摘要
目的 探讨青少年抑郁症患者自我伤害倾向,并分析其及影响因素.方法 收集96 例青少年抑郁症患者的临床资料,统计青少年抑郁症患者自我伤害倾向发生情况,并采用多因素logistic回归分析影响青少年抑郁症患者发生自我伤害倾向的相关危险因素.结果 96 例青少年抑郁症患者中伴自我伤害倾向者39 例(研究组),占40.62%,其中存在自杀意念者14 例,存在非自杀性自伤行为者25 例;不伴自我伤害倾向者57 例(对照组),占59.38%.多因素logistic回归分析结果显示,家庭形态、被校园暴力、父母教养方式、抑郁程度、倍克-拉范森躁狂量表(BRMS)评分及青少年生活事件量表(ASLEC)评分是影响青少年抑郁症患者自我伤害倾向的独立因素(OR分别=1.62、1.44、1.84、1.61、1.64、1.65,P均＜0.05).结论 家庭形态、被校园暴力、父母教养方式、抑郁程度、BRMS评分及ASLEC评分是影响青少年抑郁症患者出现自我伤害倾向的相关因素,社会相关机构、家庭及校园需重视青少年抑郁症患者自我伤害行为.
Abstract
Objective To investigate the situation of self-harm tendency of adolescents with depression,and analyze its influencing factors.Methods The clinical data of 96 cases of adolescent depression were collected.The incidence of self-injury tendency in adolescent depression patients was counted.And the multivariate logistic regression analysis was used to analyze the related risk factors of self-injury tendency in adolescent depression patients.Results Among the 96 adolescent depression patients,39 cases were with self-harm tendency(research group),accounting for 40.62%.Among them,14 had suicidal ideation and 25 had non suicidal self injuring behaviors.Totally 57 cases without self-harm tenden-cy(control group),accounting for 59.38%.The results of multivariate logistic regression analysis showed that family mor-phology,school violence,parenting style,depression degree,BRMS score and ASLEC score were independent factors af-fecting the self-harm tendency of adolescents with depression(OR=1.62,1.44,1.84,1.61,1.64,1.65,P＜0.05).Conclu-sion Family form,school violence,parental rearing style,degree of depression,BRMS score and ASLEC score are relat-ed factors that affect the self-harm tendency of adolescent depression patients.Social related institutions,families and schools need to pay attention to the self-harm behavior of adolescent depression patients.
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