Analysis of influencing factors of non-suicidal self-injury behavior in adolescents with depression
Yuan Xiaofei, Yin Shengjian, Zhou Jiaojiao, et al
(Beijing Key Laboratory of Diagnosisand Treatment of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China)
Abstract: 【Abstract】 Objective To explore the influencing factors of non-suicidal self-injurious (NSSI) behavior in adolescents with depression. Method A total of 67 adolescents with depression who were admitted to Beijing Anding Hospital, Capital Medical University from September 20, 2020 to December 6 were included in the study using a continuous enrollment method, and they were divided into NSSI group (n=44) and non-NSSI group (n=23) according to the presence or absence of NSSI. The general demographic data of thesubjects were collected, and the coping style questionnaire, adolescent life events scale, childhood traumaquestionnaire, and simplified parenting style questionnaire were used to evaluate self-blame, avoidance,interpersonal relationship, learning pressure, health adjustment, paternal overprotection, and maternaloverprotection. Statistical methods performed by χ2 test, t-test and multiple Logistic regression analysis. Result There was no significant difference in general demographic characteristics between NSSI group andnon-NSSI group (all P>0.05). Univariate analysis results showed that the scores of avoidance and self-blamein the coping style questionnaire, interpersonal relationship, learning stress, loss, and health adjustment in theadolescent life events scale, sexual abuse in the childhood trauma questionnaire, and paternal overprotectiveand maternal overprotective in the simplified parenting style questionnaire were higher in the NSSgroup than in the non-NSSI group, the differences were statistically significant (all P<0.05). MultivariateLogistic regression analysis results showed that avoidance (OR=19.647, 95%CI: 1.022-377.838, P=0.048),learning stress factor (OR=2.906, 95%CI: 1.126-7.502, P=0.027) and maternal overprotection (OR=2.996,95%CI: 1.122-8.000, P=0.029) were risk factors for NSSI in adolescents with depression. ConclusionAdolescents with depression are associated with a higher incidence of NSSI, and avoidant coping styles, high learning pressure, and maternal overprotective are more likely to develop NSSI.