He Yangliuqing, Wei Yuhan, Wang Yiming, Liang Fenrong, Ma Tianpei
Clinical Medicine College of Guizhou Medical University, Guiyang, China.
Department of Psychiatry, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Front Psychiatry. 2024 Jul 25;15:1359400. doi: 10.3389/fpsyt.2024.1359400. eCollection 2024.
Non-suicidal self-injury (NSSI) is a prevalent concern among adolescents with depression, yet its relationship with demographic characteristics and physiological indicators remains underexplored. This study aimed to investigate these relationships among inpatient adolescents aged 13 to 18 at a hospital affiliated with Guizhou Medical University.
A cross-sectional study was conducted involving 222 adolescent inpatients diagnosed with depression. Data on NSSI occurrence, demographic variables (gender, only-child status, age), and physiological indicators (ALT, TSH, FT4, PLR, TG, HDLC, LDLC, FT3, NLR, MLR) were collected and analyzed. Statistical analyses, including correlations and group comparisons, were performed to assess the associations between NSSI and these factors.
The prevalence of NSSI among the participants was 40.5%. Significant correlations were found between NSSI and several demographic and physiological factors. Specifically, NSSI was significantly associated with female gender, non-only-child status, younger age, lower ALT levels, higher TSH levels, lower FT4 levels, and higher PLR values. However, no significant differences were observed in TG, HDLC, LDLC, FT3, NLR, or MLR between the NSSI and non-NSSI groups.
The findings highlight distinct demographic and physiological profiles associated with NSSI among adolescents with depression. The prevalence rate of NSSI underscores its significance as a behavioral manifestation in this population. Further research should explore the underlying mechanisms linking these factors to better inform targeted interventions and treatment strategies for adolescents experiencing NSSI in the context of depression.
非自杀性自伤行为(NSSI)是抑郁症青少年中普遍存在的问题,但其与人口统计学特征和生理指标之间的关系仍未得到充分研究。本研究旨在调查贵州医科大学附属医院13至18岁住院青少年中这些关系。
进行了一项横断面研究,纳入222名被诊断为抑郁症的青少年住院患者。收集并分析了关于NSSI发生情况、人口统计学变量(性别、独生子女状况、年龄)和生理指标(谷丙转氨酶、促甲状腺激素、游离甲状腺素、血小板与淋巴细胞比值、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、游离三碘甲状腺原氨酸、中性粒细胞与淋巴细胞比值、单核细胞与淋巴细胞比值)的数据。进行了包括相关性分析和组间比较在内的统计分析,以评估NSSI与这些因素之间的关联。
参与者中NSSI的患病率为40.5%。发现NSSI与几个人口统计学和生理因素之间存在显著相关性。具体而言,NSSI与女性性别、非独生子女状况、年龄较小、谷丙转氨酶水平较低、促甲状腺激素水平较高、游离甲状腺素水平较低以及血小板与淋巴细胞比值较高显著相关。然而,NSSI组和非NSSI组在甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、游离三碘甲状腺原氨酸、中性粒细胞与淋巴细胞比值或单核细胞与淋巴细胞比值方面未观察到显著差异。
研究结果突出了抑郁症青少年中与NSSI相关的不同人口统计学和生理特征。NSSI的患病率强调了其作为该人群行为表现的重要性。进一步的研究应探索将这些因素联系起来的潜在机制,以便为抑郁症背景下经历NSSI的青少年提供更有针对性的干预措施和治疗策略提供更好的信息。