在网上寻求帮助的大量多样样样样本中,非自杀自伤的子组
Kaylee P Kruzan1, Jason J Washburn2, David Aaby1
1Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.
Frontiers in psychiatry
|March 14, 2025
概括
这项研究确定了四个不同的年轻人参与网上非自杀性自伤行为 (NSSI),揭示了症状严重程度和发病年龄的不同. 调查结果强调了针对NSSI进行量身定制的在线干预措施的需要.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 非自杀性自我伤害 (NSSI) 在年轻人中很普遍,许多人在网上寻求信息.
- 了解NSSI呈现的异质性对于开发有效,以人为中心的干预措施至关重要.
- 关于在线访问NSSI资源的个人特征的研究有限.
研究的目的:
- 实证地识别参与NSSI的不同类别的个人.
- 根据人口和临床特征来比较这些已识别的类别.
- 为NSSI制定有针对性的在线干预措施提供信息.
主要方法:
- 隐性类别分析被用来从调查数据中推导出类别,这些数据来自上个月NSSI报告的个人.
- 这项研究包括了11,262名通过国家倡导团体网站招募的参与者.
- 后勤回归模型探索了潜在类和变量之间的关系,包括行为变化,后果,预期,函数和生命周期NSSI.
主要成果:
- 一个4类模型成为最具临床解释性的模型,根据NSSI严重程度对个人进行分类.
- 第1类 (16.8%) 呈现出最严重的症状严重程度和最年轻的发病年龄.
- 3类 (31.8%) 症状严重程度和发病年龄最低,而2类和4类 (29.3%和22.2%) 呈现中度症状,自杀念头的变化.
结论:
- 鉴定的NSSI类显示出比现有文献中通常观察到的更严重的症状.
- 这些发现强调了为在线传播量身定制干预措施的必要性.
- 以个人为中心的方法对于解决在线寻求NSSI支持的个人多样化需求至关重要.
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