Effect of Various Factors on Non-suicidal Self-injury in Adolescent Depression
10.13471/j.cnki.j.sun.yat-sen.univ（med.sci）.2025.0114
- VernacularTitle:不同因素对青少年抑郁障碍非自杀性自伤行为的影响
- Author:
Yi MIAO
1
;
Junyi LI
1
;
Peishan HUANG
1
;
Ke WANG
1
;
Xuelin ZHANG
1
;
Qiangli DONG
1
Author Information
1. Department of Mental Health， The Second Clinical Medical School， Lanzhou University， Lanzhou 730030， China
- Publication Type:Journal Article
- Keywords:
adolescent depression;
non-suicidal self-injury;
coping style;
parent-child relationship;
childhood trauma
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2025;46(1):123-131
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the non-suicidal self-injury （NSSI） behaviors in adolescents with depressive disorder， analyze related influencing factors， and provide theoretical basis and reference for the prevention and treatment of NSSI. MethodsAccording to DSM-5 criteria， 95 depressive adolescents were divided into two groups： one with NSSI （NSSI group） and one without NSSI （nNSSI group）. All patients were assessed with Adolescent Non-suicidal Self-injury Assessment Questionnaire （ANSAQ）， Self-Rating Depression Scale （SDS）， Self-Rating Anxiety Scale （SAS）， Simplified Coping Style Questionnaire （SCSQ）， Experiences in Close Relationships-Relationship Structures Scale （ECR-RS）， and Childhood Trauma Questionnaire-Short Form （CTQ-SF）. The inter-group differences were compared. The influencing factors of NSSI were analyzed by using binary logistic regression. ResultsOf the 95 depressive adolescents， 59 cases of NSSI were identified， with a detection rate of 62.11%. NSSI group had higher scores than nNSSI group on SDS， SAS， negative coping style， paternal attachment anxiety， maternal attachment anxiety and avoidance， CTQ-SF total score， emotional neglect， physical neglect， emotional abuse， and sexual abuse （all P<0.05）. Binary logistic regression analysis showed that anxiety， negative coping style， maternal attachment avoidance and emotional abuse increased the risk of NSSI among adolescents with depressive disorders （all P< 0.05）. ConclusionsAdolescents with depression have a high incidence of NSSI behaviors， which is related to anxiety， negative coping style， maternal attachment avoidance and emotional abuse. In addition to improving patients' depression and anxiety in clinical setting， attention should also be paid to patients' coping styles， parent-child relationship and childhood trauma to reduce the occurrence of NSSI behaviors.
