在青春期前的非自杀性自我伤害
Taylor A Burke1,2, Alexandra H Bettis3, Rachel F L Walsh4
1Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Pediatrics
|November 2, 2023
概括
在青春期前的非自杀性自我伤害 (NSSI) 与抑郁症和其他心理健康状况有关. 性少数群体的地位和较低的收入增加了NSSI风险,突出了针对性查的必要性.
科学领域:
- 儿童和青少年精神病学
- 发展心理学 发展心理学
- 心理健康研究 心理健康研究
背景情况:
- 非自杀性自我伤害 (NSSI) 是不良心理健康结果的重要预测因素.
- 早期出现的NSSI可能表明自我伤害的更严重的轨迹.
- 有限的研究存在于NSSI患病率和预测器在青春期前.
研究的目的:
- 调查社会人口因素,精神疾病和自杀念头 (SI) 与NSSI史和青春期前的发病关系.
- 在年轻人群中识别NSSI的预测因素.
- 为早期查和干预策略提供信息.
主要方法:
- 利用了青少年大脑和认知发展 (ABCD) 研究的数据 (N=11,875).
- 评估了终身病史和最近出现的NSSI作为主要结局.
- 采用K-SADS诊断面试用于精神病理学和SI,以及社会人口统计学措施.
主要成果:
- 女性性别和黑人身份与终身NSSI的几率较低有关.
- 性少数群体地位,单身父母和低家庭收入预测了终身NSSI的更高几率.
- 抑郁症是最强的预测因素,与其他内化/外化障碍,并发症和SI一起.
结论:
- 青春期前的NSSI与各种心理健康障碍和并发症有关,这表明它具有跨诊断性质.
- 性少数群体地位和抑郁症是青春期前儿童查的关键因素.
- 这些发现强调了早期识别和干预NSSI的重要性.
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