南昌市中学生求助行为与非自杀性自伤的关联  

Analysis of differences between middle school and high school students’help-seeking behaviors and association with non-suicidal self-injury

作　　者：敖成 胡旺[2] 周凡 胡达振 龙纤纤 黄鹏[2,3] AO Cheng;HU Wang;ZHOU Fan;HU Dazhen;LONG Xianxian;HUANG Peng(School of Public Health,Nanchang University,Nanchang(330006),China;不详)

机构地区：[1]南昌大学公共卫生学院,江西330006 [2]南昌大学公共卫生学院循证医学中心 [3]江西省预防医学重点实验室

出　　处：《中国学校卫生》2021年第4期597-601,共5页Chinese Journal of School Health

基　　金：国家级大学生创新创业训练计划项目(201910403014)。

摘　　要：目的比较初中生与高中生求助行为的差异及其与非自杀性自伤(NSSI)行为的关联,为中学生非自杀性自伤的防控提供依据。方法以南昌市内3所中学为研究现场,通过一般情况调查表、渥太华自伤判断条目和中学生求助行为问卷对整群抽取的4434名学生进行调查,并采用SPSS 22.0进行数据处理。结果中学生NSSI检出率为33.3%,初中生检出率(36.0%)高于高中生(29.6%)(χ^(2)=19.41,P<0.01)。不论是初中生还是高中生,NSSI者与非NSSI者在求助意愿、求助家人及老师、面对面交谈求助方面得分差异均有统计学意义(P值均<0.01)。多因素Logistic回归分析显示,女生(OR=1.45)、担任班干部(OR=1.26)、城镇户籍(OR=1.45)、经常被长辈责骂(OR=1.98)及学习负担较重(OR=1.39)可能增加初中生NSSI发生的风险,而求助家人(OR=0.95)或老师(OR=0.95)可能减少初中生NSSI发生的风险;女生(OR=1.50)、担任班干部(OR=1.34)、独生子女(OR=1.45)、父亲文化程度为大专及以上(相对于初中及以下)(OR=1.56)、经常被长辈责骂(OR=2.08)、经常被长辈体罚(OR=4.12)及学习负担较重(OR=1.38)均可能增加高中生NSSI发生的风险,而具有求助意愿(OR=0.82)、求助家人(OR=0.95)及老师(OR=0.96)均可能减少高中生NSSI发生的风险。结论初中生与高中生的求助行为存在一定的差异,应积极关注中学生的求助行为并鼓励中学生主动寻求帮助。Objective To understand and compare the differences in help-seeking behavior among junior high school students and senior high school students and their association with non-suicidal self-injury to provide a basis for the prevention and control of non-suicidal self-injury among middle school students.Methods Three middle schools in Nanchang were selected,and the survey were conducted among 4434 students through the General Situation Questionnaire,the Ottawa Self-injury Judgment Entry,and the Middle School Students’Help-Seeking Behavior Questionnaire,and SPSS 22.0 was used for statistical analysis.Results The NSSI detection rate among middle school students was 33.3%,and junior high school students’detection rate(36.0%)were higher than high school students(29.6%)(χ^(2)=19.41,P<0.01).Differences in willingness to ask for help,asking for help from family and teachers,and talking face-to-face for help were statistically significant(all P<0.01)among NSSI participants and non-NSSI participants,for both junior high school and high school students.Females(OR=1.45),class cadres(OR=1.26),urban household registration(OR=1.45),frequent scolding by elders(OR=1.98)and a high academic burden(OR=1.39)all possible increased the risk of NSSI in junior high school students,while assistance to family members(OR=0.95)or teachers(OR=0.95)possible reduced the risk of NSSI in junior high school students.Females(OR=1.50),class cadres(OR=1.34),only children(OR=1.45),fathers with college education and above(compared to junior high school and below)(OR=1.56),frequent scolding by elders(OR=2.08),frequent corporal punishment from elders(OR=4.12)and high academic burden(OR=1.38)possibly increased the risk of NSSI among high school students,while willingness to ask for help(OR=0.82),asking for help from family(OR=0.95)and teachers(OR=0.96)possible reduced the risk of NSSI among high school students.Conclusion There are some differences in help-seeking behavior between junior and high school students,and school and parents should actively f

关 键 词：精神卫生 行为 自我伤害行为 回归分析 学生 

分 类 号：G478[文化科学—教育学] B844.2[文化科学—教育技术学]