Abbasi-Ghahramanloo Abbas, Khodadoust Behnam, Adham Davoud, Gholami Ali, Farokhi Roya, Maghsodlou-Nejad Vahid, Afrashteh Sima
Department of Public Health, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran.
Department of Epidemiology, School of Health, Iran University of Medical Sciences, Tehran, Iran.
Front Psychiatry. 2024 Oct 17;15:1425411. doi: 10.3389/fpsyt.2024.1425411. eCollection 2024.
Non-suicidal self-injury (NSSI) is an important health problem among adolescents and young adults. The aims of this study were to determine NNSI status and its associated factors among students.
This cross-sectional study has been conducted in 4715 high school and university students from the West and Northwest provinces of Iran. Multi-stage sampling was used to select students and all students completed survey questionnaires. Data analysis was performed using chi-square, Fisher's exact test, binary and logistic regression.
The lifetime prevalence of NSSI was estimated as 24.4% among all participants (21.4% in high school students vs. 29.3% in university students). After adjustment for other factors, age (OR=1.08,95%CI:1.03-1.12), cigarette smoking as an experimenter (OR=1.94,95%CI:1.61-2.34) and regular (OR=3.80,95%CI:2.96-4.89) compared to nonsmokers, membership in a sport team (OR = 1.26,95%CI:1.08-1.48), having physical fight (OR = 2.18,95%CI:1.85-2.57), doing general risk taking behavior (OR = 2.05,95%CI:1.66-2.53), and self-esteem (OR=0.93,95%CI:0.92-0.95) were associated with experience of NSSI.
Our results suggested that the prevalence of NSSI was relatively high among high school and university students. To diagnose, prevent, and treat NSSI in teenagers and young adults in Iran, more research is needed to identify the root causes.
非自杀性自伤行为（NSSI）是青少年和青年中一个重要的健康问题。本研究的目的是确定学生中的非自杀性自伤行为状况及其相关因素。
本横断面研究在伊朗西部和西北部省份的4715名高中生和大学生中进行。采用多阶段抽样法选取学生，所有学生均完成调查问卷。数据分析采用卡方检验、费舍尔精确检验、二元和逻辑回归分析。
所有参与者中非自杀性自伤行为的终生患病率估计为24.4%（高中生为21.4%，大学生为29.3%）。在对其他因素进行调整后，年龄（比值比[OR]=1.08，95%置信区间[CI]：1.03 - 1.12）、作为尝试者吸烟（OR=1.94，95%CI：1.61 - 2.34）以及与不吸烟者相比经常吸烟（OR=3.80，95%CI：2.96 - 4.89）、参加运动队（OR = 1.26，95%CI：1.08 - 1.48）、发生肢体冲突（OR = 2.18，95%CI：1.85 - 2.57）、进行一般冒险行为（OR = 2.05，95%CI：1.66 - 2.53）以及自尊（OR=0.93，95%CI：0.92 - 0.95）与非自杀性自伤行为经历相关。
我们的结果表明，高中生和大学生中非自杀性自伤行为的患病率相对较高。为了在伊朗的青少年和青年中诊断、预防和治疗非自杀性自伤行为，需要更多的研究来确定其根本原因。
