大连市1463名初中生非自杀自我伤害行为的流行病学调查  

An epidemiological study for no-suicide self-injury behavior of 1463 junior school students in Dalian city

作　　者：王蕾[1] 孙月吉[1] 林媛[1] 金鑫[1] 梁杰 徐国庆[1] 郑亚[1] 沈慧娟[1] 朱程清 

机构地区：[1]大连医科大学心理系,大连116045 [2]大连市第三十七中学 [3]大连市政府

出　　处：《中华行为医学与脑科学杂志》2012年第2期177-180,共4页Chinese Journal of Behavioral Medicine and Brain Science

摘　　要：目的了解大连市初中生非自杀自伤行为流行状况，为非自杀自伤行为干预提供依据。方法整群分层随机抽取大连市1463名初中生作为研究对象，采用自制一般问卷和渥太华白伤问卷调查，筛出75名非自杀自伤行为者进行进一步调查。结果初中生非自杀自伤行为检出率为5．4％，首次自伤平均年龄为（12．24±1．344）岁，不同性别差异无统计学意义（t=-1．415，P=0．163）。“切割皮肤”是主要自伤方式，80％自伤者的自伤观念来源于“内心”。2．7％的学生总是通过自伤“释放情感”，93．3％的学生自伤是为了“调节情绪”。100％的自伤者都采用“读书和听音乐”来抵制自伤行为，60％的初中生认为这种方法在放松精神上有效。60％的自伤者认为自己无需治疗，41．3％表示从未治疗过，2．5％的人到医院处理过伤口。结论初中生非自杀自伤行为多发，高发年龄为13岁。非自杀自伤者自伤行为多为了“释放情感”而遵从自己“内心”意念。自伤行为隐秘，主动求医欲望薄弱，学校-家长-社会三位一体的干预体系是必要的。Objective To find incidence rate of no-suicide self injury （NSSI） of junior school students in Dalian city,and to provide some evidences for interventions for them. Methods Randomly drawn out 1463 junior school students were served as study objects. All objects were evaluated with Ottawa Self-Injury Inventory （OSI） and self-made investigate questionnaire,75 no-suicide self-injury were screening out. Results The incidence ratio of NSSI of junior school students was 5.4% , there were no significant different between the male and female students. The highest incidence ratio was found at 13 years old. The average age for first-time self-harm was （12.24 ± 1.344） years old. There were no significant different between the male and the female students（ t= - 1.415, P=0. 163） ; ＂Cutting Skin＂ was the most common way of NSSI （12.0%） ; Ideation of 80% of the NS- SI was from ＂their Own Idea＂. 2.7% of the NSSI can ＂Feel Relief＂ through NSSI behavior. 93% of NSSI was to regulate their mood. 100% students of NSSI against NSSI behavior by ＂ Reading Books or Listening Music＂ , in which 60% of NSSI believe the method was helpful to relax their mind. 78.5% of the NSSI resisted NSSI behavior by ＂Watching TV or Playing Games＂ ,but they did not get enough effects. 60% NSSI considered themselves with- out the need to treat. 41.3% of NSSI had never been to treat. 2.5% of NSSI went to hospital for the wound. Conclusion NSSI is often be found in junior school students,and highest ratio is at 13 years old. The most common method of NSSI is ＂Cutting Skin＂. More NSSI aim is to release their emotion, and self-injury behavior accordance with their inner thoughts. NSSI behavior often is secret, and reading and listening to music ＂is cut off from the rela- tive effective way to conduct. NSSI are seldom to initiative doctor, and education organ, parents and society in a three-dimensional one of the system is necessary.

关 键 词：非自杀自伤行为 初中生 渥太华自伤调查表 流行病学调查 

分 类 号：R595.7[医药卫生—内科学]