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Updated: Mar 18, 2026

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高收入国家儿童自伤的长期趋势:系统性审查和元分析
Natasha Saunders1,2,3,4,5,6, Hallie Benjamin4, Petros Pechlivanoglou4,5
1The Hospital for Sick Children, Toronto, Ontario, Canada.
JAMA pediatrics
|March 16, 2026
概括
在高收入国家的年轻人中,自伤率每年都在增加,尤其是女性. 这一趋势凸显了迫切需要有效的预防策略,以应对不断增加的自我伤害事件.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 自伤是严重的公共卫生问题,导致年轻人经常去急诊室.
- 现有的高收入国家的自我伤害率趋势数据有限,阻碍了有效的预防工作.
研究的目的:
- 确定经济合作与发展组织 (OECD) 国家的儿童和青少年自伤率的时间趋势.
- 通过使用医疗保健遭遇数据和自我报告调查,分析自我伤害患病率随时间的变化.
主要方法:
- 2000年至2024年间发表的42项研究的系统综述和元分析,涵盖超过2.34亿个人.
- 纳入标准包括24岁及以下的个体的纵向和横截面研究,至少有5年的数据.
- 数据使用随机效应元分析进行合成,以计算聚合效应估计和置信区间.
主要成果:
- 从2000年到2024年,在12个高收入国家观察到自伤的医疗保健遭遇的相对年增长率为3.5%.
- 与男性 (1.2%) 相比,女性 (3.6%) 的年增幅更为明显.
- 自我报告的调查显示,自我伤害的相对年增长率为2.5%.
结论:
- 在高收入国家,通过医疗保健访问和自我报告来衡量每年自我伤害率的显著上升.
- 在不同研究中,基线自我伤害率存在差异.
- 紧急实施大规模,环境相关的预防举措至关重要,特别是对女性年轻人来说.
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