Combined effect of health literacy and non-suicidal self-injurious behaviors on suicide related behaviors of junior middle school students
10.16835/j.cnki.1000-9817.2024141
- VernacularTitle:健康素养和非自杀性自伤行为对初中生 自杀相关行为的联合作用
- Author:
LUO Yu, WEI Ke, ZHANG Ronghuinan, LIU Aini, YANG Siwei, WANG Hong
1
Author Information
1. School of Public Health/ Medical and Social Development Research Center, Chongqing Medical University, Chongqing (401331) , China
- Publication Type:Journal Article
- Keywords:
Health education;
Self injurious behavior;
Suicide;
Mental health;
Regression analysis;
Students
- From:
Chinese Journal of School Health
2024;45(5):708-713
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the combined effect of health literacy and nonsuicidal selfinjury on suiciderelated behaviors in junior middle school students, so as to provide reference for suicide prevention.
Methods:During May to June 2023, a selffilling questionnaire survey was conducted among 7 367 junior middle school students selected by the methods of multistage stratified cluster sampling combined with conventient sampling in Chongqing. And a binary Logistic regression model was established to analyze the association of health literacy and NSSI with suiciderelated behaviors.
Results:The detection rates of suicidal ideation, suicide planning, and suicide attempt among junior middle school students were 27.99%, 9.84%, and 4.64%, and the detection rate of NSSI was 38.03%, the rates of possessing total health literacy, functional health literacy, interactive health literacy, and critical health literacy were 62.68%, 66.51%, 54.24%, and 72.65%, respectively. Binary Logistic regression analyses showed that the absence of total health literacy and the three dimensions of health literacy and NSSI were positively correlated with suicidal ideation, suicide planning, and suicide attempt in junior middle school students (OR=1.42-10.30), and there were combined effects (OR=7.43-18.71) (P<0.05).
Conclusions:Lack of health literacy or the presence of NSSI and their coexistence increase the risk of suiciderelated behaviors, and health literacy level should be improved in junior middle school students to reduce NSSI and thereby prevent suiciderelated behaviors.
