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解码青少年非自杀性自伤的复杂网络能否为量身定制的干预措施铺平道路?

Can decoding the complex web of non-suicidal self-injury in adolescents pave the way for tailored interventions?

作者信息

Byeon Haewon

机构信息

Workcare Digital Health Lab, Department of Convergence, Korea University of Technology and Education, Cheonan 31253, South Korea.

出版信息

World J Psychiatry. 2025 Mar 19;15(3):103258. doi: 10.5498/wjp.v15.i3.103258.

Abstract

Non-suicidal self-injury (NSSI) is a prevalent and concerning issue in adolescent mental health, often intertwined with depressive symptoms. Despite extensive research on NSSI, a comprehensive understanding of its multifaceted nature and the intricate interplay of risk and resilience factors remains crucial. This Letter to the Editor examines a novel study by Yang , which utilized latent profile analysis and network analysis to delineate distinct NSSI subtypes within a Chinese adolescent population and investigate the underlying dynamics of associated factors. The study identifies three distinct NSSI subtypes: NSSI with depression, NSSI without depression, and neither, underscoring bullying as a prominent risk factor. Concurrently, the findings emphasized the pivotal role of emotional regulation and family support as protective factors. The focus of this article is to contextualize these findings within the broader framework of adolescent mental health and to highlight their implications for developing targeted interventions. These insights not only advance our understanding of adolescent NSSI but also provide a foundation for the development of targeted interventions that address the identified risk and protective factors. By focusing on these critical areas, mental health professionals can implement more effective strategies to mitigate NSSI behaviors and cultivate resilience in this vulnerable population.

摘要

非自杀性自伤(NSSI)是青少年心理健康中一个普遍且令人担忧的问题,常常与抑郁症状交织在一起。尽管对NSSI进行了广泛研究,但全面了解其多方面性质以及风险因素和复原力因素之间的复杂相互作用仍然至关重要。这封致编辑的信审视了杨的一项新研究,该研究利用潜在剖面分析和网络分析来描绘中国青少年群体中不同的NSSI亚型,并探究相关因素的潜在动态。该研究确定了三种不同的NSSI亚型:伴有抑郁的NSSI、不伴有抑郁的NSSI以及两者皆无的情况,强调欺凌是一个突出的风险因素。同时,研究结果强调了情绪调节和家庭支持作为保护因素的关键作用。本文的重点是将这些发现置于青少年心理健康的更广泛框架中,并突出它们对制定针对性干预措施的意义。这些见解不仅推进了我们对青少年NSSI的理解,还为制定针对已确定的风险和保护因素的干预措施提供了基础。通过关注这些关键领域,心理健康专业人员可以实施更有效的策略来减轻NSSI行为,并培养这一脆弱群体的复原力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f0c/11886340/879747a635e3/103258-g001.jpg

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