Abstract：【Objective】 To explore the related influencing factors of non-suicidal self-injury (NSSI) in adolescent depression patients. 【Methods】 A retrospective analysis was conducted on the clinical data of 120 adolescent depression patients admitted to our hospital from June 2022 to June 2025. Patients were divided into a non-self-harm /suicidal behavior group (n=68) and an NSSI group (n=52) based on whether they had NSSI. Sociodemographic data, disease history, psychological assessment results, and life event records were collected from the two groups of patients. Logistic regression model was used to analyze potential risk factors affecting NSSI occurrence, and a prediction model was constructed based on these factors. 【Results】 The scores of neuroticism and psychoticism in the NSSI group were higher than those in the group without self-harm/suicide behavior, and the difference was statistically significant (P<0.05). There was no statistically significant difference (P>0.05) in the comparison of internal and external tendencies and concealment scores between the two groups. The Hamilton Depression Rating Scale 24 (HAMD-24), Childhood Abuse Questionnaire (CTQ), and Adolescent Life Events Scale (ASLEC) scores of the NSSI group were significantly higher than those of the group without self-harm/suicide behavior, and the Self Esteem Scale (SES) scores in the NSSI group were lower than those of the group without self-harm/suicide behavior, with statistical significance (P<0.05). The NSSI group scored higher than the group without self-harm/suicide behavior in terms of paternal rejection, maternal rejection, maternal emotional warmth, and maternal overprotection, and the difference was statistically significant (P<0.05). Logistic regression analysis showed that neuroticism, psychoticism, HAMD-24 score, CTQ score, paternal rejection, and ASLEC score were related factors affecting the occurrence of NSSI in adolescent depression patients (P<0.05). 【Conclusion】 Factors such as personality traits, degree of depression, early life events, and family environment are all closely related to the occurrence of NSSI in adolescents with depression. It is recommended that when treating adolescents with depression, these psychological and social factors should be comprehensively considered. Thus, corresponding intervention measures should be taken to reduce the occurrence of NSSI.
[1] LIU R T, WALSH R F L, SHEEHAN A E, et al. Prevalence and correlates of suicide and nonsuicidal self-injury in children: a systematic review and meta-analysis[J].JAMA Psychiatry,2022,79(7):718-726. [2] POUDEL A, LAMICHHANE A, MAGAR K R, et al. Non suicidal self injury and suicidal behavior among adolescents: co-occurrence and associated risk factors[J].BMC Psychiatry,2022,22(1):96. [3] ZHANG B, ZHANG W, SUN L M, et al. Relationship between alexithymia, loneliness, resilience and non-suicidal self-injury in adolescents with depression: a multi-center study[J].BMC Psychiatry,2023,23(1):445. [4] AMERICAN PSYCHIATRIC ASSOCIATION. Diagnostic and statistical manual of mental disorders[M]. 5th ed. Washington, DC:American Psychiatric Association,2013: 155-188. [5] 钱铭怡,武国城,朱荣春,等.艾森克人格问卷简式量表中国版(EPQ-PSC)的修订[J].心理学报,2000,32(3):317-323. [6] 辛秀红, 姚树桥. 青少年生活事件量表效度与信度的再评价及常模更新[J].中国心理卫生杂志,2015,29(5):355-360. [7] 王萍, 高华, 许家玉, 等.自尊量表的信效度研究[J].精神医学杂志, 1998, 11(4): 31-32. [8] HAMILTON M. The assessment of anxiety states by rating[J].Br J Med Psychol,1959,32(1):50-55. [9] VINDBJERG E, MAKRANSKY G,MORTENSEN E L, et al. Cross-cultural psychometric properties of the Hamilton Depression Rating Scale[J].Can J Psychiatry,2019, 64(1):39-46. [10] 赵幸福, 张亚林, 李龙飞, 等. 中文版儿童期虐待问卷的信度和效度[J].中国临床康复, 2005, 9(20): 105-107. [11] 蒋奖, 鲁峥嵘, 蒋苾菁, 等. 简式父母教养方式问卷中文版的初步修订[J].心理发展与教育, 2010, 26(1): 94-99. [12] LIU S, WU W C, ZOU H Y, et al. Cybervictimization and non-suicidal self-injury among Chinese adolescents: the effect of depression and school connectedness[J].Front Public Health,2023,11:1091959. [13] LIU Z Z, TEIN J Y, JIA C X, et al. Depression as a mediator between frequent nightmares and non-suicidal self-injury among adolescents: a 3-wave longitudinal model[J].Sleep Med,2021 77:29-34. [14] BENDEZU′ J J, THAI M, WIGLESWORTH A, et al. Adolescent stress experience-expression-physiology correspondence: Links to depression, self-injurious thoughts and behaviors, and frontolimbic neural circuity[J].J Affect Disord,2022, 300:269-279. [15] 张梓澜,张晓梅,王熙超,等. 青少年神经质人格与无法忍受不确定性的关系研究:依恋的中介效应[J].国际精神病学杂志,2023,50(2):237-240. [16] 严惠茹,李明珠,葛宇琪,等. 青少年及成年早期精神障碍患者非自杀性自伤功能与成瘾特征和神经质人格的关系[J].中国心理卫生杂志,2024,38(4):332-337. [17] 张爱国,胡晓娟,张许来. 伴非自杀性自伤行为的抑郁障碍患者血清炎性标志物水平与冲动特质的相关性[J].安徽医科大学学报,2023,58(10):1769-1772. [18] PINQUART M. Associations of parenting dimensions and styles with externalizing problems of children and adolescents: an updated meta-analysis[J].Dev Psychol,2017, 53(5): 873-932. [19] GRATZ K L. Risk factors for deliberate self-harm among female college students: the role and interaction of childhood maltreatment, emotional inexpressivity, and affect intensity/ reactivity[J].Am J Orthopsychiatry,2006, 76(2): 238-250.
2026, Vol. 43 
