Can digital self-harm relate to suicidal thoughts and behaviors beyond physical self-harm?

IF 5.3 2区 医学 Q1 PSYCHIATRY
Juan Wang, Ziqian Wei, Luxia Jia, Jiaao Yu, Yuanyuan Wang, Yaxuan Meng, Yi Feng, Runsen Chen
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引用次数: 0

Abstract

Background

Digital self-harm (DiSH) is a recently identified self-harm distinct from physical self-harm (PSH, also known as non-suicidal self-injury, NSSI). Although prior research has shown that DiSH was associated with suicidal thoughts and behaviors (STBs), it was still unclear whether DiSH has a unique association with STBs after controlling for PSH.

Method

A cross-sectional survey was conducted on Chinese college students. The lifetime prevalence of DiSH and PSH, the functions of DiSH, recent suicide experiences (including suicide ideation, plans, and attempts), anxiety and depression were examined. A total of 5281 participants were analyzed.

Results

A total of 10.83% of participants had ever engaged in DiSH, and 1.59% of participants reported histories of both DiSH and PSH. Among participants with a history of PSH, 30.11% engaged in DiSH. Engagement in DiSH was significantly associated with suicide ideation (SI), suicide plans (SPs), and suicide attempts (SAs). More importantly, participants who engaged in both DiSH and PSH showed higher odds of SI and SPs compared to those who had only engaged in PSH. Regarding the functions of DiSH, using DiSH for self-punishment was associated with SI and SPs, and using DiSH for sensation seeking was associated with SPs and SAs. Similar results were found for the association between DiSH and anxiety and depression.

Conclusions

Our findings suggest that DiSH has a unique association with the risks of STBs beyond PSH. Early identification and intervention for DiSH are crucial, even for individuals who already engage in PSH.

除了身体自残之外,数字自残还与自杀想法和行为有关吗?
背景:数字自残(DiSH)是最近发现的一种有别于物理自残(PSH,又称非自杀性自伤,NSSI)的自残行为。尽管之前的研究表明,DiSH 与自杀想法和行为(STBs)有关,但在控制 PSH 后,DiSH 是否与 STBs 有独特的关联仍不清楚:方法:对中国大学生进行了横断面调查。方法:对中国大学生进行了一项横断面调查,研究了DiSH和PSH的终生患病率、DiSH的功能、最近的自杀经历(包括自杀意念、自杀计划和自杀未遂)、焦虑和抑郁。共对 5281 名参与者进行了分析:共有 10.83% 的参与者曾有过 DiSH 行为,1.59% 的参与者报告说既有过 DiSH 行为,也有过 PSH 行为。在曾有过 PSH 的参与者中,30.11% 的人参与过 DiSH。参与 DiSH 与自杀意念(SI)、自杀计划(SPs)和自杀未遂(SAs)明显相关。更重要的是,与只参与过 PSH 的参与者相比,同时参与过 DiSH 和 PSH 的参与者出现 SI 和 SPs 的几率更高。关于DiSH的功能,使用DiSH进行自我惩罚与SI和SP有关,而使用DiSH寻求感觉与SP和SA有关。DiSH与焦虑和抑郁之间的关系也发现了类似的结果:我们的研究结果表明,除 PSH 外,DiSH 与 STBs 风险也有独特的关联。早期识别和干预 DiSH 至关重要,即使对于那些已经参与 PSH 的人也是如此。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta Psychiatrica Scandinavica
Acta Psychiatrica Scandinavica 医学-精神病学
CiteScore
11.20
自引率
3.00%
发文量
135
审稿时长
6-12 weeks
期刊介绍: Acta Psychiatrica Scandinavica acts as an international forum for the dissemination of information advancing the science and practice of psychiatry. In particular we focus on communicating frontline research to clinical psychiatrists and psychiatric researchers. Acta Psychiatrica Scandinavica has traditionally been and remains a journal focusing predominantly on clinical psychiatry, but translational psychiatry is a topic of growing importance to our readers. Therefore, the journal welcomes submission of manuscripts based on both clinical- and more translational (e.g. preclinical and epidemiological) research. When preparing manuscripts based on translational studies for submission to Acta Psychiatrica Scandinavica, the authors should place emphasis on the clinical significance of the research question and the findings. Manuscripts based solely on preclinical research (e.g. animal models) are normally not considered for publication in the Journal.
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