Rates of Nonsuicidal Self-Injury in Youth: Age, Sex, and Behavioral Methods in a Community Sample
Rates of Nonsuicidal Self-Injury in Youth: Age, Sex, and Behavioral Methods in a Community Sample
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DOI：
10.1542/peds.2011-2094
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发表时间：
2012-07-01
期刊：
影响因子：
8
通讯作者：
Abela, John R. Z.
中科院分区：
文献类型：
--
作者：
Barrocas, Andrea L.;Hankin, Benjamin L.;Abela, John R. Z.
目的：目的是评估社区青少年非自杀性自伤（NSSI）的发生率和行为方法，并检查年龄和性别的影响。方法：邀请社区学校三年级、六年级和九年级（7-16岁）的青少年参加实验室研究。通过《自伤思想与行为访谈》对665名青少年（共接触1108人，参与率60%）进行了终身自伤的访谈。结果：总体而言，665名青少年中有53人（8.0%）报告有自伤行为；9.0%的女孩和6.7%的男孩表示有自伤倾向；7.6%的三年级学生，4.0%的六年级学生和12.7%的九年级学生表示有自伤行为。性别互动有显著的等级；九年级女生（19%）报告的自伤发生率明显高于九年级男生（5%）。自伤行为方法因性别而异。据报告，女孩最常割伤和雕刻皮肤，而男孩则最常自残。最后，1.5%的青少年符合第五版《精神疾病诊断与统计手册》（DSM-5）的自伤诊断标准。结论：儿童和青少年存在自伤行为。九年级的女孩似乎是最危险的，因为她们的自伤率是男孩的三倍。自伤的行为方法也因年级和性别而异。随着第五版DSM-5可能纳入自伤诊断，更好地理解跨发展和性别的自伤参与是至关重要的。儿科2012;130: 39-45
OBJECTIVE: The goal was to assess the rate and behavioral methods of nonsuicidal self-injury (NSSI) in a community sample of youth and examine effects of age and sex.METHODS: Youth in the third, sixth, and ninth grades (ages 7-16) at schools in the community were invited to participate in a laboratory study. A total of 665 youth (of 1108 contacted; 60% participation rate) were interviewed about NSSI over their lifetime via the Self-Injurious Thoughts and Behaviors Interview.RESULTS: Overall, 53 (8.0%) of the 665 youth reported engaging in NSSI; 9.0% of girls and 6.7% of boys reported NSSI engagement; 7.6% of third-graders, 4.0% of sixth-graders, and 12.7% of ninth-graders reported NSSI engagement. There was a significant grade by gender interaction; girls in the ninth grade (19%) reported significantly greater rates of NSSI than ninth-grade boys (5%). Behavioral methods of NSSI differed by gender. Girls reported cutting and carving skin most often, whereas boys reported hitting themselves most often. Finally, 1.5% of youth met some criteria for the proposed fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis of NSSI.CONCLUSIONS: Children and adolescents engage in NSSI. Ninth-grade girls seem most at risk, as they engage in NSSI at 3 times the rate of boys. Behavioral methods of NSSI also vary by grade and gender. As possible inclusion of an NSSI diagnosis in the fifth edition of the DSM-5 draws near, it is essential to better understand NSSI engagement across development and gender. Pediatrics 2012; 130: 39-45