青少年学生非自杀性自伤行为的相关因素  

Related factors of non-suicidal self-injury in adolescent students

作　　者：周烈 周丽芳 张新风[2,3] 陶艳青 黄露[2] 陈喆烨 冉茂盛 刘波 ZHOU Lie;ZHOU Lifang;ZHANG Xinfeng;TAO Yanqing;HUANG Lu;CHAN Kit Wa Sherry;RAN Maosheng;LIU Bo(Yangtze University Medical College,Jingzhou 434000,Hubei Province,China;Mental Health Institute of Yangtze University Jingzhou 434000,Hubei Province,China;Jingzhou Mental Health Center,Jingzhou 434000,Hubei Province,China;Department of Psychiatry,School of Medicine,LKS Faculty of Medicine,the University of Hong Kong,Hong Kong 999077,China;Mental Health Center,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]长江大学医学部,湖北荆州434000 [2]长江大学精神卫生研究所,湖北荆州434000 [3]荆州市精神卫生中心,湖北荆州434000 [4]香港大学李嘉诚医学院精神医学美容系,中国香港999077 [5]四川大学华西医院心理卫生中心,成都610041

出　　处：《中国心理卫生杂志》2023年第10期860-865,共6页Chinese Mental Health Journal

摘　　要：目的:了解2021年期间荆州市青少年学生的非自杀性自伤行为(NSSI)及其相关因素。方法:在荆州市选取青少年学生7624人(初中2839人、高中2421人、大学2364人),采用自编一般情况调查表、青少年自我伤害行为问卷进行调查(自伤次数≥1即表明存在NSSI)。结果:初中生、高中生及大学生的NSSI检出率分别为22.4%、26.4%和14.0%。二元logistic回归分析显示,初中生、高中生及大学生NSSI的共同危险因素包括自我学业不满意(OR=2.54、2.21、1.80)、疫情前后家庭关系变差(OR=2.44、1.50、1.51)、疫情前后朋友关系变差(OR=2.83、1.69、1.54);初、高中生NSSI的共同危险因素包括非核心家庭及主干家庭(OR=1.72、1.93)、隔离(OR=1.78、1.50)、疫情后学习未恢复(OR=1.65、1.67)。初中生NSSI的危险因素还包括女性(OR=1.62)、自己或家属有以下情况(感染/疑似感染/密切接触/服务志愿者)(OR=1.45)。结论:荆州市青少年学生非自杀性自伤行为主要与周围环境改变以及人际关系的改变相关。Objective:To investigate the non-suicidal self-injury behavior(NSSI)and its related factors among adolescent students in Jingzhou City during 2021.Methods:A total of 7624 adolescent students(2839 in junior high school,2421 in senior high school and 2364 in university)in Jingzhou City were investigated with the self-made General Situation Questionnaire and Adolescent Self-Injury Behavior Questionnaire(the number of selfinjury≥1 indicated the existence of NSSI).Results:The detection rates of NSSI in junior high school students,senior high school students and college students were 22.4%,26.4%and 14.0%,respectively.Binary logistic regression analysis showed that the common risk factors for NSSI in middle school students,high school students and college students included self-academic dissatisfaction(OR=2.54,2.21,1.80),family relationship deterioration before and after the epidemic(OR=2.44,1.50,1.51),and friend relationship deterioration before and after the epidemic(OR=2.83,1.69,1.54).The common risk factors for NSSI in primary and high school students included non-core families,main families(OR=1.72,1.93),isolation(OR=1.78,1.50),and no resumption of learning after the epidemic(OR=1.65,1.67).Risk factors for NSSI in junior high school students also included being female(OR=1.62),oneself or family members with the following conditions(infection,suspected infection,close contact with patients in COVID-19,service volunteers)(OR=1.45).Conclusion:Non-suicidal self-injury behaviors of adolescent students in Jingzhou City are mainly related to the changes of surrounding environment and interpersonal relationships.

关 键 词：非自杀性自伤 青少年学生 危险因素 

分 类 号：C913.5[经济管理] B844.2[社会学]