Deliberate self-harm among pediatric psychiatric inpatients in China: A single-center retrospective study

IF 3.9 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2024-03-19 DOI:10.5498/wjp.v14.i3.398

Xing Jiang, Huan-Huan Li, Zhen-Zhen Yu, Chen Wang

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Abstract

BACKGROUND For children and adolescents, deliberate self-harm (DSH) is becoming a mental health problem of concern. Despite several studies on the prevalence and factors of DSH in the world, there is little information on DSH among children and adolescents in China. This study explores the prevalence, types, associated risk factors and tendency of DSH in pediatric psychiatric inpatients in China. AIM To understand the situation of DSH among hospitalized children and adolescents and its related factors. METHODS In this study, we retrospectively studied 1414 hospitalized children and adolescents with mental illness at Xiamen Mental Health Center from 2014 to 2019, extracted the demographic and clinical data of all patients, and analyzed clinical risk factors of DSH. RESULTS A total of 239 (16.90%) patients engaged in at least one type of DSH in our study. Cutting (n = 115, 48.12%) was the most common type of DSH. Females (n = 171, 71.55%) were more likely to engage in DSH than males (n = 68, 28.45%). DSH was positively associated with depressive disorders [OR = 3.845 (2.196-6.732); P < 0.01], female [OR = 2.536 (1.815-3.542); P < 0.01], parental marital status [OR = 5.387 (2.254-12.875); P < 0.01] and negative family history of psychiatric illness [OR = 7.767 (2.952-20.433); P < 0.01], but not with occupation, substance use and history of physical abuse. CONCLUSION Our findings suggest that for patients with depression, females, an abnormal marriage of parents, and no history of mental illness, attention should be paid to the occurrence of DSH.

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中国儿科精神科住院患者的故意自残行为：单中心回顾性研究

背景对于儿童和青少年而言，故意自我伤害（DSH）正成为一个令人担忧的心理健康问题。尽管世界上有多项关于DSH发生率和因素的研究，但有关中国儿童和青少年DSH的资料却很少。本研究探讨了中国儿科精神科住院患者中DSH的患病率、类型、相关危险因素和趋势。目的了解住院儿童和青少年 DSH 的情况及其相关因素。方法回顾性研究厦门市精神卫生中心2014-2019年收治的1414例住院儿童青少年精神病患者，提取所有患者的人口学和临床资料，分析DSH的临床危险因素。结果在我们的研究中，共有239名（16.90%）患者参与了至少一种类型的DSH。切割（115 人，占 48.12%）是最常见的 DSH 类型。女性（n = 171，71.55%）比男性（n = 68，28.45%）更有可能参与 DSH。DSH与抑郁障碍[OR = 3.845 (2.196-6.732); P < 0.01]、女性[OR = 2.536 (1.815-3.542); P < 0.01]、父母婚姻状况[OR = 5.387 (2. 254-12.875); P < 0.01]呈正相关。254-12.875); P < 0.01]和阴性精神病家族史[OR = 7.767 (2.952-20.433); P < 0.01]，但与职业、药物使用和身体虐待史无关。结论我们的研究结果表明，对于患有抑郁症、女性、父母婚姻不正常且无精神病史的患者，应关注 DSH 的发生。

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.