The association between non-suicidal self-injury and negative life events in children and adolescents in underdeveloped regions of south-western China
Background The association between negative life events and Non-suicidal self-injury (NSSI) in children and adolescents has been extensively discussed. Nevertheless, little is known about the relationship between negative life events and repetition and severity of NSSI. This survey aims to understan...
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PeerJ Inc.
2022-03-01
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| author | Fan Yang Linling Jiang Jing Miao Xiufeng Xu Hailiang Ran Yusan Che Die Fang TianLan Wang Yuanyuan Xiao Jin Lu |
| author_facet | Fan Yang Linling Jiang Jing Miao Xiufeng Xu Hailiang Ran Yusan Che Die Fang TianLan Wang Yuanyuan Xiao Jin Lu |
| author_sort | Fan Yang |
| collection | DOAJ |
| description | Background The association between negative life events and Non-suicidal self-injury (NSSI) in children and adolescents has been extensively discussed. Nevertheless, little is known about the relationship between negative life events and repetition and severity of NSSI. This survey aims to understand the association between NSSI prevalence, severity, repetition and the negative life events in children and adolescents in underdeveloped regions in south-western China. Methods In this population-based cross-sectional study, 3,146 children and adolescents were included from underdeveloped regions of south-western China, and each of them requested to complete a self-assessment questionnaire. The Modified Version of Adolescents Self-Harm Scale (MASHS) and the Adolescent Self-rating negative Life Events Check-list were used to evaluate NSSI behaviors and negative life events, respectively. The statistical implementation of this study was carried out in the R statistical software, and the logistic regression analysis method was used to analyze the relationship between negative life events and adolescents’ non-suicidal self-injury behaviors. Results The average age of all included participants was 13.31 years old. The lifetime prevalence of NSSI was 47.0% (95% CI [36.3–58.0%]). Gender, grade level and ASLEC was positively associated with NSSI. Further analysis revealed that, for all five dimensions of ASLEC, only interpersonal relationship factor (IRF) (OR 1.77 (95% CI [1.06–2.97])), health adaptation factor (HAF) (OR 2.08 (95% CI [1.31–3.31])) showed prominent association with NSSI. Multivariate Logistic regression models revealed that, repetitive NSSI (OR 4.54 (95% CI [3.66–5.63])) and NSSI severity (OR 9.01 (95% CI [6.11–13.29])) were positively associated with ASLEC. Conclusion NSSI is very common among children and adolescents in underdeveloped regions of south-western China. Negative life event are positively associated with NSSI, repeated NSSI, and severe NSSI. Negative life events centered intervention measures might be effective in reducing NSSI among school children and adolescents in underdeveloped regions of south-western China. |
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| language | English |
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| spelling | doaj.art-ab9f218501cc4cba855e62d3a5d225dc2023-12-03T07:15:46ZengPeerJ Inc.PeerJ2167-83592022-03-0110e1266510.7717/peerj.12665The association between non-suicidal self-injury and negative life events in children and adolescents in underdeveloped regions of south-western ChinaFan Yang0Linling Jiang1Jing Miao2Xiufeng Xu3Hailiang Ran4Yusan Che5Die Fang6TianLan Wang7Yuanyuan Xiao8Jin Lu9First Affiliated Hospital of Kunming Medical University, Psychiatric Department, Kunming, Yunnan, ChinaFirst Affiliated Hospital of Kunming Medical University, Psychiatric Department, Kunming, Yunnan, ChinaFirst Affiliated Hospital of Kunming Medical University, Psychiatric Department, Kunming, Yunnan, ChinaFirst Affiliated Hospital of Kunming Medical University, Psychiatric Department, Kunming, Yunnan, ChinaKunming Medical University, School of Public Health, Kunming, Yunnan, ChinaKunming Medical University, School of Public Health, Kunming, Yunnan, ChinaKunming Medical University, School of Public Health, Kunming, Yunnan, ChinaLincang Psychiatric Hospital, Lincang, Yunnan, ChinaKunming Medical University, School of Public Health, Kunming, Yunnan, ChinaFirst Affiliated Hospital of Kunming Medical University, Psychiatric Department, Kunming, Yunnan, ChinaBackground The association between negative life events and Non-suicidal self-injury (NSSI) in children and adolescents has been extensively discussed. Nevertheless, little is known about the relationship between negative life events and repetition and severity of NSSI. This survey aims to understand the association between NSSI prevalence, severity, repetition and the negative life events in children and adolescents in underdeveloped regions in south-western China. Methods In this population-based cross-sectional study, 3,146 children and adolescents were included from underdeveloped regions of south-western China, and each of them requested to complete a self-assessment questionnaire. The Modified Version of Adolescents Self-Harm Scale (MASHS) and the Adolescent Self-rating negative Life Events Check-list were used to evaluate NSSI behaviors and negative life events, respectively. The statistical implementation of this study was carried out in the R statistical software, and the logistic regression analysis method was used to analyze the relationship between negative life events and adolescents’ non-suicidal self-injury behaviors. Results The average age of all included participants was 13.31 years old. The lifetime prevalence of NSSI was 47.0% (95% CI [36.3–58.0%]). Gender, grade level and ASLEC was positively associated with NSSI. Further analysis revealed that, for all five dimensions of ASLEC, only interpersonal relationship factor (IRF) (OR 1.77 (95% CI [1.06–2.97])), health adaptation factor (HAF) (OR 2.08 (95% CI [1.31–3.31])) showed prominent association with NSSI. Multivariate Logistic regression models revealed that, repetitive NSSI (OR 4.54 (95% CI [3.66–5.63])) and NSSI severity (OR 9.01 (95% CI [6.11–13.29])) were positively associated with ASLEC. Conclusion NSSI is very common among children and adolescents in underdeveloped regions of south-western China. Negative life event are positively associated with NSSI, repeated NSSI, and severe NSSI. Negative life events centered intervention measures might be effective in reducing NSSI among school children and adolescents in underdeveloped regions of south-western China.https://peerj.com/articles/12665.pdfNon-suicidal self-injuryAdolescentsCross-Sectional StudiesNegative life eventsRepeated non-suicidal self-injurySeverity of non-suicidal self-injury |
| spellingShingle | Fan Yang Linling Jiang Jing Miao Xiufeng Xu Hailiang Ran Yusan Che Die Fang TianLan Wang Yuanyuan Xiao Jin Lu The association between non-suicidal self-injury and negative life events in children and adolescents in underdeveloped regions of south-western China PeerJ Non-suicidal self-injury Adolescents Cross-Sectional Studies Negative life events Repeated non-suicidal self-injury Severity of non-suicidal self-injury |
| title | The association between non-suicidal self-injury and negative life events in children and adolescents in underdeveloped regions of south-western China |
| title_full | The association between non-suicidal self-injury and negative life events in children and adolescents in underdeveloped regions of south-western China |
| title_fullStr | The association between non-suicidal self-injury and negative life events in children and adolescents in underdeveloped regions of south-western China |
| title_full_unstemmed | The association between non-suicidal self-injury and negative life events in children and adolescents in underdeveloped regions of south-western China |
| title_short | The association between non-suicidal self-injury and negative life events in children and adolescents in underdeveloped regions of south-western China |
| title_sort | association between non suicidal self injury and negative life events in children and adolescents in underdeveloped regions of south western china |
| topic | Non-suicidal self-injury Adolescents Cross-Sectional Studies Negative life events Repeated non-suicidal self-injury Severity of non-suicidal self-injury |
| url | https://peerj.com/articles/12665.pdf |
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