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首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >Non-Suicidal Self-Injury and Suicidal Behaviour in Children and Adolescents Accessing Residential or Intensive Home-Based Mental Health Services
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Non-Suicidal Self-Injury and Suicidal Behaviour in Children and Adolescents Accessing Residential or Intensive Home-Based Mental Health Services

机译：获得居住或集中式家庭心理健康服务的儿童和青少年的非自杀式自残和自杀行为

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Objective: There is a dearth of Canadian research with clinical samples of youth who self-harm, and no studies could be located on self-harm in children and youth accessing residential or intensive home-based treatment. The purposes of this report were to explore the proportion and characteristics of children and youth identified as self-harming at admission by clinicians compared to youth not identified as self-harming, compare self-harming children to adolescents, and to compare caregiver ratings of self-harm at intake to clinician ratings at admission. Method: This report was developed from a larger longitudinal, observational study involving 210 children and youth accessing residential and home-based treatment and their caregivers in partnership with five mental health treatment centres in southwestern Ontario. Agency data were gleaned from files, and caregivers reported on symptom severity at 12 to 18 months and 36 to 40 months post-discharge. Results: Fifty-seven (34%) children and youth were identified as self-harming at admission. The mean age was 11.57 (SD 2.75). There were statistically significant differences on symptom severity at intake between those identified as self-harming and those not so identified; most of these differences were no longer present at follow up. Children were reported to have higher severity of conduct disorder symptoms than adolescents at intake, and there was some consistency between caregiver-rated and clinician-rated self-harm. Children were reported to engage in a wide range of self-harming behaviours. Conclusion: These findings suggest that youth who were identified as self-harming at admission have elevated scores of symptom severity, self-harm can occur in young children and while many improve, there remains a concern for several children and youth who did not improve by the end of service. Children engage in some of the same types of self-harm behaviours as adolescents, and they also engage in behaviours unique to children.
机译：目的：目前尚无加拿大针对自残青少年的临床样本进行的加拿大研究，而且尚无有关儿童和接受居家或集中家庭治疗的青少年自残的研究。本报告的目的是探讨与未确定为自残的青年相比，临床医生在入院时认定为自残的儿童和青少年的比例和特征，将自残儿童与青少年进行比较，并比较照顾者的自我评价-入院时对临床医生的评定有害。方法：本报告是根据一项较大的纵向观察性研究得出的，该研究涉及210名儿童和青少年，他们与安大略省西南部的五个心理健康治疗中心合作，获得了住所和家庭治疗以及他们的照顾者。从档案中收集机构数据，护理人员报告出院后12至18个月和36至40个月的症状严重程度。结果：五十七（34％）名儿童和青少年在入院时被确定为自残。平均年龄为11.57（SD 2.75）。摄入时症状严重程度在统计上有显着差异，被认为是自残者和未发现自残者之间有统计学差异。这些差异中的大多数在随访中不再存在。据报道，儿童在进食时比青少年有更高的行为障碍症状严重程度，而且在照料者和临床医生之间的自我伤害之间存在一定的一致性。据报告，儿童从事各种各样的自残行为。结论：这些发现表明，入院时被确定为自我伤害的青少年的症状严重程度评分较高，年幼儿童可能会发生自我伤害，尽管许多症状会有所改善，但仍存在一些儿童和青少年的忧虑，而这些症状并没有得到改善。服务终止。儿童从事与青少年相同类型的自残行为，他们也从事儿童独有的行为。

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