A longitudinal study of self-injurious thoughts and behaviors transitions and help-seeking intentions among young adults.

Autor: Wang J; Vanke School of Public Health, Tsinghua University, Beijing, China.; Institute for Healthy China, Tsinghua University, Beijing, China., Han M; Vanke School of Public Health, Tsinghua University, Beijing, China.; Institute for Healthy China, Tsinghua University, Beijing, China., Xi Y; National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China., He X; Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China., Feng Y; Mental Health Center, Central University of Finance and Economics, Beijing, China., Chen R; Vanke School of Public Health, Tsinghua University, Beijing, China.; Institute for Healthy China, Tsinghua University, Beijing, China.
Jazyk: angličtina
Zdroj: Suicide & life-threatening behavior [Suicide Life Threat Behav] 2024 Dec; Vol. 54 (6), pp. 1053-1062. Date of Electronic Publication: 2024 Jun 27.
DOI: 10.1111/sltb.13109
Abstrakt: Purpose: Engagement in self-injurious thoughts and behaviors (SITBs) is associated with low help-seeking intentions. Nevertheless, prior research has primarily relied on cross-sectional data, leaving uncertainties about the longitudinal dynamics between SITBs and help-seeking intentions. This study aims to investigate the longitudinal relationship between SITBs and help-seeking intentions for them.
Method: A one-year interval follow-up investigation was conducted among 1788 Chinese students (71.5% girls, M age  = 19.5). Changes in help-seeking intentions were initially analyzed among four SITBs transition groups. Subsequently, a cross-lagged model was employed to explore the possible bidirectional associations.
Results: 232 participants (12.90%) experienced changes in SITBs, while 65 participants (3.60%) exhibited sustained SITBs between two measurement time points. Changes in help-seeking intentions varied across SITBs transition groups. Participants whose SITBs faded 1 year later showed a significant increase in help-seeking intentions, whereas those who experienced newly developed SITBs across two measurement time points demonstrated a significant decline. The cross-lagged analysis revealed that help-seeking intentions negatively predicted the subsequent risk of experiencing SITBs.
Conclusions: Greater help-seeking intentions predicted decreased SITBs 1 year later. Changes in help-seeking intentions serve as a valuable indicator for distinguishing between different types of SITBs transition. These findings underscore the importance of implementing prevention and intervention strategies targeted at enhancing help-seeking intentions to reduce SITBs.
(© 2024 American Association of Suicidology.)
Databáze: MEDLINE