Risk factors and protective factors for nonsuicidal self-injury in adolescents: A hospital- and school-based case-control study.

IF 1.8 4区医学 Q3 PSYCHIATRY Clinical Child Psychology and Psychiatry Pub Date : 2023-10-01 Epub Date: 2023-04-10 DOI:10.1177/13591045231169087

Shuo Geng, Lin Wang, Jinping Sun, Mingdong Xu, Li Zhang, Zhi Yi, Jun Ji, Xu Zhang

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Abstract

Objective: Nonsuicidal Self-Injury (NSSI) in China has increasingly interested clinicians, although few studies have investigated its risk and protective factors. This study examined the risk factors of NSSI among Chinese adolescents.

Methods: The researchers recruited adolescent participants with NSSI from a hospital outpatient clinic to form a case group and recruited adolescents without NSSI who provided informed consent from the school to form a control group. Participants completed a questionnaire, and data were analyzed using logistic regression.

Results: A total of 138 cases and 276 controls participated in this study. Binary multivariate logistic regression analysis with adjusting for age and sex showed that domestic violence (OR = 8.615, 95%CI: 3.081-24.091), parental overconcern (OR = 6.995, 95%CI: 3.447-14.192), guilt (OR = 4.949, 95%CI: 2.227-10.996), and school bullying (OR = 21.676, 95%CI: 6.799-69.109) increased the risk of NSSI, while peer support (OR = 0.068, 95%CI: 0.030-0.150) and living in an urban environment (OR = 0.157, 95%CI: 0.056-0.437) decreased the risk of NSSI.

Conclusion: Some psychosocial factors were confirmed to be independent risk and protective factors for NSSI in this study. However, the clinical significance of the results needs to be interpreted with caution due to sample size limitations.

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青少年非自杀性自伤的危险因素和保护因素：一项医院和学校病例对照研究。

目的：非自杀性自伤（NSSI）在中国越来越引起临床医生的兴趣，尽管很少有研究调查其风险和保护因素。本研究调查了中国青少年NSSI的危险因素。方法：研究人员从医院门诊招募了患有NSSI的青少年参与者组成病例组，并从学校招募了提供知情同意的无NSSI青少年组成对照组。参与者完成了一份问卷，并使用逻辑回归分析数据。结果：共有138例患者和276名对照者参与了本研究。经年龄和性别调整的二元多元逻辑回归分析显示，家庭暴力（OR=8.615，95%CI:3.081-24.091）、父母过度关注（OR=6.995，95%CI:3.447-14.192）、内疚（OR=4.949，95%CI:2.227-10.996）和学校欺凌（OR=21.676，95%CI:6.799-69.109）增加了NSSI的风险，同伴支持（OR=0.068，95%CI:0.030-0.150）和生活在城市环境中（OR=0.157，95%CI:0.056-0.437）降低了NSSI的风险。然而，由于样本量的限制，需要谨慎解释结果的临床意义。

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来源期刊

Clinical Child Psychology and Psychiatry PSYCHIATRY-PSYCHOLOGY

CiteScore

3.60

自引率

5.60%

发文量

130

期刊介绍： Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.