Deliberate self-harm among Chinese medical students: A population-based study.

Autor: Wu D; Department of Psychology, School of Humanities and Management, Guangdong Medical University, Dongguan, Guangdong 523808, China., Rockett IR; Injury Control Research Center and Department of Epidemiology, School of Public Health,West Virginia University, Morgantown, WV 26506, USA., Yang T; Department of Social Medicine/Center for Tobacco Control Research, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310058, China. Electronic address: tingzhongyang@zju.edu.cn., Feng X; Department of Social Medicine/Center for Tobacco Control Research, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310058, China., Jiang S; Department of Social Medicine/Center for Tobacco Control Research, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310058, China., Yu L; Department of Social Medicine/Center for Tobacco Control Research, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310058, China.
Jazyk: angličtina
Zdroj: Journal of affective disorders [J Affect Disord] 2016 Sep 15; Vol. 202, pp. 137-44. Date of Electronic Publication: 2016 May 26.
DOI: 10.1016/j.jad.2016.05.030
Abstrakt: Background: The phenomenon of deliberate self-harm (DSH) among college students has received increased attention in recent decades. Adopting a psychosocial perspective, this study aims to describe self-reported DSH among Chinese medical college students, assess respective associations between uncertainty stress and social capital with DSH, and explore the mechanism linking these three phenomena.
Methods: A cross-sectional survey employing multi-stage, sampling was conducted. 4446 undergraduate students were recruited from 22 participating Chinese medical universities. Perceived stress from uncertainty and social capital were assessed among the students. The Chi-square test and multiple logistic regression models assessed correlates of DSH. Relationship among social capital, uncertainty stress, and DSH were examined by means of Structural Equation Modeling.
Results: The prevalence of DSH in the past 12 months among Chinese students was 9.6%. The most common types of physical DSH reported were scratching, cutting, and pinching. Age (χ(2)=26.63, p<0.01), gender (χ(2)=30.24, p<0.01), major field (χ(2)=28.13, p<0.01), and annual household income (χ(2)=11.10, p<0.05) were statistically associated with DSH. Uncertainty stress is a unique correlate of DSH, and shows a stronger association than do three certainty stressors. Social capital is also a strong correlate of DSH, especially cognitive social capital. Moreover, social capital may be indirectly associated with DSH through impacting uncertainty stress.
Limitations: This study was a cross-sectional and thus could not evaluate causal relationships.
Conclusion: We recommend that a DSH intervention study should target uncertainty stress management and social capital accumulation. This study provides scientific evidence and theoretical foundation for future DSH interventions, with a view to enhancing the mental health of medical college students.
(Copyright © 2016 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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