年轻人自伤的动机及其相关因素:系统性审查
1Black Dog Institute, UNSW Sydney, Sydney, NSW, Australia. samantha.tang@blackdog.org.au.
Clinical child and family psychology review
|January 29, 2025
概括
年轻人主要从事自我伤害的原因是内在的个人原因,如情绪调节,与增加的自杀倾向和心理健康不佳有关. 预防需要针对情绪调节和风险因素的干预措施.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 青少年精神病学 青少年精神病学
背景情况:
- 年轻人自我伤害是一个日益关注的问题,与增加自杀风险和不利的长期结果有关.
- 了解自我伤害背后的动机对于开发有效的干预措施至关重要.
- 最近关于青少年自我伤害动机的定量文献评论缺乏.
研究的目的:
- 系统地审查最近关于10-24岁年轻人自我伤害动机的定量研究.
- 确定自我伤害的内在和人际动机的流行和相关性.
- 为制定有针对性的预防和治疗策略提供信息.
主要方法:
- 系统地搜索PsycInfo,Embase和Medline数据库的文献 (2024年9月),寻找过去十年发表的研究.
- 纳入量化研究,检查10-24岁的个人自我伤害动机 (流行率和/或相关性) 的自我伤害史.
- 遵守PRISMA指南和PROSPERO注册 (CRD42023429568) 的要求.
主要成果:
- 一百一十七项研究符合纳入标准.
- 内人动机 (情绪调节,反解离,自我惩罚) 比人际动机 (同行联系,沟通) 更为普遍.
- 内人动机与女性性别相关,自伤严重程度较高,当前/反复自伤,自杀倾向,心理健康较差,情绪失调等.
结论:
- 年轻人主要是因为个人内在的原因而自伤,这与更严重的严重性,自杀倾向和更差的心理健康有关.
- 干预措施必须采用多方面的方法,提供替代情绪调节策略,并针对有助于风险因素.
- 预防和减少自我伤害需要解决潜在的内在动机和相关的风险因素.
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