内科2025，Vol.20Issue(3)：254-259,6.DOI:10.16121/j.cnki.cn45-1347/r.2025.03.05
广西大学生童年期不良经历与蓄意自伤的关联研究
Study on the association between adverse childhood experiences and deliberate self-harm among college students in Guangxi
杨彩婷 1吕小平 2董铭洺 3韦乔悦 3刘顺3
作者信息
- 1. 广西医科大学公共卫生学院,南宁市 530021||中山大学附属第一医院广西医院,南宁市 530022
- 2. 广西南宁市第五人民医院,南宁市 530001
- 3. 广西医科大学公共卫生学院,南宁市 530021
- 折叠
摘要
Abstract
Objective To explore the association between adverse childhood experiences(ACEs)and deliberate self-harm among college students.Methods The convenience sampling method was used to select undergraduate students from 12 colleges and universities in Guangxi Zhuang Autonomous Region as research subjects.An online survey was conducted through the"Wenjuanxing"platform,covering general demographic data,ACEs,and deliberate self-harm behaviors.A multivariate logistic regression model was used to analyze the association between ACEs and deliberate self-harm among college students.Results Among 1,801 college students,34 cases of suicide attempt were detected,with a detection rate of 1.89%.The detection rate of suicide attempt among only children was higher than that among non-only children(P<0.05).A total of 70 cases of non-suicidal self-injury(NSSI)were detected,with a detection rate of 3.89%.Among the 1,801 college students,the detection of ACEs was as follows:neglect was the most common,detected in 873 students(48.47%);followed by abuse,detected in 541 students(30.04%);household dysfunction was detected in 304 students(16.88%);and peer,community and collective violence was the least common,detected in 198 students(10.99%).College students who experienced neglect in childhood had a higher detection rate of suicide attempt than those who did not.College students who experienced abuse;household dysfunction;or peer,community and collective violence had higher detection rates of both SA and NSSI than those who did not(all P<0.05).Multivariate logistic regression analysis showed that being an only child;experiencing childhood abuse;and experiencing childhood peer,community and collective violence were risk factors for SA(all OR>1,all P<0.05);while experiencing childhood abuse;household dysfunction;and peer,community and collective violence were risk factors for NSSI(all OR>1,all P<0.05).Conclusion The findings suggest that various ACEs are associated with an increased risk of deliberate self-harm among college students,highlighting the need for targeted interventions.关键词
童年期不良经历/自伤行为/大学生Key words
Adverse childhood experiences/Self-harm behavior/College student分类
社会科学引用本文复制引用
杨彩婷,吕小平,董铭洺,韦乔悦,刘顺..广西大学生童年期不良经历与蓄意自伤的关联研究[J].内科,2025,20(3):254-259,6.
