上海地区青少年抑郁症患者非自杀性自伤行为现状及影响因素研究

doi:10.12183/j.scjpm.2023.0995

摘要/Abstract

摘要： 目的调查上海地区青少年抑郁症患者伴有非自杀性自伤行为（non-suicidal self-injury, NSSI）的情况,并分析其影响因素。方法选取2022年1—12月上海市精神卫生中心收治的青少年抑郁症患者,诊断NSSI发生情况,并调查患者的人口学信息、环境信息、抑郁程度、童年家庭功能不全情况等,采用单、多因素方法分析患者NSSI发生的影响因素。结果 795例青少年抑郁症患者中男性275例,平均年龄（14.97±1.72）岁,共有287例（36.10%）伴有NSSI情况。多因素logistic回归分析结果显示,遭受过校园暴力（OR=1.874）、童年家庭功能不全（OR=3.740）、目睹家庭暴力（OR=5.618）、与酗酒或物质滥用的家庭成员共同生活（OR=4.702）、存在冲动感（OR=2.575）、存在负性生活事件（OR=6.080）和童年创伤（OR=8.482）、情感虐待（OR=7.272）均与青少年抑郁症患者发生NSSI有关。结论上海地区青少年抑郁症患者NSSI发生与个人经历、家庭环境和社会关系等有关,应针对性采取心理治疗和干预措施。

关键词: 青少年, 抑郁, 非自杀性自伤行为, 影响因素

Abstract: Objective To investigate the non-suicidal self-injury （NSSI） of adolescents with depression in Shanghai and analyzed its influencing factors. Methods Adolescent patients with depression admitted to Shanghai Mental Health Center from January to December 2022 were selected to diagnose the occurrence of NSSI, and the demographic information, environmental information, degree of depression, childhood family dysfunction, and other information of the patients were investigated. Univariate and multivariate methods were used to analyze the influencing factors of NSSI. Results Among the 795 adolescents with depression, 275 were males, with a mean age of （14.97±1.72） years, and 287 （36.10%） had NSSI. The results of multivariate logistic regression analysis showed that experienced school violence （OR=1.874）, childhood family dysfunction （OR=3.740）, witnessed domestic violence （OR=5.618）, lived with a family member with alcohol or substance abuse （OR=4.702）, had impulsivity （OR=2.575）, had negative impulse events （OR=6.080）, had childhood trauma injury （OR=8.482）, and emotional abuse （OR=7.272） were all associated with NSSI in adolescents with depression. Conclusion The occurrence of NSSI in adolescents with depression in Shanghai is related to personal experience, family environment, and social relations, so psychological treatment and intervention measures should be taken accordingly.

Key words: Adolescent, Depression, Non-suicidal self-injury, Influencing factor

中图分类号:

R179

汪丽娜, 孙扬, 李玲. 上海地区青少年抑郁症患者非自杀性自伤行为现状及影响因素研究[J]. 华南预防医学, 2023, 49(8): 995-999.

WANG Lina, SUN Yang, LI Ling. Study on non-suicidal self-injury and its influencing factors in adolescents with depression in Shanghai[J]. South China Journal of Preventive Medicine, 2023, 49(8): 995-999.

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