Longitudinal effects of psychological symptoms on non-suicidal self-injury: a difference between adolescents and young adults in China
Longitudinal effects of psychological symptoms on non-suicidal self-injury: a difference between adolescents and young adults in China
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DOI：
10.1007/s00127-014-0917-x
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发表时间：
2015-02
影响因子：
4.4
通讯作者：
Y. Wan;Shao-jun Xu;J. Chen;Chuan-lai Hu;F. Tao
中科院分区：
文献类型：
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作者：
Y. Wan;Shao-jun Xu;J. Chen;Chuan-lai Hu;F. Tao
研究目的：目前国内尚未有关于青少年非自杀性自伤（NSSI）心理症状的纵向研究。本研究确定的预测效果的心理症状为NSSI在9个月的随访periods.MethodsData从17,622名学生，12-24岁，进行了分析，在一个横截面的方式与心理症状和NSSI之间的关联。3个月、6个月和9个月后进行随访调查。事件的情况下，在后续的NSSI与心理症状在baseline.ResultsA共有3,001（17.0%）的学生报告说，他们有NSSI在12个月前的初步评估。总的NSSI率显示没有统计学上的显着差异，性别，但年级之间的显着差异。3个月、6个月和9个月后的应答率分别为91.8%、81.8%和79.1%。我们的横断面研究显示，情绪问题、行为问题、社会适应问题、心理问题与NSSI之间存在统计学显著相关（P< 0.01）。在纵向研究中，情绪问题，行为问题，社会适应问题，心理问题在基线有统计学意义的协会与事件NSSI在后续涉及青少年，而在年轻人的关联减弱后调整混杂变量。此外，在基线的心理症状表现出单调的剂量反应关系与NSSI在后续涉及adolescents.ConclusionsThe研究结果表明，青少年的心理症状是一组风险升高，后来的NSSI。NSSI的预防计划应旨在减轻心理症状的严重程度。
PurposeFew longitudinal studies have examined the psychological symptoms that may lead to non-suicidal self-injury (NSSI) among Chinese adolescents and young adults. This study determined the predictive effects of psychological symptoms for NSSI during a 9-month follow-up period.MethodsData from 17,622 students, 12–24 years of age, were analyzed in a cross-sectional fashion with respect to associations between psychological symptoms and NSSI. Follow-up surveys were performed 3, 6, and 9 months later. Incident cases of NSSI during follow-up were correlated with the psychological symptoms at baseline.ResultsA total of 3,001 (17.0 %) students reported that they had NSSI in the 12 months before the initial assessment. The total rate of NSSI revealed no statistically significant differences by gender, but marked differences between grades. The response rate 3, 6, and 9 months later was 91.8, 81.8, and 79.1 %, respectively. Our cross-sectional study demonstrated statistically significant associations between emotional problems, conduct problems, social adaptation problems, psychological problems, and NSSI (P< 0.01). In the longitudinal study, emotional problems, conduct problems, social adaptation problems, and psychological problems at baseline had statistically significant associations with incident NSSI in follow-up involving the adolescents, while the association in young adults was attenuated after adjustment for confounding variables. Moreover, psychological symptoms at baseline showed a monotonic dose–response relationship with NSSI in follow-up involving adolescents.ConclusionsThe findings suggest that adolescents with psychological symptoms are a group with elevated risks for later NSSI. The prevention programs of NSSI should target attenuating the severity of psychological symptoms.