Non-suicidal self-injurious behaviors and associations with help-seeking behaviors among Tibetan middle school students in agricultural and pastoral areas of Tibet
Objective To investigate the status of non-suicidal self-injury(NSSI)among Tibetan middle school students in agricultural and pastoral areas of Tibet and its association with help-seeking behaviors,in order to provide reference for the prevention and intervention of NSSI in this demographic.Methods A self-report questionnaire survey on NSSI and help-seeking behaviors was conducted among 4 204 Tibetan middle school students in the rural and pastoral areas of Nagqu and Ali regions of Tibet from April to May 2023.Chi-square tests,t test,and Logistic regression analysis were employed to analyze the data.Results The detection rate of NSSI among Tibetan middle school students in agricultural and pastoral areas of Tibet was 33.33％(1 401/4 204),with junior high school students having a significantly higher rate of 36.00％(878/2 439)compared to 29.63％(523/1 765)for senior high school students(x2=18.68,P＜0.01).Senior high school students with NSSI had a significantly lower score on help-seeking intentions,help-seeking targets(family,teachers,friends),and help-seeking methods(face-to-face communication,telephone conversations,WeChat/QQ)than those without NSSI(P＜0.01).Logistic regression analysis revealed that female junior high school students(OR=1.46),class leaders(OR=1.28),urban students(OR=1.47),average parent-child relationships(OR=1.46),poor parent-child relationships(OR=2.01),average parenting styles(OR=1.44),poor parenting styles(OR=2.11),frequent scolding(OR=1.99),and heavy academic pressure(OR=1.42)were positively associated with the occurrence of NSSI(P＜0.05).Among senior high school students,help-seeking intentions(OR=0.85),seeking help from family members(OR=0.96),and seeking help from teachers(OR=0.98)were negatively associated with the occurrence of NSSI(P＜0.05).Conclusions NSSI among Tibetan secondary school students in agricultural and pastoral areas of Tibet should not be ignored,and there is a close association between NSSI and help-seeking behaviors.Tibetan secondary school students in agricultural and pastoral areas should be encouraged to proactively seek help,reduce academic stress and reprimands,and maintain good parent-child relationships and parenting styles in order to reduce the incidence of NSSI.
NETL
NSTL
万方数据
