Association of childhood abuse experiences and recent stressful life events with NSSI in college students
Objective To understand the prevalence of Non-suicidal self-injury(NSSI)behavior among college students in Suzhou city,analyze the association between childhood abuse and recent life stressful events with NSSI,so as to provide reference for NSSI prevention and control among college students.Methods From October to December 2020,a ques-tionnaire survey was conducted on 6 532 first-year and second-year college students from a vocational college in Suzhou city.The Childhood Abuse Rating Scale,Life Stress Event Scale,and NSSI were used to evaluate the experiences of child-hood abuse,recent life stress events,and NSSI among vocational college students.Logistic regression model was used to analyze the relationship between childhood abuse levels,recent life stress events,and NSSI among college students.Re-sults The overall detection rate of NSSI among college students was 19.0%(1 211/6 366).The detection rates of NSSI among college students in the groups with emotional abuse,physical abuse,sexual abuse and total abuse were 46.3%(435/939),46.2%(444/961),53.6%(165/308)and 42.8%(621/1 452),and the differences in detection rates were statistically significant compared with those in the group without related abusive experiences(x2=533.03,542.78,250.79,688.54,all P<0.01).The NSSI detection rate of college students in the group with recent life stress events was 32.0%(1 011/3 163),which was statistically significant compared to the group without recent stressful life events(x2=683.38,P<0.01).Multifactorial logistic regression analysis showed that childhood abuse(OR=5.09,95%CI:4.43-5.84)and recent stressful life events(OR=6.66%CI:5.64-7.85)were independent risk factors for NSSI,and their combined effect increased the risk of NSSI in college students,and showed a dose-response relationship(P<0.01).Conclusion Childhood abuse and recent stressful life events are important influencing factors of NSSI in college students,and attention to the effects of childhood abuse and recent stress-ful life events is beneficial to the prevention and control of NSSI in college students.
Non-suicidal self-injurious behaviorChildhoodAbuseStressful life eventsCollege studentsHigher vocational schools