Multidimensional stress and self-harm in Chinese preadolescents: A cross-sectional study.

Autor: Ai M; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, China., Wang W; Mental Health Center, University-Town Hospital of Chongqing Medical University, China., Chen JM; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, China., He JL; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, China., Zhang Q; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, China., Hong S; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, China., Gan Y; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, China., Cao J; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, China., Ding DQ; Mental Health Center, University-Town Hospital of Chongqing Medical University, China., Tian YY; Mental Health Center, University-Town Hospital of Chongqing Medical University, China., Hu JH; Mental Health Center, University-Town Hospital of Chongqing Medical University, China., Xiang JJ; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, China., Zhang S; Mental Health Center, University-Town Hospital of Chongqing Medical University, China., Lin XZ; Department of Psychiatry, The Second Affiliated Hospital of Chongqing Medical University, China., Chen YJ; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, China., Zhou YH; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, China., Hu B; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, China., Kuang L; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, China; Mental Health Center, University-Town Hospital of Chongqing Medical University, China. Electronic address: kuangli0308@163.com., Xu XM; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, China. Electronic address: xiao.m.xu@foxmail.com.
Jazyk: angličtina
Zdroj: Journal of affective disorders [J Affect Disord] 2024 Dec 08; Vol. 372, pp. 370-376. Date of Electronic Publication: 2024 Dec 08.
DOI: 10.1016/j.jad.2024.12.034
Abstrakt: Background: Limited research has been conducted on self-harm among preadolescents in China. This study investigated the influence of multidimensional stress on high levels of self-harm behavior in preadolescents.
Method: This large-scale cross-sectional study of 7-14-year-old primary school students in grades 3-6 was conducted in Southwest China between September and December 2020. Data on sociodemographic characteristics and multidimensional stressors were collected and analyzed.
Results: The self-harm prevalence among the 48,117 preadolescents was 13.6 % (n = 6561), with respective prevalence rates of 13.2 % in males and 14.1 % in females. Chi-square and binary logistic regression analyses were employed. The most important factors for self-harm were ranked as follows: high academic pressure (OR = 2.00, 95 % CI 1.90-2.09), poor relationship with parents (OR = 1.89, 95 % CI 1.78-2.00), frequently being bullied (OR = 1.53, 95 % CI 1.47-1.60), early-onset menstruation (OR = 1.33, 95 % CI 1.22-1.46), frequent smartphone use (OR = 1.31, 95 % CI 1.26-1.37), poor classmate relationships (OR = 1.31, 95 % CI 1.24-1.38), poor relationship between parents (OR = 1.11, 95 % CI 1.08-1.14), poor family financial situation (OR = 1.11, 95 % CI 1.05-1.17), and being bullied within the past 1 month (OR = 1.05, 95 % CI 1.02-1.07).
Limitations: The limitations of this study include its cross-sectional design, the use of a non-structured questionnaire, the subjectivity of some items, the reliance on a single question about self-harm, and the possibility that participants may have concealed the true nature of their behaviors.
Conclusion: Preadolescents in China exhibited high rates of self-harm behaviors. It is recommended that schools and families pay more attention to the mental health of preadolescent students, especially with regard to self-harm, and develop targeted interventions to address this issue.
Competing Interests: Declaration of competing interest None.
(Copyright © 2024. Published by Elsevier B.V.)
Databáze: MEDLINE
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