基于心理韧性的农村留守儿童自伤行为干预研究

我国有超6000万的农村留守儿童，研究表明这一庞大社会弱势群体存在较高自杀风险，亟待干预。业已明确，自伤行为是自杀的最强预报因素之一。因此，通过对农村留守儿童自伤行为开展干预，可望前摄性地实现自杀的一级预防。通过前期研究，我们发现：农村留守儿童中存在着非常普遍的自伤行为，心理韧性是自伤行为最显著的关联因素。本项目拟在前期研究的基础上，进一步纳入值得关注的自伤行为潜在危险因素，在云南省扩大样本开展农村留守儿童自伤行为现况调查，同时采用以提升心理韧性为目的的团体认知行为疗法（G-CBT）和团体人际心理疗法（G-IPT）对自伤留守儿童进行不同形式和频次的干预，并对干预效果进行短期和长期评价。通过本项目的开展，将填补目前留守儿童自伤干预研究极度匮乏的现状，明确G-CBT和G-IPT对于留守儿童自伤行为的干预效果，为进一步开展农村留守儿童自伤、自杀干预研究提供重要参考依据。

There are over 60 million rural left-behind children (LBC) in China. Research evidence shows that this expansive vulnerable population presents high suicidal risk, which needs to be intervened immediately. It has been verified that self-harm behavior is one of the strongest forecast factors of completed suicide. Therefore, through the intervention of self-harm behaviors among LBC, we may achieve the primary prevention of suicide in this population. In our preliminary study, we found that self-harm behavior is very common among LBC, and resilience is the most prominent associated factor of self-harm. In this proposed program, we intend to implement a cross-sectional survey on self-harm behavior of rural LBC in an expanded sample in Yunnan province. Furthermore, based on the results of the survey, we will adopt group cognitive behavioral therapy (G-CBT) and group interpersonal therapy (G-IPT) to intervene self-harm behaviors in LBC, evaluate and compare their short-term and long-term intervention effects. The implementation of the current program can fill the gap of scarcity in LBC self-harm intervention study, ascertain the overall effect of G-CBT and G-IPT in self-harm behaviors of LBC, provide vital evidence for future self-harm and suicide intervention studies among LBC.