Qi Zheng, Xin-Chao Chen, Ying-Jian Deng, Ya-Juan Ji, Qi Liu, Chen-Yun Zhang, Tian-Tian Zhang, Ling-Jiang Li
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引用次数: 0
摘要
背景：越来越多的证据表明，留守儿童和青少年（lbca）发生非自杀性自伤（NSSI）的风险增加。然而，比较中国lbca和非lbca之间自伤风险的研究缺乏系统的总结。目的：了解中国lbca人群发生自伤的风险。方法：系统检索Embase、PubMed和Web of Science从论文发表到2024年10月25日的所有关于自伤和lbca的相关研究。效应量以95%置信区间（CI）的优势比（ORs）报告。进行敏感性分析以进一步确认结果的稳定性。结果：本研究共纳入10项研究，共165276名儿童和青少年。lbca患者的自伤发生率明显高于非lbca患者（OR = 1.33, 95%CI: 1.19-1.49），且异质性较高（I 2 = 77%, P < 0.001）。进一步的敏感性分析与初步分析一致（OR = 1.29, 95%CI: 1.21-1.39, i2 = 0%）。结论：与非移民儿童和青少年相比，lbca发生自伤的风险更高。迫切需要更多的关注和干预，特别是生活在发展中国家的lbca。
Non-suicidal self-injury risk among left-behind children and adolescents in China: A systematic review and meta-analysis.
Background: Increasing evidence has shown an increased risk of non-suicidal self-injury (NSSI) in left-behind children and adolescents (LBCAs). However, a systematic summary of studies comparing the risk of NSSI between LBCAs and non-LBCAs in China is lacking.
Aim: To investigate the risk of NSSI among LBCAs in China.
Methods: We performed a systematic search of Embase, PubMed, and Web of Science from initiation to October 25, 2024, for all relevant studies of NSSI and LBCAs. The effect sizes were reported as odds ratios (ORs) with 95% confidence intervals (CI). Sensitivity analyses were conducted to further confirm the stability of the findings.
Results: A total of 10 studies with 165276 children and adolescents were included in this study. LBCAs had significantly higher rates of NSSI compared with non-LBCAs (OR = 1.33, 95%CI: 1.19-1.49), with high heterogeneity observed (I2 = 77%, P < 0.001). Further sensitivity analyses were consistent with the primary analysis (OR = 1.29, 95%CI: 1.21-1.39, I2 = 0%).
Conclusion: LBCAs are found to be at an increased risk of NSSI compared with children and adolescents of non-migrants. More attention and intervention are urgently needed for LBCAs, especially those living in developing countries.
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.
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