在中国的儿科精神病医院住院患者中故意自我伤害:单一中心的回顾性研究
Xing-Zhi Jiang1,2, Huan-Huan Li3, Zhen-Zhen Yu4
1Department of Child and Adolescent Psychiatry, Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen Key Laboratory for Psychological Healthcare and Shenzhen Institute of Mental Health, Shenzhen 518020, Guangdong Province, China.
World journal of psychiatry
|April 15, 2024
概括
蓄意自伤 (DSH) 影响了中国16.90%的儿科精神病医院住院患者,切割是最常见的. 抑郁症,女性性别,父母的婚姻问题和没有家庭精神病史是DSH的关键风险因素.
科学领域:
- 儿童和青少年精神病学
- 心理健康研究 心理健康研究
- 流行病学 流行病学
背景情况:
- 蓄意自我伤害 (DSH) 是儿童心理健康领域日益关注的问题.
- 关于中国儿童和青少年中DSH患病率和因素的数据有限.
- 这项研究通过调查中国儿科精神病医院住院患者的DSH来弥补这一差距.
研究的目的:
- 确定中国住院儿童和青少年中DSH的患病率和类型.
- 在这个人群中确定与DSH相关的临床风险因素.
- 了解中国儿科精神科队列中DSH的特定特征.
主要方法:
- 在门精神卫生中心对1414名儿科精神病患者 (2014-2019) 的回顾性研究.
- 提取和分析人口和临床数据.
- 统计分析以确定DSH的风险因素.
主要成果:
- 16.90%的患者 (239/1414) 报告了DSH.
- 切割是最常见的方法 (48.12%).
- DSH与抑郁症 (OR=3.845),女性性别 (OR=2.536),父母婚姻问题 (OR=5.387) 和负面的家庭精神病史 (OR=7.767) 有关.
结论:
- 抑郁症,女性性别,父母婚姻不稳定以及缺乏家庭精神病史是中国儿科精神病医院住院患者中DSH的重要危险因素.
- 临床注意力应该集中在这些因素上,以便早期干预和预防策略.
- 需要进一步的研究来探索这个人口群体中DSH的细微差别.
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