Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts
Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts
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DOI：
10.1016/j.psychres.2006.05.010
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发表时间：
2006-09-30
影响因子：
11.3
通讯作者：
Prinstein, Mitchell J.
中科院分区：
文献类型：
--
作者：
Nock, Matthew K.;Joiner, Thomas E., Jr.;Prinstein, Mitchell J.
非自杀性自伤（NSSI）是一种普遍的行为问题，但NSSI的许多基本方面仍然未知。该病例系列研究报告了最近有NSSI病史的青少年的诊断相关性，并研究了NSSI与自杀企图之间的关系。数据来自89名青少年的临床访谈，这些青少年在过去的12个月里进入了青少年精神病住院部。结果显示，87.6%的青少年参与NSSI符合DSM-IVAxis I诊断标准（M=3.0，S.D.= 2.2，范围=0 ~ 8个诊断），包括外化（62.9%），内化（51.7%）。和物质使用（59.6%）障碍。大多数接受评估的青少年也符合轴II型人格障碍的标准（67.3%）。总体而言，70%参与NSSI的青少年报告了一生的自杀企图，55%报告了多次企图。与自杀企图相关的NSSI特征包括较长的NSSI病史，使用更多的方法，以及在NSSI期间没有身体疼痛。这些研究结果表明，青少年从事NSSI的诊断异质性，突出NSSI和自杀企图之间的显着重叠，并提供了一个出发点，为未来的研究，旨在阐明非自杀和自杀性自伤之间的关系。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
Non-suicidal self-injury (NSSI) is a prevalent behavioral problem, yet many fundamental aspects of NSSI remain unknown. This case series study reports on the diagnostic correlates of adolescents with a recent history of NSSI and examines the relation between NSSI and suicide attempts. Data are from clinical interviews with 89 adolescents admitted to an adolescent psychiatric inpatient unit who engaged in NSSI in the previous 12 months. Results revealed that 87.6% of adolescents engaging in NSSI met criteria for a DSM-IVAxis I diagnosis (M=3.0, S.D.=2.2, range=0 to 8 diagnoses), including externalizing (62.9%), internalizing (51.7%). and substance use (59.6%) disorders. Most adolescents assessed also met criteria for an Axis II personality disorder (67.3%). Overall, 70% of adolescents engaging in NSSI reported a lifetime suicide attempt and 55% reported multiple attempts. Characteristics of NSSI associated with making suicide attempts included a longer history of NSSI, use of a greater number of methods, and absence of physical pain during NSSI. These findings demonstrate the diagnostic heterogeneity of adolescents engaging in NSSI, highlight the significant overlap between NSSI and suicide attempts, and provide a point of departure for future research aimed at elucidating the relations between non-suicidal and suicidal self-injury. (c) 2006 Elsevier Ireland Ltd. All rights reserved.