSI在中国人群中普遍存在，但该领域的综合研究仍存在显著差距。因此，本研究进行了一项范围综述，以调查中国与NSSI相关的患病率、方法、风险因素和预防干预项目。综述发现，中国青年人群中NSSI的终身患病率估计高达24.7%（N = 1,088,433），令人震惊。NSSI的常见方法包括抓挠、击打和咬伤。此外，综述基于生物心理社会生态框架综合了249个风险因素，突出了干预的迫切需求。然而，仅纳入了12项关注NSSI预防或干预项目的实证研究。这些发现强调了需要更多的临床实践和更大规模的研究来确定有效的干预措施，并最终减轻NSSI对中国人群的负担。
本综述得到了教育部人文社会科学青年基金（22YJCZH018）、科技创新2030（重大项目：2021ZD0200702）、国家自然科学基金（81825009）和水木清华学者的支持。没有资助机构参与本文的数据收集、数据分析和撰写。
