A comparative study of young and adult deliberate self-harm patients

A comparative study of young and adult deliberate self-harm patients
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DOI:
10.1027/0227-5910.26.2.64
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发表时间:
2005-01-01
影响因子:
3
通讯作者:
Groholt, B
Groholt, B
中科院分区:
医学3区
文献类型:
--
作者:
Hjelmeland, H;Groholt, B

文献摘要

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研究表明,青少年故意自残(DSH)的患病率高于成年人,但对其他差异知之甚少。在这项研究中,我们比较了青少年和成年DSH患者自杀行为的相关因素。在挪威的两个地区,对98名20岁以下的人和83名老年人进行了面谈。他们在DSH涉及的意图、突发情况、自杀意图水平、行为的医学严重性、抑郁、绝望和自尊等方面进行了比较。几乎没有发现差异。成年人更多的时候想要逃离无法忍受的想法或情况,或者接受照顾和关注。成年人也报告了DSH法案的医学严肃性略高一点,更多的精神问题,以及药物滥用。年轻和成年DSH患者之间的相似之处令人震惊。发现的差异很可能与年龄本身的因素有关,如认知不成熟、冲动和缺乏应对长期问题的经验。
Research has shown that the prevalence of deliberate self-harm (DSH) is higher in adolescents than in adults, but little is known about other differences. In this study we compare adolescent and adult DSH-patients regarding factors contributing to the suicidal act. In two regions in Norway, 98 persons under 20 years of age and 83 older persons were interviewed following an act of DSH. They were compared regarding intentions involved in the DSH, precipitating circumstances, level of suicidal intent, medical seriousness of the act, depression, hopelessness, and self-esteem. Few differences were found. The adults more often wanted to escape from unbearable thoughts or situations, or to receive care and attention. Adults also reported a slightly higher level of medical seriousness of the DSH act, more psychiatric problems, and substance abuse. The similarities between young and adult DSH-patients are striking. The differences found are most likely related to factors of age itself, such as cognitive immaturity, impulsivity, and lack of experience in enduring problems.