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223例青少年非自杀性自伤行为影响因素分析

钱成 林勇 李亚玲 仇鹏 夏江明

浙江医学2024,Vol.46Issue(13):1410-1414,5.
浙江医学2024,Vol.46Issue(13):1410-1414,5.DOI:10.12056/j.issn.1006-2785.2024.46.13.2024-240

223例青少年非自杀性自伤行为影响因素分析

Analysis on influencing factors for non-suicidal self-injury behavior in 223 adolescents

钱成 1林勇 2李亚玲 3仇鹏 4夏江明3

作者信息

  • 1. 310053 杭州,浙江中医药大学研究生院||嘉兴市康慈医院
  • 2. 嘉兴市康慈医院老年科
  • 3. 嘉兴市康慈医院心身疾病科
  • 4. 嘉兴市康慈医院认知障碍科
  • 折叠

摘要

Abstract

Objective To investigate the influencing factors for non-suicidal self-injury(NSSI)among adolescents so as to provide a basis for early detection and prevention.Methods Adopting stratified random sampling method,from September 2020 to September 2022,a total of 690 students were selected from four middle schools and four high schools in Tongxiang City.Two classes were randomly selected from each grade of each school.The adolescent non-suicidal self-injury assessment questionnaire(ANSAQ)was used to identify individuals with NSSI behaviors.General personal information of participants was collected using a general in formation questionnaire.The symptom check list-90(SCL-90)scores between the NSSI and non-NSSI groups,as well as the ANSAQ scores between the middle school and high school groups were compared.A univariate and multivariate logistic regression analysis was conducted to identify potential factors influencing NSSI of adolescents.Results Among the participants,223 met the criteria for NSSI(127 in the middle school group and 96 in the high school group),and 467 were classified as non-NSSI.Univariate analysis showed statistically significant differences between the NSSI and non-NSSI groups in terms of gender,mother's education level,only-child status,left-behind experience,boarding status,academic performance,and history of depression(all P<0.05).The NSSI group had significantly higher SCL-90 scores compared to the non-NSSI group(P<0.05).The high school NSSI group had higher frequencies of self-injury,earlier onset age,and more instances of pain experience than the middle school NSSI group(all P<0.05).The middle school NSSI group had higher occurrences of self-injury in the presence of others and more methods of resisting self-injury compared to the high school NSSI group(both P<0.05).Univariate and multivariate analyses indicated that left-behind experience,academic performance,and history of depression were potential risk factors for NSSI.Conclusion Negative life stimuli(left-behind experience,boarding experience,poor academic performance),female gender,and a history of depression are major factors leading to NSSI.

关键词

青少年/非自杀性自伤/影响因素

Key words

Teenager/Non-suicidal self-injury/Influencing factor

引用本文复制引用

钱成,林勇,李亚玲,仇鹏,夏江明..223例青少年非自杀性自伤行为影响因素分析[J].浙江医学,2024,46(13):1410-1414,5.

基金项目

桐乡市引导类科技计划项目(20200200) (20200200)

浙江医学

OACSTPCD

1006-2785

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