Deliberate self harm in adolescents: self report survey in schools in England
Deliberate self harm in adolescents: self report survey in schools in England
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DOI：
10.1136/bmj.325.7374.1207
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发表时间：
2002-11-23
影响因子：
105.7
通讯作者：
Weatherall, R
中科院分区：
文献类型：
--
作者：
Hawton, K;Rodham, K;Weatherall, R
目的了解青少年故意自残的发生率及其相关因素。采用匿名自述问卷设计横断面调查。在英格兰设立了41所学校。参与者6020名15至16岁的学生。主要结果测量：故意自残。结果398名（6.9%）参与者报告在前一年有过一次符合研究标准的故意自残行为。只有12.6%的发作导致住院。故意自残在女性中比男性更常见（11.2% vs 3.2%；优势比为3.9,95%可信区间为3.1 ~ 4.9）。女性故意自残的多因素logistic回归分析包括近期朋友自残、家庭成员自残、药物滥用、抑郁、焦虑、冲动和自卑。男性的自杀因素包括朋友和家庭成员的自杀行为、吸毒和自卑。结论故意自残在青少年中较为常见，尤其是女性。需要以学校为基础的精神卫生倡议。这些措施可能包括旨在教育学生有关心理健康问题的方法，以及对有风险的学生进行筛查。
Objective To determine die prevalence of deliberate self harm in adolescents and the factors associated with it.Design Cross sectional survey using anonymous self report questionnaire.Setting 41 schools in England.Participants 6020 pupils aged 15 and 16 years.Main outcome measure Deliberate self harm.Results 398 (6.9%) participants reported an act of deliberate self harm in the previous year that met study criteria. Only 12.6% of episodes had resulted in presentation to hospital. Deliberate self harm was more common in females than it was in males (11.2% v 3.2%; odds ratio 3.9, 95% confidence interval 3.1 to 4.9). In females the factors included in a multivariate logistic regression for deliberate self harm were recent self harm by friends, self harm by family members, drug misuse, depression, anxiety, impulsivity, and low self esteem. In males the factors were suicidal behaviour in friends and family members, drug use, and low self esteem.Conclusions Deliberate self harm is common in adolescents, especially females. School based mental health initiatives are needed. These could include approaches aimed at educating school pupils about mental health problems and screening for those at risk.