Impact of Childhood Abuse on the Risk of Non-Suicidal Self-Injury in Mainland Chinese Adolescents

被引:67
作者
Wan, Yuhui [1 ,2 ]
Chen, Jing [1 ,2 ]
Sun, Ying [1 ,2 ]
Tao, Fangbiao [1 ,2 ]
机构
[1] Anhui Med Univ, Sch Publ Hlth, Dept Maternal Child & Adolescent Hlth, Hefei 230032, Anhui, Peoples R China
[2] Anhui Prov Key Lab Populat Hlth & Aristogen, Hefei 230032, Anhui, Peoples R China
来源
PLOS ONE | 2015年 / 10卷 / 06期
基金
中国国家自然科学基金;
关键词
SEXUAL-ABUSE; HOUSEHOLD DYSFUNCTION; SUICIDE IDEATION; NATIONAL SAMPLE; UNITED-STATES; HARM; MALTREATMENT; EXPERIENCES; POPULATION; HEALTH;
D O I
10.1371/journal.pone.0131239
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background Childhood abuse has been associated with significant increases in non-suicidal self-injury (NSSI) behaviors in adolescents; however, only general definitions of this risk indicator have been examined. This study identified relationships between specific forms of childhood abuse and NSSI in mainland Chinese adolescents. Method A total of 14,221 cases were retained from an epidemiological study involving adolescents from junior and senior middle schools. Information relating to the perpetrator, perceived harm, timing of exposure to different types of childhood abuse, and NSSI were obtained. Logistic regression was used to analyze relationships between each form of childhood abuse and NSSI. Results Approximately 51.0% of the students reported at least one abusive childhood experience. Nearly one in four students (24.9%) reported that they had engaged in NSSI in the past 12 months. Each type of childhood abuse, occurring at any time within the first 16 years of life, especially in situations of continuous exposure, was significantly associated with NSSI. A significant graded relationship was found between number of abusive childhood experiences and NSSI. Students maltreated by parents or others were at high risk of engaging in NSSI, the risk was greater in students maltreated by both; students who had been exposed to childhood abuse with no perceived harm still demonstrated an elevated risk for NSSI. The pattern of associations did not vary by gender. Conclusions These findings suggest that experiencing any of various forms of childhood abuse should be considered a risk factor for NSSI during adolescence. Further research should focus upon psychosocial, neural, and genetic factors that might moderate or mediate the onset of NSSI in adolescents who have experienced childhood abuse.
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页数:15
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