Why Do Adolescents Self-Harm? An Investigation of Motives in a Community Sample
Why Do Adolescents Self-Harm? An Investigation of Motives in a Community Sample
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DOI：
10.1027/0227-5910/a000369
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发表时间：
2016-01-01
影响因子：
3
通讯作者：
O'Connor, Rory C.
中科院分区：
文献类型：
--
作者：
Rasmussen, Susan;Hawton, Keith;O'Connor, Rory C.
背景资料：鉴于青少年中自残的比例很高，最近的研究集中在更好地理解这种行为的动机上。目的：本研究有三个目的：调查（a）哪些动机最常被报告自我伤害的青少年认可;（B）基线报告的动机是否预测6个月内重复自我伤害;（c）男孩和女孩的自我伤害动机是否不同。方法：总共有987名14-16岁的学生在相隔6个月的两个时间点完成了一份生活方式和应对问卷，记录了自我伤害和相关动机。结果：动机“从一个可怕的精神状态得到救济”是最常见的认可的原因自残（男孩和女孩）。人际关系方面的原因（例如，“吓唬人”）是最不常见的认可。回归分析显示，那些在基线时支持想要从可怕的精神状态中得到缓解的青少年，在随访时比那些没有引用此动机的青少年更有可能重复自我伤害。结论：结果突出了自我伤害的复杂性。它们对教育环境中的心理健康提供有影响，特别是在鼓励情绪调节和寻求帮助方面。
Background: Given the high rates of self-harm among adolescents, recent research has focused on a better understanding of the motives for the behavior. Aims: The present study had three aims: to investigate (a) which motives are most frequently endorsed by adolescents who report self-harm; (b) whether motives reported at baseline predict repetition of self-harm over a 6-month period; and (c) whether self-harm motives differ between boys and girls. Method: In all, 987 school pupils aged 14-16 years completed a lifestyle and coping questionnaire at two time points 6 months apart that recorded self-harm and the associated motives. Results: The motive "to get relief from a terrible state of mind" was the most commonly endorsed reason for self-harm (in boys and girls). Interpersonal reasons (e.g., "to frighten someone") were least commonly endorsed. Regression analyses showed that adolescents who endorsed wanting to get relief from a terrible state of mind at baseline were significantly more likely to repeat self-harm at follow-up than those adolescents who did not cite this motive. Conclusion: The results highlight the complex nature of self-harm. They have implications for mental health provision in educational settings, especially in relation to encouraging regulation of emotions and help-seeking.