Deliberate self-harm and associated factors in 17-year-old Swedish students
Deliberate self-harm and associated factors in 17-year-old Swedish students
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DOI：
10.1177/1403494810382941
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发表时间：
2011-02-01
影响因子：
3.4
通讯作者：
Gadin, Katja Gillander
中科院分区：
文献类型：
--
作者：
Landstedt, Evelina;Gadin, Katja Gillander
背景：青少年故意自残（DSH）是一个重要的公共卫生问题。为了预防DSH，需要更多地了解其在社区青少年样本中的流行情况和相关背景因素。目的：确定17岁瑞典学生故意自残的患病率，并探讨人口学变量、心理困扰、暴力经历和学校相关因素与DSH的关系。方法：数据来自一项横断面研究，其中17岁的学生在上课时间完成问卷调查（n = 1663; 78.3%）。本分析中使用的变量如下：故意自残、人口统计变量、心理困扰、暴力经历和学校相关因素。数据分析采用卡方统计和逻辑回归。结果：DSH终生患病率为17%，女孩（23.3%）高于男孩（10.5%）。在DSH报告中存在相当大的社会经济差异。男孩和女孩的心理困扰与DSH密切相关，欺凌、性骚扰、身体暴力和性侵犯的经历也是如此。学校的社会支持、安全和学业因素与女孩和男孩的DSH报告有关。在哪些因素与DSH有关方面存在一些性别差异。结论：故意自残是常见的，女孩比男孩报告的频率更高。心理困扰、不同类型暴力的经历以及与学校有关的因素（学术、社会和安全相关）应被视为青少年患DSH的危险因素。研究结果可应用于各种情况下的健康促进政策和干预措施，例如学校。
Background: Deliberate self-harm (DSH) in young people is an important public health issue. To prevent DSH, more knowledge is needed about its prevalence and associated contextual factors in community samples of adolescents. Aims: To determine the prevalence of deliberate self-harm in 17-year-old Swedish students and to explore the association of demographic variables, psychological distress, experiences of violence, and school-related factors with DSH. Methods: Data were derived from a cross-sectional study in which 17-year-old students completed questionnaires during school hours (n = 1,663; 78.3%). The variables used in this analysis are as follows: deliberate self-harm, demographic variables, psychological distress, experiences of violence, and school-related factors. Data were analysed using chi-squared statistics and logistic regression. Results: The lifetime prevalence of DSH was 17%, and it was more common among girls (23.3%) than boys (10.5%). There were considerable socioeconomic differences in reports of DSH. Psychological distress was strongly associated with DSH in both boys and girls, as were experiences of bullying, sexual harassment, physical violence and sexual assault. Social support, safety and academic factors in school were related to reports of DSH in both girls and boys. There were some gender differences with respect to which factors were associated with DSH. Conclusions: Deliberate self-harm is common and more frequently reported by girls than boys. Psychological distress, experiences of different types of violence, and school-related factors (academic, social and safety-related), should be considered risk factors for DSH in young people. Findings can be applied to health-promotion policy and interventions in various contexts, for example schools.