Feature Reports:Depression

Analysis of influencing factors of non⁃suicidal self⁃injury behavior and motivation in adult patients with depression

  • Li LI ,
  • Lin. TANG
Expand
  • Sichuan Academy of Medical Sciences,Sichuan Provincial People's Hospital,Sichuan Provincial Psychiatric Center (Department of Psychosomatic Digestive Medicine),Chengdu 610000,China

Received date: 2023-08-02

  Online published: 2024-03-08

Abstract

Objective To explore the influencing factors of non-suicidal self-injury behavior and motivation in adult patients with depression. Methods A simple random sampling method was used to select 120 adult patients with depression admitted to our hospital from January 2023 to June 2023 as the research objects. The clinical information of the patients was collected, and their loneliness, frustration and self-injury motivation were evaluated. The influencing factors of non-suicidal self-injury (NSSI) behavior and motivation were statistically analyzed. Results Age, ULS-8 score, DS score, marital status and employment status were the influencing factors of NSSI in adult patients with depression (P < 0.05). ULS-8 score, DS score, marital status (widowed/divorced) and employment status were independent risk factors for NSSI in adult patients with depression (P < 0.05). The ULS-8 score was an independent risk factor for patients with 'emotion regulation' as NSSI motivation. Age, DS score and employment (unemployment) were independent risk factors for patients with 'interpersonal boundary' as NSSI motivation (P < 0.05). Conclusion There are many influencing factors of NSSI and NSSI motivation in adult depression patients, and the influencing factors of different NSSI motivations are different. Clinically, the main motivation and related influencing factors of patients implementing NSSI should be clarified through detailed investigation, so as to facilitate the development of targeted intervention strategies for patients.

Cite this article

Li LI , Lin. TANG . Analysis of influencing factors of non⁃suicidal self⁃injury behavior and motivation in adult patients with depression[J]. The Journal of Practical Medicine, 2024 , 40(4) : 466 -470 . DOI: 10.3969/j.issn.1006-5725.2024.04.005

References

1 GBD 2019 Mental Disorders Collaborators. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019[J]. Lancet Psychiatry, 2022, 9(2): 137-150. doi:10.1016/s2215-0366(21)00395-3
2 FORRESTER R L, SLATER H, JOMAR K, et al. Self-esteem and non-suicidal self-injury in adulthood: A systematic review[J]. J Affect Disord, 2017, 221: 172-183. doi:10.1016/j.jad.2017.06.027
3 FAN Y Y, LIU J, ZENG Y Y, et al.Factors Associated With Non-suicidal Self-Injury in Chinese Adolescents: A Meta-Analysis[J]. Front Psychiatry, 2021, 12: 747031. doi:10.3389/fpsyt.2021.747031
4 ISKRIC A, CENITI A K, BERGMANS Y, et al. Alexithymia and self-harm: A review of nonsuicidal self-injury, suicidal ideation, and suicide attempts[J]. Psychiatry Res, 2020, 288: 112920. doi:10.1016/j.psychres.2020.112920
5 王艳华, 杨永涛, 崔利军, 等. 抑郁症自杀未遂与甲状腺激素、血浆皮质醇关联分析[J]. 实用医学杂志, 2021, 37(16): 2044-2047, 2052. doi:10.3969/j.issn.1006-5725.2021.16.002
6 WANG L, LIU J, YANG Y, et al. Prevalence and risk factors for non-suicidal self-injury among patients with depression or bipolar disorder in China[J]. BMC Psychiatry, 2021, 21(1): 389. doi:10.1186/s12888-021-03392-y
7 WANG P, CHOW S C. Sample size re-estimation in clinical trials[J]. Stat Med, 2021, 40(27): 6133-6149. doi:10.1002/sim.9175
8 中华医学会, 中华医学会杂志社, 中华医学会全科医学分会, 等.抑郁症基层诊疗指南(2021年)[J]. 中华全科医师杂志, 2021, 20(12): 1249-1260. doi:10.3760/cma.j.cn114798-20211020-00778
9 SHRESTHA B, DUNN L.The Declaration of Helsinki on Medical Research involving Human Subjects: A Review of Seventh Revision[J]. J Nepal Health Res Counc, 2020, 17(4): 548-552. doi:10.33314/jnhrc.v17i4.1042
10 MAHON N E, YARCHESKI T J, YARCHESKI A.Validation of the revised UCLA Loneliness Scale for adolescents[J]. Res Nurs Health, 1995, 18(3): 263-270. doi:10.1002/nur.4770180309
11 GILBERT P, ALLAN S.The role of defeat and entrapment (arrested flight) in depression: an exploration of an evolutionary view[J]. Psychol Med, 1998, 28(3): 585-598. doi:10.1017/s0033291798006710
12 何尧苇, 姜红燕, 何慧萍, 等.渥太华自伤功能量表在青少年情感障碍患者中的信效度检验[J]. 国际精神病学杂志, 2023, 50(2): 241-243,247.
13 NIXON M K, CLOUTIER P F, AGGARWAL S.Affect regulation and addictive aspects of repetitive self-injury in hospitalized adolescents[J]. J Am Acad Child Adolesc Psychiatry, 2002, 41(11): 1333-1341. doi:10.1097/00004583-200211000-00015
14 美国精神医学学会. 精神障碍诊断与统计手册[M]. 5版. 张道龙, 译.北京: 北京大学出版社, 2015: 155-189.
15 BABCOCK FENERCI R L, JENKINS G A, GILBERT A C, et al. Maltreatment history and reasons for self-injurious behavior among adolescents engaged in non-suicidal self-injury versus adolescents who attempted suicide[J]. Suicide Life Threat Behav, 2022, 52(5): 898-907. doi:10.1111/sltb.12887
16 ANGELAKIS I, GOODING P. Experiential avoidance in non-suicidal self-injury and suicide experiences: A systematic review and meta-analysis[J]. Suicide Life Threat Behav, 2021,51(5):978-992. doi:10.1111/sltb.12784
17 SONG X, HUANG L, HOU D, et al. Influencing factors of non-suicidal self-injury according to DSM-5 in adolescents admitted to the psychiatric department: a cross-sectional study[J]. Transl Pediatr, 2022, 11(12): 1972-1984. doi:10.21037/tp-22-588
18 GANDHI A, LUYCKX K, GOOSSENS L, et al.Association between Non-Suicidal Self-Injury, Parents and Peers Related Loneliness, and Attitude Towards Aloneness in Flemish Adolescents: An Empirical Note[J]. Psychol Belg, 2018, 58(1): 3-12. doi:10.5334/pb.385
19 RUSSELL K, RASMUSSEN S, HUNTER S C.Does Mental Well-Being Protect against Self-Harm Thoughts and Behaviors during Adolescence? A Six-Month Prospective Investigation[J]. Int J Environ Res Public Health, 2020, 17(18): 6771. doi:10.3390/ijerph17186771
20 HAYWOOD S B, HASKING P, BOYES M E. Associations between non-suicidal self-injury and experiential avoidance: A systematic review and Robust Bayesian Meta-analysis[J]. J Affect Disord, 2023, 325: 470-479. doi:10.1016/j.jad.2023.01.027
21 SCHWARTZ-METTE R A, LAWRENCE H R. Peer Socialization of Non-Suicidal Self-Injury in Adolescents' Close Friendships[J].J Abnorm Child Psychol, 2019, 47(11): 1851-1862. doi:10.1007/s10802-019-00569-8
22 PIARULLI F M, MARGARI A, MARGARI F, et al. Do Cortisol and Dehydroepiandrosterone Influence Motivational Factors for Non-Suicidal Self-Injury in Female Adolescents?[J]. J Clin Med, 2023, 12(5): 1924. doi:10.3390/jcm12051924
23 SLABBERT A, HASKING P, NOTEBAERT L, et al.The Role of Distress Tolerance in the Relationship Between Affect and NSSI[J]. Arch Suicide Res, 2022, 26(2): 761-775. doi:10.1080/13811118.2020.1833797
24 刘劲, 易先国.抑郁症缓解期患者认知功能特征分析[J]. 医学临床研究, 2019, 36(1): 157-159. doi:10.3969/j.issn.1671-7171.2019.01.054
25 SORGI-WILSON K M, CHEUNG J C, CIESINSKI N K, et al. Cognition and Non-Suicidal Self-Injury: Exploring Relationships with Psychological Functions[J]. Arch Suicide Res, 2023, 27(3): 1002-1018. doi:10.1080/13811118.2022.2106919
Outlines

/