Psychiatry. 2024 Winter;87(4):298-313. doi: 10.1080/00332747.2024.2379752. Epub 2024 Aug 5.
The aim of this study was to determine the comorbid psychiatric diagnoses, peer bullying rates and NSSI characteristics in adolescents who engage in self-injuring behavior.
This case-controlled cross-sectional study was conducted between 1 March 2020 and 1 May 2021 in the Child and Adolescent Psychiatry and Paediatrics outpatient clinic of a hospital in the Southeastern Anatolia region of Turkey. The data of 50 adolescents with NSSI and 60 adolescents without NSSI attending school were compared. The data in the study were obtained using sociodemographic form prepared by the researchers, the Affective Disorders and Schizophrenia Interview Schedule for School-Age Children-Present and Lifetime Version-Dsm-5, Peer Bullying Scale Adolescent Form and Self-Injurious Behaviour Assessment Inventory.
Fifty adolescents (70% female) with a mean age of 15.4 years (S.D. = 1.4) with NSSI were included as case group and 60 adolescents (66.7% female) with a mean age of 15.5 years (S.D. = 1.3) without NSSI were included as control group. Banging/hitting self was the most common NSSI method, while affect regulation was the most common function. In the case group, verbal, isolation and damage to belongings among the victim subtypes in the last year were found to be significantly higher than in the control group. It was found that there was a positive correlation between the variety of self-injury methods and bullying exposure scores in adolescents with NSSI. Depression disorders, anxiety disorders, oppositional defiant disorder, attention deficit hyperactivity disorder, conduct disorder, and post-traumatic stress disorder diagnoses were found to be more prevalent in the group with NSSI.
Based on the finding, it was found that psychiatric diagnoses are more common in adolescents with NSSI, peer bullying subtypes are seen at a higher rate, and as bullying scores increase, the variety of NSSI methods also increases. It is thought that providing psychiatric evaluation and treatment for adolescents with NSSI, establishing cooperation with school and family for peer bullying, developing preventive mental health policies and effective intervention programmes may be beneficial.
本研究旨在确定有自伤行为的青少年的合并精神科诊断、同伴欺凌率和非自杀性自伤（NSSI）特征。
这是一项病例对照的横断面研究，于 2020 年 3 月 1 日至 2021 年 5 月 1 日在土耳其东南部地区一家医院的儿童和青少年精神病学和儿科学门诊进行。比较了 50 名有 NSSI 的青少年和 60 名没有 NSSI 的在校青少年的数据。研究中的数据是通过研究人员编制的社会人口学表格、情感障碍和精神分裂症儿童青少年访谈时间表-DSM-5 版、青少年同伴欺凌量表和自伤行为评估清单获得的。
研究纳入了 50 名（70%为女性）年龄平均为 15.4 岁（标准差=1.4）有 NSSI 的青少年作为病例组，以及 60 名（66.7%为女性）年龄平均为 15.5 岁（标准差=1.3）没有 NSSI 的青少年作为对照组。撞击自己是最常见的 NSSI 方法，而情绪调节是最常见的功能。在病例组中，发现过去一年中受害者亚型的言语、孤立和破坏财物的欺凌行为明显高于对照组。还发现，有 NSSI 的青少年的自伤方法种类与欺凌暴露评分之间存在正相关。在有 NSSI 的青少年中，发现抑郁障碍、焦虑障碍、对立违抗性障碍、注意缺陷多动障碍、品行障碍和创伤后应激障碍的诊断更为常见。
基于研究结果，发现有 NSSI 的青少年中精神科诊断更为常见，同伴欺凌亚型的发生率更高，随着欺凌评分的增加，NSSI 方法的种类也会增加。为有 NSSI 的青少年提供精神科评估和治疗、与学校和家庭合作解决同伴欺凌问题、制定预防心理健康政策和有效的干预计划可能会有所帮助。
