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| Influencing Factors Analysis of Non-Suicidal Self-Injury Behavior in Adolescent Depression Patients |
| GUO Bei, DUAN Bo, LI Haigen |
| Department of Sleep Medicine,Rongkang Hospital, Luoyang Henan 471000 |
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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.
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Received: 20 July 2025
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