Deliberate Self-Harm Among Underserved Adolescents: The Moderating Roles of Gender, Race, and School-Level and Association With Borderline Personality Features
Deliberate Self-Harm Among Underserved Adolescents: The Moderating Roles of Gender, Race, and School-Level and Association With Borderline Personality Features
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DOI：
10.1037/a0022107
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发表时间：
2012-01-01
影响因子：
2.8
通讯作者：
Tull, Matthew T.
中科院分区：
文献类型：
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作者：
Gratz, Kim L.;Latzman, Robert D.;Tull, Matthew T.
尽管越来越多的相关性和功能的故意自我伤害（DSH）在社区青年的研究，少有人知道的亚群的青年最危险的DSH或边缘型人格（BP）病理DSH在这个人群中的相关性。本研究旨在通过研究性别，种族/民族背景和学校水平的相互作用，以影响DSH种族多元化的青年在一个相对贫困和服务不足的地区，以及在何种程度上BP功能水平的差异占率DSH跨青年子集的方式，扩展与DSH相关的特征的研究。来自密西西比6所公立学校的初中和高中学生（N = 1931）完成了DSH和BP功能的自我报告措施。与过去的研究一致，我们样本中39%的年轻人报告说他们参与了DSH。然而，DSH的发生率随性别、种族/民族背景和学校水平（以及它们的相互作用）而变化，非洲裔美国男孩报告的大多数DSH行为的发生率高于同龄人（特别是在中学）。这一模式的一个明显例外是切割的具体行为，白色女孩和非洲裔美国男孩的比例最高。此外，尽管BP特征与DSH状态可靠相关（超出这些人口统计学特征），但它们不能解释性别和种族对DSH发生率的交互作用。研究结果强调了继续研究DSH及其相关因素在更多样化的青年群体中的重要性。
Despite increasing research on the correlates and functions of deliberate self-harm (DSH) among community youth, less is known about the subsets of youth most at-risk for DSH or the relevance of borderline personality (BP) pathology to DSH within this population. This study sought to extend research on the characteristics associated with DSH by examining the ways in which gender, racial/ethnic background, and school-level interact to influence DSH among ethnically diverse youth in a relatively poor and underserved area, as well as the extent to which levels of BP features account for differences in rates of DSH across subsets of youth. Middle- and high-school students (N = 1931) from six public schools in Mississippi completed self-report measures of DSH and BP features. Consistent with past research, 39% of the youth in our sample reported engaging in DSH. However, rates of DSH varied as function of gender, racial/ethnic background, and school-level (as well as their interactions), with African American boys reporting higher rates of most DSH behaviors than their peers (particularly in middle-school). One notable exception to this pattern pertains to the specific behavior of cutting, for which both White girls and African American boys reported the highest rates. Further, although BP features were reliably associated with DSH status (above and beyond these demographic characteristics), they did not account for the interactive effect of gender and race on rates of DSH. Findings highlight the importance of continuing to examine DSH and its correlates among more diverse groups of youth.