Prevalence and psychological correlates of occasional and repetitive deliberate self-harm in adolescents
Prevalence and psychological correlates of occasional and repetitive deliberate self-harm in adolescents
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DOI：
10.1001/archpedi.161.7.641
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发表时间：
2007-07-01
影响因子：
--
通讯作者：
Resch, Franz
中科院分区：
文献类型：
--
作者：
Brunner, Romuald;Parzer, Peter;Resch, Franz
目的：确定青少年中偶尔和重复的故意自残行为的患病率以及相关的心理和社会因素。设计：横断面自我报告调查。背景：德国 121 所学校。参与者：2004 年至 2005 年间对 5759 名九年级学生的代表性样本进行了研究。结果衡量：故意自残 (DSH) 和自杀行为， 情绪和行为问题（青少年自我报告）、生活水平、家庭构成、父母冲突和疾病、学校类型和表现、与同龄人的关系、欺凌、身体满意度和节食、媒体消费、吸烟、酗酒和吸毒。 结果：10.9%的九年级学生报告在上一年中偶尔出现过DSH。百分之四的学生报告有重复形式的 DSH。自杀行为与重复 DSH 密切相关，这种关联对于 DSH 的两种亚型都成立。研究结果还表明，社会背景因素是偶尔进行 DSH 的重要伴随因素，但与重复 DSH 的可能性增加无关。抑郁/焦虑和犯罪/攻击行为的症状与青春期女孩和男孩的自残行为有关。结论：数据表明，社会因素与偶尔的 DSH 之间存在联系，特别是在重复的 DSH 中，DSH 与自杀行为以及 DSH 与情绪和行为问题之间存在很强的关联。这些发现表明青少年 DSH 的发展存在不同的途径。结果表明需要在纵向模型中研究 DSH 可能的神经生物学基础，以增强对这种知之甚少的行为的了解。
Objective: To determine the prevalence and the associated psychological and social factors of occasional and repetitive deliberate self-harming behavior in adolescents.Design: Cross-sectional self-report survey.Setting: One hundred twenty-one schools in Germany.Participants: A representative sample of 5759 ninth-grade students was studied between 2004 and 2005.Outcome Measures: Deliberate self-harm (DSH) and suicidal behaviors, emotional and behavioral problems (Youth Self-Report), living standard, family composition, parental conflict and illness, school type and performance, relationship to peers, bullying, body satisfaction and dieting, media consumption, smoking, and alcohol and drug use.Results: Occasional forms of DSH within the previous year were reported by 10.9% of the ninth-grade students. Four percent of the students reported repetitive forms of DSH. Suicidal behavior was strongly associated with repetitive DSH, an association that held for both subtypes of DSH. The findings also indicated that social background factors were important concomitants of occasional DSH but were not related to an increased likelihood of repetitive DSH. Symptoms of depression/anxiety and delinquent/aggressive behavior were associated with self-harming behavior in both adolescent girls and boys.Conclusions: The data suggest that there is a link between social factors and occasional DSH and, especially in repetitive DSH, that there is a strong association between DSH and suicidal behavior as well as DSH and emotional and behavioral problems. These findings indicate a different pathway in the development of DSH in adolescents. The results support a need to investigate the possible neurobiological underpinnings of DSH within a longitudinal model to enhance the knowledge of this poorly understood behavior.