SELF-MUTILATION AMONG ADOLESCENTS: A SYSTEMATIC REVIEW WITH META-ANALYSIS

Kalyne Araújo Bezerra, Fihama Pires Nascimento, Igor de Sousa Nóbrega, Gleicy Karine Nascimento de Araújo-Monteiro, Renata Clemente dos Santos-Rodrigues, Emanuella de Castro Marcolino
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Abstract

ABSTRACT Objective: to estimate the prevalence of self-mutilation among adolescents and the factors that influence it. Method: this is a systematic review with meta-analysis. The search was carried out October 2021 in the following databases: SciELO, LILACS, MEDLINE and PubMed databases, with the descriptors “Adolescente” and “Comportamento autodestrutivo” and “Adolescent” and “Self-destructive behavior”, combined by the Boolean operator “AND.” We included studies published between 2015 and 2021, quantitative, in Portuguese, English and Spanish, available in full. We excluded documents that did not contain the amount referring to adolescents who practiced self-mutilation, duplicate and review studies. Study selection was performed by pairs, removing duplicates and applying inclusion and exclusion criteria, reading titles, abstracts and full text. In the end, the sample consisted of 86 studies. Meta-analysis was performed using the R software through the elaboration of forest plot, heterogeneity test, funnel test and Egger’s test. Results: the prevalence of self-mutilation among adolescents averaged 21%, with the United States standing out with the highest percentage. Among the identified factors, older adolescents, female, economically disadvantaged, who experience family conflicts, with parents with low education, victims of violence and bullying and who have friends with suicidal behavior stood out. Conclusion: self-mutilation is socially determined so that its prevalence varies according to the integration between different factors. In this context, it is necessary for nursing professionals to offer emotional support to adolescents and their families.
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青少年自残:一项综合meta分析的系统综述
摘要目的:了解青少年自残的流行情况及影响因素。方法:采用meta分析的系统综述。检索于2021年10月在以下数据库中进行:SciELO, LILACS, MEDLINE和PubMed数据库,描述符为“Adolescent”和“Comportamento autodestructivo”以及“Adolescent”和“Self-destructive behavior”,由布尔运算符“and”组合。我们纳入了2015年至2021年间发表的定量研究,以葡萄牙语、英语和西班牙语发表,全文可用。我们排除了不包含有自残行为的青少年、重复研究和回顾研究的文献。研究选择采用成对进行,去除重复项并应用纳入和排除标准、阅读标题、摘要和全文。最终,样本包括86项研究。采用R软件进行meta分析,采用森林图、异质性检验、漏斗检验和Egger检验。结果:青少年自残的患病率平均为21%,其中美国的比例最高。在确定的因素中,年龄较大的青少年、女性、经济弱势、经历家庭冲突、父母受教育程度低、暴力和欺凌的受害者以及有自杀行为的朋友尤为突出。结论:自残是由社会因素决定的,其发生率随不同因素的综合而变化。在这种情况下,护理专业人员有必要为青少年及其家庭提供情感支持。
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来源期刊
Texto Contexto Enfermagem
Texto Contexto Enfermagem Nursing-General Nursing
CiteScore
1.80
自引率
0.00%
发文量
85
审稿时长
>12 weeks
期刊介绍: Texto & Contexto Enfermagem provides space for reflection and deepening of knowledge about issues of practice, teaching and research in health and nursing, at national and international levels. The journal is published quarterly in the rolling pass or Continuous flow mode, accepting manuscripts in Portuguese, English or Spanish, in the categories original article, reflection, experience report and review. Contributions designated to the dissemination of unpublished original research results are prioritized for publication. Special issues are published at the discretion of the Board of Directors and Associate Editors. All manuscripts are published in two versions, one of which is English, aiming to cover the largest number of readers worldwide. The editorial policy of Texto & Contexto Enfermagem is based on rigorous quality criteria for indexing and publishing (including technical and normative aspects, graphic and textual quality and excellence in scientific content); on responsibility for shared management between the Board of Directors, Editorial Board and Internal and External Editors Associates; and on the rigorous and constructive peer review, preserving the anonymity of authors and reviewers (double blinded).
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