试验后的NSSI模式和重试时间:在12个月内描述趋势和调整后的危险性
María Arqueros1, Marina Diaz-Marsà2, Elizabeth Suárez-Soto1
1Department of Legal Medicine, Psychiatry and Pathology, School of Medicine, Universidad Complutense de Madrid (UCM), Madrid, Spain.
Journal of affective disorders
|February 17, 2026
概括
自杀未遂后的非自杀性自我伤害 (NSSI) 有着不同的模式. 坚持NSSI表明临床风险较高,而新发的NSSI可能会先于更早的自杀再次尝试.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 自杀未遂后的非自杀性自我伤害 (NSSI) 是常见的,并且可能遵循不同的临床轨迹.
- 了解这些模式对于评估重试风险至关重要.
研究的目的:
- 为了检查自杀企图后成年人中NSSI的模式.
- 为了确定这些NSSI模式的相关性.
- 在12个月内调查NSSI模式与自杀再尝试之间的关联.
主要方法:
- 一组685名成年人在自杀企图后15天内进行了评估,并在12个月内进行了跟踪.
- 非自杀自伤 (NSSI) 用哥伦比亚自杀严重程度评级表 (C-SSRS) 进行测量.
- 基线评估包括精神病诊断,心理困扰,冲动性,对死亡的无畏,童年创伤和与自杀有关的变量.
主要成果:
- 四个NSSI模式出现了:没有NSSI到没有NSSI (53.4%),开始[没有NSSI到是NSSI] (5.7%),缓解[是NSSI到没有NSSI] (23.9%) 和持久[是NSSI到是NSSI] (16.9%).
- 坚持与年轻的年龄,更高的冲动性,更大的心理困扰,童年创伤,物质使用和自杀能力相关.
- 缓解和持久性模式与12个月后自杀再次尝试的风险降低有关,与没有NSSI与没有NSSI组相比.
结论:
- 非自杀性自我伤害 (NSSI) 可能提供短期影响调节,但持久性表明显著的临床风险和自杀能力.
- NSSI的发病模式与早期的自杀再次尝试有关,突出显示了干预的关键窗口.
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