A longitudinal study of self-injurious thoughts and behaviors transitions and help-seeking intentions among young adults.

IF 2.7 3区医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-06-27 DOI:10.1111/sltb.13109

Juan Wang, Meng Han, Yingjun Xi, Xiaoxiao He, Yi Feng, Runsen Chen

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Abstract

Purpose: Engagement in self-injurious thoughts and behaviors (SITBs) is associated with low help-seeking intentions. Nevertheless, prior research has primarily relied on cross-sectional data, leaving uncertainties about the longitudinal dynamics between SITBs and help-seeking intentions. This study aims to investigate the longitudinal relationship between SITBs and help-seeking intentions for them.

Method: A one-year interval follow-up investigation was conducted among 1788 Chinese students (71.5% girls, M_age = 19.5). Changes in help-seeking intentions were initially analyzed among four SITBs transition groups. Subsequently, a cross-lagged model was employed to explore the possible bidirectional associations.

Results: 232 participants (12.90%) experienced changes in SITBs, while 65 participants (3.60%) exhibited sustained SITBs between two measurement time points. Changes in help-seeking intentions varied across SITBs transition groups. Participants whose SITBs faded 1 year later showed a significant increase in help-seeking intentions, whereas those who experienced newly developed SITBs across two measurement time points demonstrated a significant decline. The cross-lagged analysis revealed that help-seeking intentions negatively predicted the subsequent risk of experiencing SITBs.

Conclusions: Greater help-seeking intentions predicted decreased SITBs 1 year later. Changes in help-seeking intentions serve as a valuable indicator for distinguishing between different types of SITBs transition. These findings underscore the importance of implementing prevention and intervention strategies targeted at enhancing help-seeking intentions to reduce SITBs.

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一项关于青少年自残想法和行为过渡以及求助意向的纵向研究。

目的：参与自我伤害想法和行为（SITBs）与求助意愿低有关。然而，以往的研究主要依赖于横断面数据，因此对自伤想法和行为与求助意愿之间的纵向动态关系并不确定。本研究旨在探讨 SITB 与求助意愿之间的纵向关系：方法：对 1788 名中国学生（女生占 71.5%，男生占 19.5%）进行了为期一年的追踪调查。首先分析了四个 SITBs 过渡组中求助意愿的变化。结果显示：232 名参与者（12.90%）经历了 SITBs 的变化，而 65 名参与者（3.60%）在两个测量时间点之间表现出持续的 SITBs。在不同的 SITBs 过渡组中，求助意向的变化各不相同。1 年后 SITBs 消退的参与者的求助意愿显著增加，而在两个测量时间点之间新出现 SITBs 的参与者的求助意愿显著下降。交叉滞后分析表明，求助意向对随后出现 SITBs 的风险具有负向预测作用：结论：更强烈的求助意愿预示着一年后 SITBs 的减少。求助意愿的变化是区分不同类型 SITBs 过渡的重要指标。这些发现强调了实施旨在增强求助意愿的预防和干预策略以减少 SITBs 的重要性。

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来源期刊

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

期刊介绍： An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.