中国青少年非自杀性自伤检出率及影响因素meta分析

陶梦阳; 冯龙飞; 郭飞; 海帆; 杨世昌

doi:10.16190/j.cnki.45-1211/r.2023.10.005

中国青少年非自杀性自伤检出率及影响因素meta分析

陶梦阳¹,
冯龙飞^2,5,
郭飞¹,
海帆³,
杨世昌^1,4, ,

1. 新乡医学院第二附属医院, 新乡 453002;
2. 灵宝市第一人民医院, 灵宝 472000;
3. 郑州市第八人民医院, 郑州 450052;
4. 新乡医学院精神疾病中西医结合临床中心, 新乡 453002;
5. 灵宝市第五人民医院, 灵宝 472000

基金项目:

河南省精神心理疾病临床医学研究中心开放课题资助项目（No.2019-zxkfkt-007）

详细信息

通讯作者:
杨世昌,E-mail:yangshch2000@163.com

中图分类号: R749
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出版历程
- 收稿日期: 2023-07-08
- 网络出版日期: 2024-01-31
- 刊出日期: 2023-10-01

Meta-analysis on the detection rate and influencing factors of non-suicide self-injury among adolescents in China

1. The Second Affiliated Hospital of Xinxiang Medical University, Xinxiang 453002, China;
2. The First People's Hospital of Lingbao, Lingbao 472000, China;
3. The Eighth People's Hospital of Zhengzhou, Zhengzhou 450052, China;
4. Xinxiang Medical Universi-ty Psychosis Combination of Chinese Traditional and Western Medicine Clinical Center, Xinxiang 453002, Chi-na;
5. The Fifth Hospital of Lingbao, Lingbao 472000, China

摘要

摘要 目的：分析2012—2022 年中国青少年健康人群中非自杀性自伤（NSSI）的检出率及NSSI 的影响因素。方法：检索CNKI、WanFang Data、VIP、PubMed、Embase、Medline 数据库，纳入符合标准的有关青少年NSSI 影响因素的横断面研究，检索日期为2012 年1 月至2022 年9 月；由2 名研究者独立按纳入排除标准筛选文献和提取数据，对纳入文献进行质量评价，使用Stata SE 17对数据进行meta分析。结果：共纳入了14篇文献，总样本量为67 006例，其中男35 103例，女31 903例，NSSI人数为20 495 例；meta 分析结果显示：中国健康人群中青少年NSSI行为的总检出率为25%。女生的检出率为26%，男生的检出率为24%，女生检出率是男生的1.07倍；与社会相关的因素中，社会排挤度高、同伴关系差和近期生活压力大增加青少年NSSI行为的发生风险，社会受支持度高减少该行为的发生。与学校相关的因素中，寄宿制能降低青少年NSSI行为发生的风险，而学业压力较大、遭遇校园霸凌和网络成瘾都增加了该行为发生的风险。与家庭相关的因素中，主要照料人文化水平高能降低青少年NSSI行为的发生风险，独生子女群体、单亲和联合家庭以及不合理的教养方式均增加了该行为发生的风险。个人相关因素中，抑郁症状的严重程度影响青少年NSSI 行为的发生风险。Egger’s 检验结果为P=0.151，不存在发表偏倚。结论：中国青少年健康人群中NSSI行为的检出率较高，青少年女性是该行为的高发人群，社会因素、学校因素、家庭因素及个人因素均对青少年NSSI行为的发生产生影响。
- 青少年 /
- 非自杀性自伤 /
- 影响因素 /
- meta分析
Abstract Objective: To analyze the detection rate of non-suicidal self-injury (NSSI) among healthy adoles-cents in China from 2012 to 2022 and the influencing factors of NSSI.Methods: CNKI, WanFang Data, VIP, PubMed, Embase and Medline databases were searched, and the cross-sectional study on influencing factors of adolescent NSSI was included.The retrieval date was from January 2012 to September 2022.Two researchers in-dependently screened the literature and extracted data according to inclusion and exclusion criteria, evaluated the quality of the included literatures, and used Stata SE 17 software to conduct meta-analysis of the data.Results: A total of 14 articles were included, with a total sample size of 67, 006, including 35, 103 boys, 31, 903 girls and 20, 495 non-suicidal self-injuries.Meta-analysis showed that the total detection rate of NSSI among healthy ado-lescents in China was 25%.The detection rate for girls was 26%, while for boys, it was 24%, and the detection rate for girls was 1.07 times that for boys.Among the factors related to society, high social ex-clusion, poor peer relationship and recent life pressure increased the risk of NSSI among adolescents, while high social support reduced the occurrence of this behavior.Among the school-related factors, boarding reduced the risk of NSSI amomg adolescents, while great academic pressure, campus bullying and internet addiction all in-creased the risk of this behavior.Among the family-related factors, the high educational level of the primary care-givers reduced the risk of NSSI amomg adolescents, while the only-child group, single parent, joint family and unreasonable parenting styles all increased the risk of this behavior.Among personal related factors, the severity of depressive symptoms affected the risk of NSSI amomg adolescents.Egger’s test result was P=0.151, and there was no publication bias.Conclusion: The detection rate of NSSI among healthy adolescents in China is high, and adolescent females are the high-risk population of this behavior.Social factors, school factors, family factors and personal factors all affect the occurrence of NSSI among adolescents.
- adolescents /
- non-suicidal self-injury /
- influencing factors /
- meta-analysis

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