Introduction:Self-harm represents a significant public health challenge,particularly affecting young adults.This study evaluated prevalence rates and identified individual-and college-level risk factors for self-harm ...Introduction:Self-harm represents a significant public health challenge,particularly affecting young adults.This study evaluated prevalence rates and identified individual-and college-level risk factors for self-harm among college students in Jiangsu Province.Methods:Using data from the‘Surveillance for common disease and health risk factors among students in Jiangsu Province’program during 2019-2023,we employed multilevel logistic regression models to account for potential clustering within sampled colleges and to estimate odds ratios(OR)and 95%confidence intervals(CI)for person-and collegelevel factors.Dynamic analyses were conducted with repeated modeling by year.Results:Youth self-harm rates fluctuated between 2.21%and 3.83%during the study period.Self-harm was strongly associated with unhealthy lifestyles,particularly internet addiction(OR:2.50,95%CI:1.91,3.24),while regular family psychological forums were associated with decreased risk(OR:0.72,95%CI:0.55,0.95).Conclusion:Our findings emphasize the necessity of on-campus psychosocial support and highlight the importance of leveraging family-college collective resources with targeted interventions,especially for high-risk groups exhibiting unhealthy lifestyles,particularly internet addiction.展开更多
基金Supported by National Social Science Foundation of China(Grant No.23CGL072),Ministry of Science and Technology(Grant No.G2023141005L),Ministry of Education(Grant No.1125000172)SEU Innovation Capability Enhancement Plan for Doctoral Students(Grant No.CXJH_SEU 25220)Jiangsu Provincial Department of Science and Technology,Jiangsu Provincial Social Science Foundation(Grant No.24SHB005).
文摘Introduction:Self-harm represents a significant public health challenge,particularly affecting young adults.This study evaluated prevalence rates and identified individual-and college-level risk factors for self-harm among college students in Jiangsu Province.Methods:Using data from the‘Surveillance for common disease and health risk factors among students in Jiangsu Province’program during 2019-2023,we employed multilevel logistic regression models to account for potential clustering within sampled colleges and to estimate odds ratios(OR)and 95%confidence intervals(CI)for person-and collegelevel factors.Dynamic analyses were conducted with repeated modeling by year.Results:Youth self-harm rates fluctuated between 2.21%and 3.83%during the study period.Self-harm was strongly associated with unhealthy lifestyles,particularly internet addiction(OR:2.50,95%CI:1.91,3.24),while regular family psychological forums were associated with decreased risk(OR:0.72,95%CI:0.55,0.95).Conclusion:Our findings emphasize the necessity of on-campus psychosocial support and highlight the importance of leveraging family-college collective resources with targeted interventions,especially for high-risk groups exhibiting unhealthy lifestyles,particularly internet addiction.