Cheng Lingfei, Wang Leilei, Lin Jingyu, Chen Jingxu
Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical School, Beijing, China.
Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical School, Beijing, China.
J Affect Disord. 2025 Mar 15;373:60-66. doi: 10.1016/j.jad.2024.12.074. Epub 2024 Dec 23.
Non-suicidal self-injury (NSSI) has become a serious global problem among adolescents. This study aimed to explore the relationships between adverse childhood experiences, self-hate, and non-suicidal self-injury in adolescents.
A total of 7009 adolescents participated in a survey from August 1 to December 31, 2023. The survey comprised the revised Adverse Childhood Experience (ACE) Questionnaire, Self-Hate Scale, and Adolescent Non-Suicidal Self-Injury Assessment Questionnaire. SPSS 22.0 was utilized for data entry and analysis. Spearman's correlation analysis was employed to examine the relationships between the variables. The bias-corrected nonparametric percentile bootstrap method was used to test the significance of the mediating effect.
Adverse childhood experiences, self-hate, and non-suicidal self-injury were positively correlated. Adverse childhood experiences directly affected self-injury without obvious tissue damage. Self-hate mediated the relationship between adverse childhood experiences and self-injury without obvious tissue damage. Adverse childhood experiences directly affected self-injury with obvious tissue damage. Self-hate mediated between adverse childhood experiences and self-injury with obvious tissue damage.
The data were cross-sectional, and the effects of adverse childhood experiences were not immediate. Further, because this was a subjective study, reporting bias was inevitable. Finally, future research should expand the discussion and improve the global relevance of the study.
Self-hate mediates the relationship between adverse childhood experiences and NSSI in adolescents. This study explores the underlying mechanisms and influencing factors of NSSI in adolescents and provides important evidence-based support for the prevention and intervention of NSSI in adolescents with different characteristics to maintain adolescents' physical and mental health.
Given the close relationships found between adverse childhood experiences, self-hate, and non-suicidal self-injury (NSSI) in adolescents, it is crucial to address adverse childhood experiences to prevent and treat NSSI. Providing necessary psychological support and interventions can help foster positive self-awareness, enhance self-esteem and self-efficacy, reduce self-disgust, and mitigate the negative effects of adverse childhood experiences.
非自杀性自伤（NSSI）已成为全球青少年中的一个严重问题。本研究旨在探讨青少年不良童年经历、自我厌恶与非自杀性自伤之间的关系。
共有7009名青少年参与了2023年8月1日至12月31日的一项调查。该调查包括修订后的不良童年经历（ACE）问卷、自我厌恶量表和青少年非自杀性自伤评估问卷。使用SPSS 22.0进行数据录入和分析。采用Spearman相关分析来检验变量之间的关系。使用偏差校正非参数百分位Bootstrap方法来检验中介效应的显著性。
不良童年经历、自我厌恶和非自杀性自伤呈正相关。不良童年经历直接影响无明显组织损伤的自伤行为。自我厌恶在不良童年经历和无明显组织损伤的自伤行为之间起中介作用。不良童年经历直接影响有明显组织损伤的自伤行为。自我厌恶在不良童年经历和有明显组织损伤的自伤行为之间起中介作用。
数据为横断面数据，不良童年经历的影响并非即时性的。此外，由于这是一项主观研究，报告偏差不可避免。最后，未来的研究应扩大讨论范围并提高研究的全球相关性。
自我厌恶在青少年不良童年经历与非自杀性自伤之间起中介作用。本研究探讨了青少年非自杀性自伤的潜在机制和影响因素，为针对不同特征青少年的非自杀性自伤预防和干预提供了重要的循证支持，以维护青少年的身心健康。
鉴于青少年不良童年经历、自我厌恶和非自杀性自伤（NSSI）之间存在密切关系，解决不良童年经历对于预防和治疗非自杀性自伤至关重要。提供必要的心理支持和干预措施有助于培养积极的自我意识，增强自尊和自我效能感，减少自我厌恶，并减轻不良童年经历的负面影响。
