Patterns of psychological pain and self-harm behaviors in adolescents.

IF 2.7 3区医学 Q2 PSYCHIATRY

Suicide and Life-Threatening Behavior Pub Date : 2022-10-01 Epub Date: 2022-07-26 DOI:10.1111/sltb.12898

Fang Sun, Huanhuan Li, Wei Song, Jiamin Bao, Ziang Zhen

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引用次数: 0

Abstract

Background: The study examined the role of campus stressors and psychological pain on non-suicidal self-injury (NSSI) and suicide attempt (SA).

Methods: Specific patterns of co-occurring psychological pain, campus stressors, and self-harm behaviors were identified by latent profile analysis, and their odds ratios (ORs) on NSSI and SA were analyzed in cross-sectional study and 2-year follow-up study. Structural Equation Model was used to explore indirect effect of campus stressors on SA and NSSI via different components of psychological pain.

Results: Three classes were identified as low-risk class (68.58%) with low endorsements on the three measures, moderate-risk class (26.52%) with the elevated academic stressors, high levels of painful feelings, and high probabilities on NSSI; and high-risk class (4.90%) with the elevated combined stressors, high levels of pain avoidance, and high probabilities on SA. Compared to the moderate-risk class, adolescents in the high-risk class had a 4.97 OR of reporting NSSI, 17.98 OR of reporting SA. Pain avoidance class at baseline reported a higher probability in SA class (OR = 224.00) in a 2-year study.

Conclusions: Painful feelings might be shared psychosocial correlates for NSSI and SA. However, pain avoidance may play a role in distinguishing SA from NSSI, which shed light on the intervention of adolescents who engage in self-harm behaviors.

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青少年心理疼痛和自残行为的模式。

背景:本研究探讨了校园应激源和心理疼痛对非自杀性自伤(NSSI)和自杀企图(SA)的影响。方法:采用潜在剖面分析方法对心理疼痛、校园压力源和自残行为共同发生的特定模式进行分析，并采用横断面研究和2年随访研究分析其自伤和自伤的比值比(ORs)。采用结构方程模型探讨校园应激源通过心理疼痛的不同成分对自伤和自伤的间接影响。结果:低风险(68.58%)、中等风险(26.52%)、学业压力源升高、痛苦感受水平高、自伤概率高;高危人群(4.90%)，综合应激源升高，疼痛回避水平高，SA概率高。与中危组相比，高危组报告自伤的OR为4.97，报告SA的OR为17.98。在一项为期2年的研究中，基线疼痛回避等级报告的SA等级的概率更高(OR = 224.00)。结论:疼痛感可能与自伤和SA有共同的社会心理相关。然而，疼痛回避可能在区分自伤行为和自伤行为方面起着重要作用，这为青少年自伤行为的干预提供了新的思路。

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

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

期刊介绍： An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.