中国临床心理学杂志

青少年直接自伤行为的发生率及与生活事件的关系

作者：辛秀红¹ 2 3 姚树桥¹

单位：1. 中南大学湘雅二医院医学心理学研究所长沙 410011
2. 宁夏医科大学临床医学院医学心理学系银川 750004
3. 宁夏医科大学总医院心理卫生中心银川 750004

分类号：R395.2

出版年,卷(期):页码：2016,24(1):124-128

摘要：

目的:了解青少年直接自伤行为的发生率及与生活事件的关系。方法:采用多中心协作,分层随机整群抽样方法,在全国10个城市抽取12449名7-12年级中学生,采用青少年危险行为量表、生活事件量表评定青少年自伤状况及生活事件(有效问卷11869份)。采用Logistic回归模型分析自伤行为的相关因素。结果:30.0%的青少年在过去一年中发生过直接自伤行为:其中割伤或烫伤行为占19.3%,咬伤、抓伤或撞伤行为占22.7%;采取过其中一类自伤行为的占18.2%,两类行为都发生过的占11.8%。自伤组在生活事件量表上的总分及各因子分均显著高于非自伤组;控制人口学变量后,除丧失因子外,其他因子均进入回归方程。结论:我国青少年自伤发生率较高,生活事件对直接自伤行为有显著预测作用。

Objective: To examine epidemiology of direct self-injurious behavior(D-SIB) and explore the association be-tween D-SIB and life events in adolescents.Methods: Using stratified random cluster sampling, 12449 students in grade 7th to 12th from 10 cities were selected in a multi-centered study(Response rate was 95.34%).Self-injury subscale in Health-Risk Behavior Inventory for Chinese Adolescents(HBICA) and Adolescent Self Rating Life Events Check List(ASLEC) were self-administered by students to assess their D-SIB and life events respectively in the past 12 months.Binary and multinomial logistic regressions were used to analyze the correlates of D-SIB.Results: About 20% of the participants endorsed cutting or scalding themselves, and 23% of the participants endorsed biting, scratching or hitting themselves in the past year;less than 19% students reported at least one group D-SIB and more than one in ten reported two groups DSIB, three in ten adolescents reported D-SIB in past 12 months.The total and subscales scores of the ASLEC in adolescents who admitted D-SIB were significantly higher than those who denied D-SIB.Multiple logistic regression analyses suggest-ed that except for the loss factor, the four factors entered the regression model after controlling for the demographic variables.Conclusion: D-SIB is prevalent in middle school students, which may be influenced by Life events.

基金项目：

国家科技支撑计划项目(2009BAI77B02)

作者简介：

参考文献：

1 Herpertzs S. Self-injurious behaviour:Psychopathological and nosological characteristics in subtypes of self-injurers. Acta Psychiatrica Scandinavica, 1995, 91:57-68
2 Nock MK. Self-injury. Annual Review of Clinical Psychology, 2010, 6:339-363
3 Zahl DL, Hawton K. Repetition of deliberate self-harm and subsequent suicide risk:Long-term follow-up study of 11,583 patients. British Journal of Psychiatry, 2004, 185:70-75
4 St Germain SA, Hooley JM. Direct and indirect forms of nonsuicidal self-injury:evidence for a distinction. Psychiat Research, 2012, 197(1-2):78-84
5 Norton R, Kobusingye O. Injuries. The New England Journal of Medicine, 2013, 368(18):1723-1730
6 Bergen H, Hawton K, Waters K, et al. Premature death after self-harm:a multicentre cohort study. The Lancet, 2012, 380(9853):1568-1574
7 Hawton K, Saunders KEA, O'Connor RC. Self-harm and suicide in adolescents. The Lancet, 2012, 379(9834):2373-2382
8 Muehlenkamp JJ, Claes L, Havertape L, Plener PL. International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child and Adolescent Psychiatry and Mental Health, 2012, 6:10
9 Brunner R, Kaess M, Parzer P, et al. Life-time prevalence and psychosocial correlates of adolescent direct self-injurious behavior:a comparative study of findings in 11 European countries. Journal of Child Psychology and Psychiatry, 2014, 55(4):337-348
10 江光荣,于丽霞. 自伤行为研究:现状、问题与建议. 心理科学进展,2011,19(6):861-873
11 陈静,万宇辉,陶芳标. 青少年自伤行为发生的相关理论模型研究进展. 中国学校卫生,2014,35(11):1751-1754
12 雷修龙,许韶君,刘祥云,等. 淮北市中学生自伤与自杀行为关系分析. 中国学校卫生,2012,33(4):393-395
13 于丽霞,凌霄,江光荣. 自伤青少年的冲动性. 心理学报, 2013,45(3):320-335
14 O'Connor RC, Rasmussen S, Hawton K. Predicting depression, anxiety and self-harm in adolescents:the role of perfectionism and acute life stress. Behavior Research and Therapy, 2010, 48(1):52-59
15 Madge N, Hawton K, McMahon EM, et al. Psychological characteristics, stressful life events and deliberate selfharm:Findings from the Child and Adolescent Self-harm in Europe(CASE) Study. European Child and Adolescent Psychiatry, 2011, 20(10):499-508
16 王孟成,蚁金瑶,蔡琳,等. 青少年健康相关危险行为问卷的编制及信效度检验. 中国心理卫生杂志,2012,26(4):287-291
17 刘贤臣,刘连启,杨杰,等. 青少年生活事件量表的信度效度检验. 中国临床心理学杂志,1997,5(3):166-167,169
18 辛秀红,姚树桥. 青少年生活事件量表效度与信度的再评价及常模更新. 中国心理卫生杂志,2015,29(5):355-360
19 Muehlenkamp JJ. Self-injurious behavior as a separate clinical syndrome. The American Journal of Orthopsychiatry, 2005, 75(2):324-333
20 Shek DT, Yu L. Self-harm and suicidal behaviors in Hong Kong adolescents:Prevalence and psychosocial correlates. Scientific World Journal, 2012, 2012:932540
21 Claes L, Luyckx K, Bijttebier P. Non-suicidal self-injury in adolescents:Prevalence and associations with identity formation above and beyond depression. Personatlity and Individual Difference, 2014, 61-62:101-104
22 Hawton K, Rodham K, Evans E, Weatherall R. Deliberate self harm in adolescents-self report survey in schools in England. British Medical Journal, 2002, 325(23):1207-1211
23 Cheung YT, Wong PW, Lee AM, et al. Non-suicidal selfinjury and suicidal behavior:prevalence, co-occurrence, and correlates of suicide among adolescents in Hong Kong. Social Psychiatry and Psychiatric Epidemiology, 2013, 48(7):1133-1144
24 Law BM, Shek DT. Self-harm and suicide attempts among young Chinese adolescents in Hong Kong:Prevalence, correlates, and changes. Journal of Pediatric and Adolescent Gynecology, 2013, 26(3 Suppl):S26-32
25 Victor SE, Glenn CR, Klonsky ED. Is non-suicidal selfinjury an "addiction"? A comparison of craving in substance use and non-suicidal self-injury. Psychiatry Research, 2012, 197(1-2):73-77
26 Oyefeso A, Brown S, Chiang Y, Clancy C. Self-injurious behaviour, traumatic life events and alexithymia among treatment-seeking opiate addicts:prevalence, pattern and correlates. Drug and Alcohol Dependence, 2008, 98(3):227-234
27 Liu RT, Miller I. Life events and suicidal ideation and behavior:a systematic review. Clinical Psychology Review, 2014, 34(3):181-192
28 Henry KL, Lovegrove PJ, Steger MF, et al. The potential role of meaning in life in the relationship between bullying victimization and suicidal ideation. Journal of Youth and Adolescence, 2014, 43(2):221-232
29 Hamza CA, Stewart SL, Willoughby T. Examining the link between nonsuicidal self-injury and suicidal behavior:a review of the literature and an integrated model. Clinical Psychology Review, 2012, 32(6):482-495
30 黄任之,丁立平,黄敏. 青少年非自杀性自我伤害行为现状、影响因素及干预. 中国临床心理学杂志,2013,21(6):965-967

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