Age- and sex-dependent increase in self-harm among adolescents with mental health problems in East China during COVID-19 related society-wide isolation.
Age- and sex-dependent increase in self-harm among adolescents with mental health problems in East China during COVID-19 related society-wide isolation.
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DOI：
10.3389/fpubh.2023.1129123
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发表时间：
2023
影响因子：
5.2
通讯作者：
Cheng, Wenhong
中科院分区：
文献类型：
--
作者：
Liu, Wenjing;Hu, Zhishan;Liu, Zhen;Zhang, Fang;Ding, Yue;Shui, Ying;Yang, Zhi;Cheng, Wenhong
COVID-19大流行引发了人们对儿童和青少年心理健康问题的关注，例如自我伤害。社会隔离对中国青少年自我伤害行为的影响尚不清楚。此外，不同年龄和性别的青少年科普环境变化的能力也各不相同。然而，这些差异在自我伤害研究中很少被考虑。我们的目的是描述与COVID-19相关的全社会隔离对华东地区青少年自我伤害的年龄和性别依赖性影响。我们收集了2017年至2021年期间首次访问中国上海精神卫生中心的63，877名8-18岁儿童和青少年的医疗记录，并绘制了每个年龄和性别的年度自我伤害率。我们使用间断时间序列分析，对全球和季节性趋势以及与COVID-19相关的全社会隔离对自我伤害率的影响进行了建模。10-17岁女性和13-16岁男性的自伤率在过去5年中呈显著上升趋势（pfdr < 0.05）。2020年11岁女性出现自残率（37.30%），超过了2019年各年龄段的峰值（13岁，36.38%）。与COVID-19相关的全社会隔离增加了12岁[RR 1.45（95% CI 1.19-1.77）; pfdr = 0.0031]和13岁[RR 1.33（95% CI 1.15-1.5）; pfdr = 0.0031]女性患者的自我伤害率，而男性受影响较小。此外，女性情绪障碍占主导地位的自我伤害率增加。社会隔离对华东地区早期青春期女性尤其是有情绪障碍的女性产生了显著影响，并使青春期自我伤害发生率提前达到高峰。这项研究呼吁关注早期青少年自我伤害的风险。
The COVID-19 pandemic has raised concerns about child and adolescent mental health issues, such as self-harm. The impact of society-wide isolation on self-harming behaviors among adolescents in China is unclear. In addition, adolescents of different ages and sexes have varying abilities to cope with environmental changes. However, these differences are rarely considered in self-harm studies. We aimed to characterize the age- and sex-dependent effects of COVID-19-related society-wide isolation on self-harm among adolescents in East China. We collected 63,877 medical records of children and adolescents aged 8–18 who had an initial visit to Shanghai Mental Health Center in China between 2017 and 2021 and charted annual self-harm rates for each age and sex. Using interrupted time series analysis, we modeled global and seasonal trends and the effect of COVID-19-related society-wide isolation on self-harm rates. Females aged 10–17 and males aged 13–16 exhibited significantly increasing trends in self-harm rate (pfdr < 0.05) in the past 5 years. Eleven-year-old females in 2020 showed a self-harm rate (37.30%) that exceeded the peak among all ages in 2019 (age 13, 36.38%). The COVID-19-related society-wide isolation elevated self-harm rates in female patients aged 12 [RR 1.45 (95% CI 1.19–1.77); pfdr = 0.0031] and 13 years [RR 1.33 (95% CI 1.15–1.5); pfdr = 0.0031], while males were less affected. Further, females with emotional disorders dominated the increased self-harm rates. Society-wide isolation has had a significant impact on early adolescent females in East China, especially for those with emotional disturbances, and has brought forward the peak in adolescent self-harm rates. This study calls for attention to the risk of self-harm in early adolescents.
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DOI：
10.5765/jkacap.220014
发表时间：
2022-10-01
期刊：
Soa--ch'ongsonyon chongsin uihak = Journal of child & adolescent psychiatry
影响因子：
--
作者：
Kang B;Hwang J;Woo SI;Hahn SW;Kim M;Kim Y;Jin H;Jeon HJ;Lee YJ
通讯作者：
Lee YJ
影响因子：
3.7
作者：
Ladouceur, Cecile D.;Kerestes, Rebecca;Dahl, Ronald E.
通讯作者：
Dahl, Ronald E.
在澳大利亚的SARS-COV-2爆发期间，对儿童和青少年有意自我伤害的儿童和青少年的招生。
影响因子：
13.8
作者：
Corrigan, Claire;Duke, Graeme;Millar, Johnny;Paul, Eldho;Butt, Warwick;Gordon, Michael;Coleman, Jacinta;Pilcher, David;Oberender, Felix
通讯作者：
Oberender, Felix
影响因子：
3.8
作者：
Hammerstein S;König C;Dreisörner T;Frey A
通讯作者：
Frey A
影响因子：
4.8
作者：
Hawton K;Lascelles K;Brand F;Casey D;Bale L;Ness J;Kelly S;Waters K
通讯作者：
Waters K