BACKGROUND Previous studies have shown that personality traits are associated with self-harm(SH)in adolescents.However,the role of resilience in this association remains unclear.Our research aims to explore the hypoth...BACKGROUND Previous studies have shown that personality traits are associated with self-harm(SH)in adolescents.However,the role of resilience in this association remains unclear.Our research aims to explore the hypothesized mediation effect of resilience in the relationship between personality traits and SH in Chinese children and adolescents.AIM To evaluate resilience as a mediator of the association between personality traits and SH.METHODS A population-based cross-sectional survey involving 4471 children and adolescents in Yunnan province in southwestern China was carried out.Relevant data were collected by self-reporting questionnaires.Univariate and multivariate logistic regression models were employed to identify associated factors of SH.A path model was used to assess the mediation effect of resilience with respect to personality traits and SH association.RESULTS Among the 4471 subjects,1795 reported SH,with a prevalence of 40.1%(95%CI:34.4%-46.0%).All dimensions of personality traits were significantly associated with SH prevalence.Resilience significantly mediated the associations between three dimensions of personality(extroversion,neuroticism,psychoticism)and SH,accounting for 21.5%,4.53%,and 9.65%,respectively,of the total associations.Among all dimensions of resilience,only emotional regulation played a significant mediation role.CONCLUSION The results of the study suggest that improving emotion regulation ability might be effective in preventing personality-associated SH among Chinese children and adolescents.展开更多
<strong>Background: </strong>There is no extensive literature on social predictors of self-harm in the juvenile justice system, over the time of a prisoner’s sentence. Self-harm behavior displays a higher...<strong>Background: </strong>There is no extensive literature on social predictors of self-harm in the juvenile justice system, over the time of a prisoner’s sentence. Self-harm behavior displays a higher prevalence in prison, 11 to 14 times greater than in the general population. Our study extended the current research in self-harm by examining dynamic factors of self-harm in adolescents over their sentence in the Romanian juvenile prison system. <strong>Method: </strong>The present research examined longitudinal predictors of self-harm behaviors in 439 adolescent inmates (Mage = 16.21;5.2% female, 94.8% male), enrolled in prison during 2011-2012, following them for two years. A series of time-to-event analyses were applied to start from the time of the subject’s internment in the juvenile prison system. <strong>Results:</strong> Findings from the multivariate survival analyses show that adherence to self-harm conduct in prison was consistently influenced by family factors and prison contexts;although low ability to cope with frustration, sensitivity and emotion dysregulation also mattered. Keeping the other covariates invariant, serving a prison sentence in a closed regime reduces the probability of remaining free of self-harm events, increasing the monthly hazard of self-harm by a factor of 5.26 on average (HR = 5.26, 95% CI = 2.37 - 11.64) compared to the open regime. <strong>Conclusion:</strong> A greater focus on longitudinal studies may help improve the screening process and also follow the progress of each juvenile to warrant the efficacy of preventive programs in self-harm, according to their emerging needs.展开更多
BACKGROUND For children and adolescents,deliberate self-harm(DSH)is becoming a mental health problem of concern.Despite several studies on the prevalence and factors of DSH in the world,there is little information on ...BACKGROUND For children and adolescents,deliberate self-harm(DSH)is becoming a mental health problem of concern.Despite several studies on the prevalence and factors of DSH in the world,there is little information on DSH among children and adolescents in China.This study explores the prevalence,types,associated risk factors and tendency of DSH in pediatric psychiatric inpatients in China.AIM To understand the situation of DSH among hospitalized children and adolescents and its related factors.METHODS In this study,we retrospectively studied 1414 hospitalized children and adolescents with mental illness at Xiamen Mental Health Center from 2014 to 2019,extracted the demographic and clinical data of all patients,and analyzed clinical risk factors of DSH.RESULTS A total of 239(16.90%)patients engaged in at least one type of DSH in our study.Cutting(n=115,48.12%)was the most common type of DSH.Females(n=171,71.55%)were more likely to engage in DSH than males(n=68,28.45%).DSH was positively associated with depressive disorders[OR=3.845(2.196-6.732);P<0.01],female[OR=2.536(1.815-3.542);P<0.01],parental marital status[OR=5.387(2.254-12.875);P<0.01]and negative family history of psychiatric illness[OR=7.767(2.952-20.433);P<0.01],but not with occupation,substance use and history of physical abuse.CONCLUSION Our findings suggest that for patients with depression,females,an abnormal marriage of parents,and no history of mental illness,attention should be paid to the occurrence of DSH.展开更多
Aim:Gender dysphoria causes significant psychological distress in individuals,leading many to seek medical interventions,including hormone therapy and gender-affirming surgery(GAS).This study sought to enhance the und...Aim:Gender dysphoria causes significant psychological distress in individuals,leading many to seek medical interventions,including hormone therapy and gender-affirming surgery(GAS).This study sought to enhance the understanding of life satisfaction and self-harm and suicidal thoughts among transgender women after genital GAS.Methods:A retrospective cohort of 102 transgender women who underwent GAS during 2011-2021 at Sahlgrenska University Hospital,with a follow-up period of at least 1 year after genital GAS,was studied.Data were collected as part of a larger initiative that focused on transgender women.The participants were surveyed using the Life Satisfaction Questionnaire,Gender Congruence and Life Satisfaction Scale,and a general demographic health survey.Data were analyzed using descriptive statistics.Results:Of the 98 eligible participants,50 completed the questionnaire.Although 28%of the respondents experienced thoughts of self-harm or suicidal ideation postoperatively,they reported overall satisfaction with life and mental health,suggesting that surgical treatment may have had a positive impact on life satisfaction and gender congruence.Conclusion:Our study highlights the significant issues of thoughts of self-harm or suicidal ideation among transgender women after genital GAS.Although the prevalence thereof was lower than that reported previously,it remains concerning.Nevertheless,most participants reported life satisfaction and finding life meaningful postsurgery.These findings emphasize the need for integrating continuous mental health support with access to GAS to address the mental health challenges of transgender women after genital GAS,while aiming to improve the quality of life as the primary goal.展开更多
Recently,inflammatory cytokine profiles have been linked to suicide risk in adolescents with non-suicidal self-injury,highlighting a promising biological dimension of suicide risk assessment.Clinical translation of th...Recently,inflammatory cytokine profiles have been linked to suicide risk in adolescents with non-suicidal self-injury,highlighting a promising biological dimension of suicide risk assessment.Clinical translation of the cytokine profiles into practice will require frontline engagement of the workforce.Mental health nurses are frequently the most accessible professionals in schools,communities,and low-resource settings and are prime candidates to bridge this gap.By integrating psychosocial evaluation with emerging biomarker data,they can deliver systematic risk assessment,continuous monitoring,and timely intervention.This role would not replace psychiatric expertise;it would extend the reach of psychiatric services,embedding suicide prevention across the continuum of care.For health systems,nurse-led integration may enhance capacity,equity,and resilience in responding to adolescent suicide risk.This editorial demonstrates that empowering nurses to operationalize biomarker-informed strategies is needed for advancing effective and sustainable suicide prevention in this vulnerable population.展开更多
目的探讨中国大学生非自杀性自伤行为(non-suicidal self-injury,NSSI)发生率及影响因素,为制定有效的预防和干预措施提供参考。方法检索CNKI、CBM、VIP、WanFang Data、PubMed、Embase和Web of Science数据库,选取建库至2024年12月20...目的探讨中国大学生非自杀性自伤行为(non-suicidal self-injury,NSSI)发生率及影响因素,为制定有效的预防和干预措施提供参考。方法检索CNKI、CBM、VIP、WanFang Data、PubMed、Embase和Web of Science数据库,选取建库至2024年12月20日发表的相关文献。文献筛选、资料提取和质量评价过程由2名研究员独立进行,采用Stata17.0软件进行Meta分析。结果纳入36篇文献,中国大学生NSSI发生率为14.3%[95%CI(12.2%,16.5%)]。女性[OR=0.83,95%CI(0.78,0.89)]、性格自评偏中性[OR=0.76,95%CI(0.69,0.83)],性格自评偏外向[OR=0.75,95%CI(0.68,0.82)]是中国大学生NSSI发生的保护因素;年级为大一[OR=1.55,95%CI(1.22,1.97)]、年级为大二[OR=1.74,95%CI(1.36,2.23)]、城市或城镇出生[OR=1.44,95%CI(1.26,1.64)]、非医学院校或专业[OR=1.50,95%CI(1.39,1.61)]、负性生活事件[OR=1.02,95%CI(1.01,1.04)]、在小学及更早时期受性虐待[OR=3.14,95%CI(1.97,5.02)]、抑郁[OR=1.47,95%CI(1.33,1.63)]、焦虑[OR=2.20,95%CI(1.25,3.87)]、幻想[OR=1.18,95%CI(1.03,1.35)]、饮酒[OR=1.60,95%CI(1.40,1.83)]、伤心绝望[OR=6.32,95%CI(2.96,13.51)]是中国大学生NSSI发生的危险因素。结论中国大学生NSSI发生率较高,且与多种因素密切相关。针对高风险群体,应加强情绪管理、心理健康支持和早期筛查,以有效降低NSSI发生率。展开更多
目的系统评价和整合急诊科医护人员照护自残患者体验的质性研究。方法计算机检索PubMed、Embase、Web of Science、CINAHL(EBSCO)、Scopus、Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库,筛选有关急诊...目的系统评价和整合急诊科医护人员照护自残患者体验的质性研究。方法计算机检索PubMed、Embase、Web of Science、CINAHL(EBSCO)、Scopus、Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库,筛选有关急诊科医护人员照护自残患者体验的质性研究,时限从建库至2024年12月31日。对纳入文献进行质量评价,运用汇集性整合方法进行整合。结果共纳入16篇文献,得到4个整合结果:存在多重情感体验;产生的促进和阻碍因素;采取不同应对策略;照护自残患者的益处体现。结论应密切关注急诊科医护人员照护自残患者的情感变化,针对性解决照护过程中的阻碍因素,协助医护人员在照护过程中采取不同的应对策略,帮助其体会照护过程中的益处,最终提高急诊科医护人员照护质量,提高自残患者就诊体验,防止患者反复自残甚至自杀。展开更多
基金Supported by National Natural Science Foundation of China,No. 82060601Top Young Talents of Yunnan Ten Thousand Talents Plan,No. YNWR-QNBJ-2018-286the Innovative Research Team of Yunnan Province,No. 202005AE160002
文摘BACKGROUND Previous studies have shown that personality traits are associated with self-harm(SH)in adolescents.However,the role of resilience in this association remains unclear.Our research aims to explore the hypothesized mediation effect of resilience in the relationship between personality traits and SH in Chinese children and adolescents.AIM To evaluate resilience as a mediator of the association between personality traits and SH.METHODS A population-based cross-sectional survey involving 4471 children and adolescents in Yunnan province in southwestern China was carried out.Relevant data were collected by self-reporting questionnaires.Univariate and multivariate logistic regression models were employed to identify associated factors of SH.A path model was used to assess the mediation effect of resilience with respect to personality traits and SH association.RESULTS Among the 4471 subjects,1795 reported SH,with a prevalence of 40.1%(95%CI:34.4%-46.0%).All dimensions of personality traits were significantly associated with SH prevalence.Resilience significantly mediated the associations between three dimensions of personality(extroversion,neuroticism,psychoticism)and SH,accounting for 21.5%,4.53%,and 9.65%,respectively,of the total associations.Among all dimensions of resilience,only emotional regulation played a significant mediation role.CONCLUSION The results of the study suggest that improving emotion regulation ability might be effective in preventing personality-associated SH among Chinese children and adolescents.
文摘<strong>Background: </strong>There is no extensive literature on social predictors of self-harm in the juvenile justice system, over the time of a prisoner’s sentence. Self-harm behavior displays a higher prevalence in prison, 11 to 14 times greater than in the general population. Our study extended the current research in self-harm by examining dynamic factors of self-harm in adolescents over their sentence in the Romanian juvenile prison system. <strong>Method: </strong>The present research examined longitudinal predictors of self-harm behaviors in 439 adolescent inmates (Mage = 16.21;5.2% female, 94.8% male), enrolled in prison during 2011-2012, following them for two years. A series of time-to-event analyses were applied to start from the time of the subject’s internment in the juvenile prison system. <strong>Results:</strong> Findings from the multivariate survival analyses show that adherence to self-harm conduct in prison was consistently influenced by family factors and prison contexts;although low ability to cope with frustration, sensitivity and emotion dysregulation also mattered. Keeping the other covariates invariant, serving a prison sentence in a closed regime reduces the probability of remaining free of self-harm events, increasing the monthly hazard of self-harm by a factor of 5.26 on average (HR = 5.26, 95% CI = 2.37 - 11.64) compared to the open regime. <strong>Conclusion:</strong> A greater focus on longitudinal studies may help improve the screening process and also follow the progress of each juvenile to warrant the efficacy of preventive programs in self-harm, according to their emerging needs.
基金Supported by Shenzhen Fund for Guangdong Provincial High-level Clinical Key Specialties,No.SZGSP013Shenzhen Key Medical Discipline Construction Fund,No.SZXK042+2 种基金Sanming Project of Medicine in Shenzhen,No.SZSM202311025Natural Science Fund of Fujian Province,No.2023J011622Natural Science Fund of Xiamen City,No.3502Z20224ZD1259.
文摘BACKGROUND For children and adolescents,deliberate self-harm(DSH)is becoming a mental health problem of concern.Despite several studies on the prevalence and factors of DSH in the world,there is little information on DSH among children and adolescents in China.This study explores the prevalence,types,associated risk factors and tendency of DSH in pediatric psychiatric inpatients in China.AIM To understand the situation of DSH among hospitalized children and adolescents and its related factors.METHODS In this study,we retrospectively studied 1414 hospitalized children and adolescents with mental illness at Xiamen Mental Health Center from 2014 to 2019,extracted the demographic and clinical data of all patients,and analyzed clinical risk factors of DSH.RESULTS A total of 239(16.90%)patients engaged in at least one type of DSH in our study.Cutting(n=115,48.12%)was the most common type of DSH.Females(n=171,71.55%)were more likely to engage in DSH than males(n=68,28.45%).DSH was positively associated with depressive disorders[OR=3.845(2.196-6.732);P<0.01],female[OR=2.536(1.815-3.542);P<0.01],parental marital status[OR=5.387(2.254-12.875);P<0.01]and negative family history of psychiatric illness[OR=7.767(2.952-20.433);P<0.01],but not with occupation,substance use and history of physical abuse.CONCLUSION Our findings suggest that for patients with depression,females,an abnormal marriage of parents,and no history of mental illness,attention should be paid to the occurrence of DSH.
文摘Aim:Gender dysphoria causes significant psychological distress in individuals,leading many to seek medical interventions,including hormone therapy and gender-affirming surgery(GAS).This study sought to enhance the understanding of life satisfaction and self-harm and suicidal thoughts among transgender women after genital GAS.Methods:A retrospective cohort of 102 transgender women who underwent GAS during 2011-2021 at Sahlgrenska University Hospital,with a follow-up period of at least 1 year after genital GAS,was studied.Data were collected as part of a larger initiative that focused on transgender women.The participants were surveyed using the Life Satisfaction Questionnaire,Gender Congruence and Life Satisfaction Scale,and a general demographic health survey.Data were analyzed using descriptive statistics.Results:Of the 98 eligible participants,50 completed the questionnaire.Although 28%of the respondents experienced thoughts of self-harm or suicidal ideation postoperatively,they reported overall satisfaction with life and mental health,suggesting that surgical treatment may have had a positive impact on life satisfaction and gender congruence.Conclusion:Our study highlights the significant issues of thoughts of self-harm or suicidal ideation among transgender women after genital GAS.Although the prevalence thereof was lower than that reported previously,it remains concerning.Nevertheless,most participants reported life satisfaction and finding life meaningful postsurgery.These findings emphasize the need for integrating continuous mental health support with access to GAS to address the mental health challenges of transgender women after genital GAS,while aiming to improve the quality of life as the primary goal.
文摘Recently,inflammatory cytokine profiles have been linked to suicide risk in adolescents with non-suicidal self-injury,highlighting a promising biological dimension of suicide risk assessment.Clinical translation of the cytokine profiles into practice will require frontline engagement of the workforce.Mental health nurses are frequently the most accessible professionals in schools,communities,and low-resource settings and are prime candidates to bridge this gap.By integrating psychosocial evaluation with emerging biomarker data,they can deliver systematic risk assessment,continuous monitoring,and timely intervention.This role would not replace psychiatric expertise;it would extend the reach of psychiatric services,embedding suicide prevention across the continuum of care.For health systems,nurse-led integration may enhance capacity,equity,and resilience in responding to adolescent suicide risk.This editorial demonstrates that empowering nurses to operationalize biomarker-informed strategies is needed for advancing effective and sustainable suicide prevention in this vulnerable population.
文摘目的探讨中国大学生非自杀性自伤行为(non-suicidal self-injury,NSSI)发生率及影响因素,为制定有效的预防和干预措施提供参考。方法检索CNKI、CBM、VIP、WanFang Data、PubMed、Embase和Web of Science数据库,选取建库至2024年12月20日发表的相关文献。文献筛选、资料提取和质量评价过程由2名研究员独立进行,采用Stata17.0软件进行Meta分析。结果纳入36篇文献,中国大学生NSSI发生率为14.3%[95%CI(12.2%,16.5%)]。女性[OR=0.83,95%CI(0.78,0.89)]、性格自评偏中性[OR=0.76,95%CI(0.69,0.83)],性格自评偏外向[OR=0.75,95%CI(0.68,0.82)]是中国大学生NSSI发生的保护因素;年级为大一[OR=1.55,95%CI(1.22,1.97)]、年级为大二[OR=1.74,95%CI(1.36,2.23)]、城市或城镇出生[OR=1.44,95%CI(1.26,1.64)]、非医学院校或专业[OR=1.50,95%CI(1.39,1.61)]、负性生活事件[OR=1.02,95%CI(1.01,1.04)]、在小学及更早时期受性虐待[OR=3.14,95%CI(1.97,5.02)]、抑郁[OR=1.47,95%CI(1.33,1.63)]、焦虑[OR=2.20,95%CI(1.25,3.87)]、幻想[OR=1.18,95%CI(1.03,1.35)]、饮酒[OR=1.60,95%CI(1.40,1.83)]、伤心绝望[OR=6.32,95%CI(2.96,13.51)]是中国大学生NSSI发生的危险因素。结论中国大学生NSSI发生率较高,且与多种因素密切相关。针对高风险群体,应加强情绪管理、心理健康支持和早期筛查,以有效降低NSSI发生率。
文摘目的系统评价和整合急诊科医护人员照护自残患者体验的质性研究。方法计算机检索PubMed、Embase、Web of Science、CINAHL(EBSCO)、Scopus、Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库,筛选有关急诊科医护人员照护自残患者体验的质性研究,时限从建库至2024年12月31日。对纳入文献进行质量评价,运用汇集性整合方法进行整合。结果共纳入16篇文献,得到4个整合结果:存在多重情感体验;产生的促进和阻碍因素;采取不同应对策略;照护自残患者的益处体现。结论应密切关注急诊科医护人员照护自残患者的情感变化,针对性解决照护过程中的阻碍因素,协助医护人员在照护过程中采取不同的应对策略,帮助其体会照护过程中的益处,最终提高急诊科医护人员照护质量,提高自残患者就诊体验,防止患者反复自残甚至自杀。
