临床概况与青春期前儿童的故意自伤相关
Amanda J Thompson1, John V Campo2, Jennifer L Hughes1,3
1Nationwide Children's Hospital, Columbus, Ohio.
JAACAP open
|December 10, 2025
概括
自伤的幼儿表现出明显的临床特征,增加了他们未来自伤行为风险. 早期识别和评估对于儿童自伤的有效干预和预防策略至关重要.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 公共卫生 公共卫生
- 临床心理学 临床心理学
背景情况:
- 儿童自我伤害是一个重大的问题,因为它与未来的自杀企图有关.
- 对于从事自我伤害的青春期前儿童的具体临床特征的了解有限.
- 识别这些个人资料对于有针对性的风险识别和预防至关重要.
研究的目的:
- 描述5至11岁自伤儿童的不同临床情况.
- 为儿童自我伤害的临床决策和预防工作提供信息.
- 分析临床特征与重复自我伤害风险之间的关联.
主要方法:
- 对878名 (5-11岁) 自伤儿童进行了回顾性,基于人口的队列分析.
- 利用了俄俄州医疗补助机构2010-2020年的数据.
- 采用隐性类分析来确定不同的临床形状,并跟踪儿童1年来评估反复的自我伤害.
主要成果:
- 确定了儿童自我伤害的三种不同的临床概况.
- 个人资料1:男性有外化/内化障碍和自杀念头.
- 个人资料2:女性内化障碍,自杀念头,并高风险的重复自我伤害.
- 个人资料3:来自非大都市地区的年轻儿童,较少发现精神健康状况.
结论:
- 那些自我伤害的儿童具有可识别的临床特征,与未来自我伤害风险增加有关.
- 综合性风险评估对于指导幼儿自我伤害行为的临床干预至关重要.
- 这些发现支持根据已识别的风险概况制定定制的预防和治疗策略.
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