四川精神卫生2025，Vol.38Issue(5)：427-433,7.DOI:10.11886/scjsws20250218001
门诊青少年非自杀性自伤行为的潜在剖面分析
Latent profile analysis of non-suicidal self-injury behaviors in adolescent outpatients
摘要
Abstract
Background Previous studies on subgroups of adolescent non-suicidal self-injury(NSSI)behaviors have predominantly focused on community and school-based samples,with limited research on clinical samples.The precise identification of clinically distinct NSSI subgroups in adolescents is critical for optimizing medical resource allocation.Objective To explore the subgroups of NSSI in adolescent outpatients,and to provide references for intervening of NSSI behaviors.Methods From May 2021 to April 2022,192 adolescents who met the NSSI diagnostic criteria as outlined in the Diagnostic and Statistical Manual of Mental Disorders,fifth edition(DSM-5)were recruited from psychiatry or psychology clinics at 6 hospitals in Fujian Province.Participants were assessed using the Adolescent Non-suicidal Self-injury Assessment Questionnaire(ANSAQ),the Childhood Trauma Questionnaire(CTQ),the Depression Anxiety Stress Scale-21 item(DASS-21)and the Difficulties in Emotion Regulation Scale(DERS).Latent profile analysis was conducted using Mplus 8.0.Results A total of 192 adolescents with NSSI behaviors completed the study,and the analysis yielded three subgroups of self-injurers:the mild self-injury group(50 cases,26.04%),the emotional disorder group(81 cases,42.19%),and the severe self-injury group(61 cases,31.77%).There were significant differences in the total scores of CTQ,DASS-21 and DERS among the three groups(F=8.058,51.414,48.742,P<0.01).The severe self-injury group exhibited significantly higher scores in CTQ,DASS-21 and DERS when compared to both the mild self-injury group and the emotional disorder group(P<0.05).Moreover,the emotional disorder group also reported notably higher DASS-21 and DERS scores in comparison to the mild self-injury group(P<0.05).Conclusion Clinical studies on adolescent outpatients engaging in NSSI behaviors reveal three distinct typological profiles,mild self-injury,emotional disorder-related self-injury,and severe self-injury.关键词
青少年/非自杀性自伤/潜在剖面分析Key words
Adolescents/Non-suicidal self-injury/Latent profile analysis分类
临床医学引用本文复制引用
林李琼,雷千乐,林煌烽,江琴..门诊青少年非自杀性自伤行为的潜在剖面分析[J].四川精神卫生,2025,38(5):427-433,7.基金项目
福建省社会科学规划项目(项目名称:福建省青少年非自杀性自伤问题及团体干预研究,项目编号:FJ2019B173)[Funded by Fujian Social Science Planning Project(number,FJ2019B173)] （项目名称:福建省青少年非自杀性自伤问题及团体干预研究,项目编号:FJ2019B173）
