Risk factors for Non-suicidal self-injury in adolescents with first-episode depressive disorder
Objective To explore the risk factors of non-suicidal self-injury(NSSI)in adolescents with first-episode depressive disorder in our hospital.Methods A case-control study was conducted to analyze 136 adolescent patients with depressive disorder aged 12-18 years who were hospitalized in my hospital from January to August 2022.According to the presence or absence of NSSI,the patients were divided into two groups:no NSSI group and NSSI group.The differences of Demographic questionnaire,Hamilton Depression Scale,Adolescent Non-suicidal Self-in-jury Questionnaire,the Connor-Davidson Resilience Scale and Adolescent Non-suicidal Self-injury Questionnaire and Childhood Trauma Questionnaire were explored between the two groups.Unconditional logistic regression analysis was used to explore the influence of NSSI of adolescents with depression disorder.Results The differences between the two groups showed that age(x2=7.043,P＜0.05),only child(x2=5.488,P＜0.05),severity of depression(x2=34.594,P＜0.001)and resilience(x2=37.709,P＜0.001)were significantly higher in NSSI group than in NSSI group and whether they experienced childhood abuse(x2=12.687,P＜0.001).Unconditional logistic regression analysis showed that age＜15years old(OR=3.715,P＜0.05),only child(OR=0.156,P＜0.05),severe depression(OR=4.076,P＜0.05),low resilience(OR=2.635,P＜0.05)and childhood abuse(OR=2.539,P＜0.05)were the risk factors for NSSI in adolescents with depressive disorder.Conclusions The risk of NSSI is higher in adolescents with depressive disorder who are younger than 15 years old,the only child,severe depression,low resilience level and experienced childhood abuse.It is suggested that relevant intervention should be focused on these high-risk groups.
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