Reasons for deliberate self-harm: Comparison of self-poisoners and self-cutters in a community sample of adolescents
Reasons for deliberate self-harm: Comparison of self-poisoners and self-cutters in a community sample of adolescents
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DOI：
10.1097/00004583-200401000-00017
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发表时间：
2004-01-01
影响因子：
13.3
通讯作者：
Evans, E
中科院分区：
文献类型：
--
作者：
Rodham, K;Hawton, K;Evans, E
目的：比较青少年故意自毒者与自割者的动机和预谋。方法：在完成自我报告问卷的6，020名15至16岁学生样本中，将前一年故意割伤自己的学生（n = 220）与服用过量药物的学生（n = 86）进行了比较。结果如下：与自残的青少年相比，服药过量的青少年中有更多的人说他们想死（66.7%对40.2%，chi（2）= 14.94，p <0.0001），并想知道是否有人爱他们（41.2%对27.8%，chi（2）= 4.14，p = 0.042）。女性自虐者比男性自虐者更有可能说她们想惩罚自己（51.0%对25.0%，chi（2）= 9.25，p = 0.002），并试图从可怕的精神状态中解脱出来（77.2%对60.9%，chi（2）= 4.78，p = 0.029）。自我切割者比自我中毒者在不到一小时前就想到了自我伤害的行为（50.9%对36.1%，chi（2）= 5.25，p = 0.021）结论：青少年过量用药和自我切割的动机之间存在差异，自我切割的原因也存在性别差异。这些行为（尤其是自伤）的冲动性意味着预防应侧重于鼓励在自我伤害的想法产生之前，采取其他方法来管理痛苦、解决问题和寻求帮助。
Objective: To compare motives and premeditation between adolescent deliberate self-poisoners and self-cutters. Method: In a sample of 6,020 pupils aged 15 and 16 years who completed a self-report questionnaire, those who had deliberately cut themselves in the previous year (n = 220) were compared with those who had taken overdoses (n = 86). Results: More adolescents who took overdoses than those who cut themselves said that they had wanted to die (66.7% versus 40.2%, chi(2) = 14.94, p < .0001) and had wanted to find out if someone loved them (41.2% versus 27.8%, chi(2) = 4.14, p = .042). Female self-cutters were more likely than male self-cutters to say that they had wanted to punish themselves (51.0% versus 25.0%, chi(2) = 9.25, p = .002) and had tried to get relief from a terrible state of mind (77.2% versus 60.9%, chi(2) = 4.78, p = .029). More self-cutters than self-poisoners had thought about the act of self-harm for less than an hour beforehand (50.9% versus 36.1%, chi(2) = 5.25, p = .021) Conclusions: There are differences between adolescents' motives for overdoses and for self-cutting, and also gender differences in the reasons for self-cutting. The often impulsive nature of these acts (especially self-cutting) means that prevention should focus on encouraging alternative methods of managing distress, problem-solving, and help-seeking before thoughts of self-harm develop.