摘要
目的探讨伴非自杀性自伤行为(NSSI)的青少年心境障碍患者合并自杀未遂(SA)及其与临床特征的关系。方法选取于2020年12月至2021年8月在首都医科大学附属北京安定医院住院的有NSSI史的80例13~19岁青少年心境障碍患者进行横断面调查。采用自编一般资料问卷、青少年NSSI问卷、简易应对方式问卷、中文版正性与负性情绪量表、儿童期创伤问卷(CTQ)进行评估。根据近一年是否存在SA将患者分为NSSI组(n=33)和NSSI+SA组(n=47)并进行组间比较。将单因素分析中差异有统计学意义的变量纳入多因素Logistic回归模型进行分析。结果单因素分析显示,NSSI+SA组≤16岁、女性、复发、首发年龄<14岁、自伤频次≥40次的患者的比例高于NSSI组,CTQ的情感虐待分问卷得分高于NSSI组,差异均有统计学意义(均P<0.05)。NSSI组用拳头打硬物的患者比例高于NSSI+SA组,用刀片等割伤的患者比例低于NSSI+SA组,差异有统计学意义(P<0.05)。多因素Logistic回归模型显示,年龄≤16岁、用刀片等割伤的方式、自伤频次≥40次、复发是NSSI+SA同时发生的影响因素(P<0.05)。结论伴NSSI青少年心境障碍患者合并SA的发生率较高,较低的年龄、采用刀片等割伤方式自伤、高自伤频次、复发患者更容易出现SA。
Objective To explore the relationship between suicidal attempt(SA)and clinical characteristics in adolescent patients with mood disorders with non-suicidal self injury(NSSI)behavior.Methods A total of 80 adolescent mood disorder patients aged 13-19 years were enrolled from inpatient unit of Beijing Anding Hospital from December 2020 to August 2021.Those patients with a history of NSSI were included in this analysis for a cross-sectional investigation.The self-designed general information questionnaire,adolescent NSSI behavior questionnaire,Simple Coping Style Questionnaire(SCSQ),Chinese version of Positive and Negative Affect Schedule(PANAS)and Childhood Trauma Questionnaire(CTQ)were used in the evaluation.According to presence or absence of a history of SA in the last year,the patients were divided into two groups:the NSSI group(n=33)and the NSSI+SA group(n=47).The variables with statistical significance in univariate analysis were incorporated into the multivariate Logistic regression model for analysis.Results Univariate analysis showed that the proportion of patients under 16 years old(including 16 years old),female,relapse patients,first episode age under 14 years old,NSSI frequency over 40 times(including 40 times)in NSSI+SA group was higher than that in NSSI group,and the score of emotional abuse was higher than that in NSSI group,the differences were statistically significant(P<0.05).The proportion of patients who hit hard objects with fists in NSSI group was higher than that in NSSI+SA group,and the proportion of patients who cut with blades was lower than that in NSSI+SA group(P<0.05).Multivariate Logistic regression model showed that younger age(≤16 years old),the method of knife cutting,high frequency of NSSI(≥40 times),and recurrence were significant influencing factors for the co-occurrence of NSSI+SA.Conclusions The incidence of SA in adolescent mood disorder patients with NSSI is high,and SA more likely to occur in patients with lower age,self-injury by cutting,high frequency of self-injury an
作者
王丹
奚蕊
王威
周佳
Wang Dan;Xi Rui;Wang Wei;Zhou Jia(Depressive Disorder Treatment Center&the National Clinical Research Center for Mental Disorders,Beijing Anding Hospital,Capital Medical University,Beijing Mental Healthcare Institute,Beijing 100088,China;Beijing Mental Health Care Center,Beijing 100088,China)
出处
《神经疾病与精神卫生》
2022年第4期287-293,共7页
Journal of Neuroscience and Mental Health
基金
首都卫生发展科研专项项目(2020-2-1171)
北京市属医院科研培育计划项目(PX2021070、PX2020073)。
关键词
青少年
心境障碍
非自杀性自伤
自杀未遂
Adolescent
Mood disorders
Non-suicidal self-injury
Suicide attempted
