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

被引:1
作者
Jiang, Xing-Zhi [1 ,2 ,3 ]
Li, Huan-Huan [4 ]
Yu, Zhen-Zhen [5 ]
Wang, Chen [6 ,7 ]
机构
[1] Shenzhen Kangning Hosp, Shenzhen Mental Hlth Ctr, Dept Child & Adolescent Psychiat, Shenzhen Key Lab Psychol Healthcare, Shenzhen 518000, Guangdong, Peoples R China
[2] Shenzhen Inst Mental Hlth, Shenzhen 518020, Guangdong, Peoples R China
[3] Xiamen Xianyue Hosp, Dept Psychiat, Xiamen 361012, Fujian, Peoples R China
[4] Dalian Med Univ, Dept Geriatr Med, Dalian 116000, Liaoning, Peoples R China
[5] Xiamen Med Coll, Dept Neurol, Affiliated Hosp 2, Xiamen 361000, Fujian, Peoples R China
[6] Xiamen Univ, Affiliated Hosp 1, Sch Med, Dept Neurol, 55 Zhenhai Rd, Xiamen 361000, Fujian, Peoples R China
[7] Xiamen Univ, Affiliated Hosp 1, Sch Med, Dept Neurosci, 55 Zhenhai Rd, Xiamen 361000, Fujian, Peoples R China
关键词
Deliberate self-harm; Children; Adolescent; Psychiatric inpatients; Retrospective study; SUICIDAL IDEATION; HONG-KONG; ADOLESCENTS; PREVALENCE; RISK; OUTPATIENTS; DISORDERS; COMMUNITY; BEHAVIOR; STIGMA;
D O I
10.5498/wjp.v14.i3.398
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
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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页数:12
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