中国心理卫生杂志2026，Vol.40Issue(6)：510-515,6.DOI:10.3969/j.issn.1000-6729.2026.06.08
心境障碍青少年再次非自杀性自伤冲动及情景因素的生态瞬时评估
Ecological momentary assessment of recurrent non-suicidal self-injury urges and contextual factors among adolescents with mood disorder
摘要
Abstract
Objective:To explore the patterns and contextual factors of recurrent nonsuicidal self-injury(NS-SI)urges in daily life among adolescents with mood disorders.Methods:Using a WeChat based EMA assessment applet,120 adolescents(12-24 years old)with history of NSSI urges were randomly assessed three times daily for consecutive 14 days.Data on NSSI urges,and emotional states,interpersonal and environmental contexts were col-lected and Multilevel linear models were used to analyze correlates of NSSI urges.Results:Eighty-two point five percent of participants reported at least one NSSI urge,and 39.4%of which progressed to actual self-injury.A total of 882 instances of suicidal ideations were reported,of which 30.8%(272)were co-occurring with recurrent NSSI urges predominantly occurred on weekdays(72.6%),in the afternoon(48.1%),at home(65.4%),while alone(48.6%),and during rest/inactivity(34.1%).Automatic negative reinforcement(ANR)was the primary motive(74.9%),with common co-occurrence of multiple motives,especially ANR combined with other func-tions.Transient negative affect was significantly associated with both current(OR=19.85)and future(OR=9.56)NSSI urges.Resting/inactivity,being alone,and interpersonal life events were linked to transient NSSI urges.Conclusion:Recurrent NSSI urges in adolescents with mood disorders are associated with dynamic negative affect,solitude,and resting states,with prevalent co-occurring motives.关键词
青少年/非自杀性自伤/冲动/情景因素/生态瞬时评估Key words
adolescent/non-suicidal self-injury/urge/contextual factors/ecological momentary assessment分类
社会科学引用本文复制引用
苏小琴,马亚荣,林康广,周亮,牛璐,陈腾伟,陈月东,张宏会,龚义博,侯筱菲,陶好娟,陈夕圆..心境障碍青少年再次非自杀性自伤冲动及情景因素的生态瞬时评估[J].中国心理卫生杂志,2026,40(6):510-515,6.基金项目
长沙市自然科学基金"青少年非自杀性自伤想法和行为的生态瞬时评估研究"(kq2208295),湖南省自然科学基金(2023JJ40796)"抑郁症青少年出院后短期内自杀危险性预测模型的建立:一项基于生态瞬时评估的队列研究" （kq2208295）
