深圳市中学生非自杀性自伤行为检出率及相关危险因素调查  

Study on the prevalence and risk factors of non-suicidal self-injury among middle school students in Shenzhen

作　　者：操小兰[1] 文丝莹 刘剑波 卢建平[1] Cao Xiaolan;Wen Siying;Liu Jianbo;Lu Jianping(Shenzhen Mental Health Center,Shenzhen Kangning Hospital,Faculty of Mental Health,Shenzhen University,Shenzhen 518020,China)

机构地区：[1]深圳市精神卫生中心深圳市康宁医院深圳大学精神卫生学院

出　　处：《四川精神卫生》2019年第5期449-452,共4页Sichuan Mental Health

基　　金：深圳市医疗卫生三名工程项目(SZSM201612079);深圳市发改委“创新链+产业链”融合专项项目([2018]256号)

摘　　要：目的了解深圳市中学生非自杀性自伤(NSSI)行为的检出率及其危险因素,为制定有针对性的干预策略提供参考。方法采用分层整群抽样方法,以深圳市2 200名中学生为研究对象,采用自制一般情况调查表、流调中心用抑郁量表(CES-D)和网络成瘾量表(IAT)进行调查。通过多元Logistic回归分析探讨中学生NSSI行为的危险因素。结果共检出230(10.9%)名中学生曾有过NSSI行为,其中男生111人,女生119人;初中生108人,高中生122人。男生和女生(10.3%vs.11.6%)、初中生和高中生(11.1%vs.10.8%)之间NSSI检出率差异均无统计学意义(P均>0.05)。多元Logistic回归分析结果显示,抑郁情绪(OR=2.58)、网络成瘾(OR=1.65)及受校园欺凌(OR=2.25)是中学生发生NSSI行为的危险因素。结论深圳市中学生NSSI行为检出率较高,抑郁情绪、受校园欺凌和网络成瘾可能是其相关危险因素。Objective To explore the prevalence and risk factors of non-suicidal self-injury in middle school students in Shenzhen,and to provide references for formulating targeted intervention strategies.Methods A total of 2 200 middle school students in Shenzhen were enrolled by a stratified cluster sampling method,and were investigated by self-made questionnaire,Center for Epidemiological Studies-Depression Scale(CES-D)and Internet Addiction Test(IAT).Then the risk factors of NSSI among middle school students were determined by multivariate Logistic regression analysis.Results A total of 230(10.9%)middle school students suffered NSSI behaviors,and the NSSI detection rate showed no statistic difference between boys and girls[111(10.3%)vs.119(11.6%)],either between junior high school students and senior high school students[108(11.1%)vs.122(10.8%)].Multivariate Logistic regression analysis showed that depression(OR=2.58),Internet addiction(OR=1.65)and school bullying(OR=2.25)were risk factors for NSSI behaviors among middle school students.Conclusion The detection rate of NSSI behavior among middle school students in Shenzhen is relatively high,and risk factors include the depression,school bullying and Internet addiction.

关 键 词：非自杀性自伤 中学生 危险因素 

分 类 号：R749[医药卫生—神经病学与精神病学]