Patterns of self-cutting: A preliminary study on differences in clinical implications between wrist- and arm-cutting using a Japanese juvenile detention center sample
Patterns of self-cutting: A preliminary study on differences in clinical implications between wrist- and arm-cutting using a Japanese juvenile detention center sample
复制标题
DOI：
10.1111/j.1440-1819.2004.01271.x
复制
发表时间：
2004-08-01
影响因子：
11.9
通讯作者：
Hirayasu, Y
中科院分区：
文献类型：
--
作者：
Matsumoto, T;Yamaguchi, A;Hirayasu, Y
本研究旨在阐明割腕和割臂之间临床意义的差异。研究对象为2003年2月至3月期间被收押在看守所的201名违法青少年（178名男性和23名女性）。他们提供了自我报告问卷和青少年解离体验量表（ADES）。比较了四组之间的创伤事件和其他自残行为。总共有 33 名 (16.4%) 受试者报告有割腕和/或手臂行为。在女性中，60.9%（n = 14）有过自剪行为，而男性（n = 19）的这一比例为 10.7%。受试者被分为四组； “非切割”（NC：n = 168，83.6%）、“切割手腕”（WC：n = 5，2.5%）、“切割手臂”（AC：n = 19，9.5%）和“切割手腕和手臂”（WAC：n = 9，4.5%）。 WC、AC 和 WAC 组比 NC 组更频繁地报告过早分离、学校欺凌以及性/身体虐待历史。 WC 和 WAC 组比 NC 和 AC 组更频繁地报告自杀意念和自杀企图。 AC组和WAC组的ADES评分均显着高于NC组（P < 0.001），而WC组的ADES评分与NC组无差异。 WC组和WAC组比AC组更频繁地因自杀意念而自剪，而AC组比WC组和WAC组更频繁地因愤怒表达而自剪。自残者比非自残者更容易经历过早分离、学校欺凌以及性/身体虐待。割臂行为可能预示着解离，而割腕行为可能会导致自杀。
The present study was aimed to clarify the differences in clinical implications between wrist- and arm-cutting. Subjects were 201 delinquent adolescents (178 males and 23 females) who had been admitted to a detention center from February to March 2003. A self-reporting questionnaire and the Adolescent Dissociative Experience Scale (ADES) were given. Traumatic events and other self-injurious behavior were compared among four groups. In total, 33 (16.4%) subjects reported wrist- and/or arm-cutting. Of the females, 60.9% (n = 14) had experienced self cutting behaviors compared to 10.7% of males (n = 19). Subjects were divided into four groups; 'non-cutting' (NC: n = 168, 83.6%), 'wrist-cutting' (WC: n = 5, 2.5%), 'arm-cutting' (AC: n = 19, 9.5%), and 'wrist- and arm-cutting' (WAC: n = 9, 4.5%). WC, AC, and WAC groups reported early separation, bulling in school, and histories of sexual/physical abuse more frequently than NC group. WC and WAC groups reported suicidal ideation and suicide attempts more frequently than NC and AC groups. The ADES scores in AC and WAC groups were significantly higher than in those in NC group (P < 0.001), while the scores in WC were not different from NC groups. WC and WAC groups self-cut due to suicide idea more frequently than the AC group, while AC group self-cut due to anger expression more frequently than WC or WAC groups. Self-cutters experienced early separation, bullying in school, and sexual/physical abuse more frequently than-non-self-cutters. Arm-cutting behavior may predict dissociation, while wrist-cutting may involve with suicidality.