广州市越秀区初中生自伤行为现状及相关因素分析

Status quo and factors of self-harm behaviors among junior high school students in Yuexiu District,Guangzhou

目的:分析广州市越秀区初中生自伤行为的现状及相关因素。方法:采用横断面研究设计,调查广州市越秀区1234名初中生,收集人口学信息及家庭情况、吸烟、饮酒、离家出走想法和行为,遭受校园暴力情况、主观社会支持、学业压力、抑郁症状、自杀意念和自伤行为。通过单因素分析和多因素Logistic回归模型分析自伤行为的相关因素。结果:初中生中过去12个月自伤行为检出率为9.24%。女生、留守经历、饮酒、有离家出走想法、遭受校园暴力、抑郁症状、过去12个月内有过自杀意念者自伤行为的可能性大,而社会支持评分较高者自伤的可能性较小(P<0.05)。结论:广州市越秀区初中生自伤行为检出率较高,需要引起重视;多种因素与自伤相关,在青少年自伤预防中,需考虑上述因素。

Objective:To investigate the status quo of self-harm behaviors and analyze related factors among junior high school students in Yuexiu District,Guangzhou.Methods:A cross-sectional study design was used to investigate 1,234 junior high school students in Yuexiu District,Guangzhou.Demographics,family-related information,smoking and drinking behaviors,thoughts and behaviors of running away from home,frequency of suffering school violence,subjective social support,academic stress,depression symptoms,suicidal ideation,and self-harm behavior were collected.Univariate analysis and multivariate logistic regression models were used to analyze the associated self-harm behaviors.Results:The detection rate of self-harm behaviors in the past 12 months among junior high school students was 9.24%.Female students,left-behind experience,alcohol addiction,thoughts of running away from home,school violence,depression symptoms,and suicidal ideation in the past 12 months were more likely to commit self-harm,while those with higher social support scores were less likely to commit self-harm(P<0.05).Conclusion:The detection rate of self-harm behaviors among junior high school students in Yuexiu District is high,which should be paid special attention to.Various factors are related to self-harm behaviors,so that these factors should be considered in the prevention of self-harm behaviors among adolescents.