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On-line Access: 2021-03-12

Received: 2020-10-26

Revision Accepted: 2020-11-24

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 ORCID:

Shaohua HU

https://orcid.org/0000-0003-0570-670X

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Journal of Zhejiang University SCIENCE B 2021 Vol.22 No.3 P.233-240

http://doi.org/10.1631/jzus.B2000679


Non-suicidal self-harm is linked to suicidal thoughts in Chinese adolescents with mood disorders: a cross-sectional report


Author(s):  Yixin WANG, Jianbo LAI, Chanchan HU, Hongbo MENG, Duo LYU, Shaohua HU

Affiliation(s):  Department of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China; more

Corresponding email(s):   dorhushaohua@zju.edu.cn

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Yixin WANG, Jianbo LAI, Chanchan HU, Hongbo MENG, Duo LYU, Shaohua HU. Non-suicidal self-harm is linked to suicidal thoughts in Chinese adolescents with mood disorders: a cross-sectional report[J]. Journal of Zhejiang University Science B, 2021, 22(3): 233-240.

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author="Yixin WANG, Jianbo LAI, Chanchan HU, Hongbo MENG, Duo LYU, Shaohua HU",
journal="Journal of Zhejiang University Science B",
volume="22",
number="3",
pages="233-240",
year="2021",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B2000679"
}

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%T Non-suicidal self-harm is linked to suicidal thoughts in Chinese adolescents with mood disorders: a cross-sectional report
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%A Jianbo LAI
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Abstract: 
Non-suicidal self-injury (NSSI) refers to any intentional, self-inflicted behavior that causes direct damage to body tissues (Kerr et al., 2010), and has emerged as a challenging public health issue worldwide, especially among adolescents. The most common presentations of NSSI include skin-cutting, severe scratching, and burning (Whitlock et al., 2006). In a community-based study conducted in England, 6% of 5506 adolescents reported self-harm in 2014, and 1320 adolescents (74% aged 15-17 years) presented to hospitals due to non-fatal self-harm (Geulayov et al., 2018). In Australia, 8% of adolescents aged less than 20 years reported a history of self-harm (Hiscock et al., 2018). In addition, the prevalence of NSSI has significantly increased in recent years. It was reported by McManus et al. (2019) that the prevalence of self-reported lifetime NSSI increased from 2.4% in 2000 to 6.4% in 2014, with the largest increase in females aged 16–24 years (from 6.5% to 19.7%). Researchers have also proposed an "iceberg" model of self-harm, indicating that the phenomenon of NSSI is often concealed and that most individuals with NSSI do not seek help from others (McMahon et al., 2014; Geulayov et al., 2018).

中国青少年心境障碍患者非自杀性自伤与自杀观念的关联性:一项横断面研究

目的:非自杀性自伤在青少年群体中很常见,中国对青少年自伤问题的关注仍不充分。本研究通过对青少年及其父母的问卷调查,探讨了青少年的自伤行为,及其与家庭、学业、情绪和自杀因素的关系。
方法:所有受试者均来自浙江大学医学院第一附属医院精神科。根据《精神障碍诊断与统计手册》第五版(DSM-5)的诊断标准,纳入诊断为重度抑郁障碍或双相情感障碍的青少年及其父母。共有70名青少年和59名家长参加了这项研究。研究人员收集了青少年自伤的人口学特征和相关信息,包括患者和家长报告的数据。采用斯皮尔曼秩相关分析计算自伤与其他因素的相关性。
结果:受试的青少年平均年龄为(16.1±2.4)岁。在有非自杀性自伤行为的青少年中,女性占35例(79.5%)。受试青少年中,38人(54.3%)报告了调查前一个月内的自伤行为,26人(37.1%)报告了在过去一年内5次以上的自伤行为,以上两项父母报告的数据分别为11人(18.6%)和4人(6.8%)。有绝望感(68.6%)、希望死亡(62.9%)、自杀念头(70.0%)以及希望意外结束生命(62.9%)想法的青少年比例较高,而父母报告的上述情绪障碍比例相对较低,分别为37.3%、23.7%、6.8%和11.9%。在与非自杀性自伤相关的因素中,不良的家庭关系、学习压力和情感问题如"悲伤时无人倾诉"、"心理痛苦无法理解"等,在受试青少年和家长的报告中都普遍存在。青少年报告的与"一个月内自伤行为"呈正相关的因素包括"绝望感"、"自杀念头"、"希望意外结束生命"和"由于预期中的死亡匆忙处理事务"(ρ分别为0.429、0.463、0.482和0.483,所有P<0.05)。值得注意的是,"希望死亡"和"希望意外结束生命"(ρ分别为0.407和0.407,所有P<0.05)也是"过去一年中自伤5次以上"的强正相关因素。在家长报告中,"绝望感"是唯一和"一个月内自伤行为"呈正相关的因素(ρ=0.261,P<0.05)。
结论:有心境障碍的中国青少年实行非自杀性自伤行为的风险较高,且与自杀观念呈正相关。有非自杀性自伤的青少年的父母可能低估了这种情况,需要更重视这方面的情况。

关键词:非自杀性自伤;青少年;家长;心境障碍

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

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