Dierickx Serafine, Claes Laurence, Buelens Tinne, Smits Dirk, Kiekens Glenn
Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium.
Expertise Unit Resilient People, University Colleges Leuven-Limburg, Leuven, Belgium.
Front Psychiatry. 2023 Dec 8;14:1251514. doi: 10.3389/fpsyt.2023.1251514. eCollection 2023.
Up to one in five emerging adults engage in non-suicidal self-injury (NSSI). Providing a better understanding of factors that differentiate between who engages in lifetime NSSI and who is more likely to engage in recent and clinically severe NSSI can provide meaningful information for prevention and intervention of NSSI. The present study ( = 669) considered NSSI lifetime engagement (no prior history of NSSI vs. lifetime NSSI), recency [past NSSI (>12 months ago) vs. recent (≤12-month) NSSI], and clinical severity among those with recent NSSI (subthreshold vs. DSM-5 NSSI disorder). The prevalence of NSSI disorder was 8.4% in emerging adults aged 18 to 26 years old. Higher anxiety levels were related to NSSI engagement, but only depressive symptoms and NSSI versatility were consistently associated with more recent NSSI and NSSI disorder. A stepped-care approach may be required in addressing NSSI among emerging adults.
高达五分之一的新兴成年人会进行非自杀性自伤（NSSI）。更好地了解区分有终生NSSI经历者和更有可能近期进行且临床症状严重的NSSI者的因素，可为NSSI的预防和干预提供有意义的信息。本研究（n = 669）考虑了NSSI的终生参与情况（无NSSI既往史与有终生NSSI）、近期情况（过去的NSSI，>12个月前与近期的NSSI，≤12个月）以及近期有NSSI者的临床严重程度（阈下与DSM-5 NSSI障碍）。18至26岁的新兴成年人中NSSI障碍的患病率为8.4%。较高的焦虑水平与NSSI参与有关，但只有抑郁症状和NSSI多样性始终与更近发生的NSSI及NSSI障碍相关。在应对新兴成年人中的NSSI时可能需要采用逐步护理方法。
