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首页> 外文期刊>Journal of child psychology and psychiatry >Repetition of self-harm and suicide following self-harm in children and adolescents: Findings from the Multicentre Study of Self-harm in England
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Repetition of self-harm and suicide following self-harm in children and adolescents: Findings from the Multicentre Study of Self-harm in England

机译：儿童和青少年中自残和自残后自杀的重复：英国多中心自残研究的发现

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Background: Self-harm (intentional self-poisoning and self-injury) in children and adolescents is often repeated and is associated with increased risk of future suicide. We have investigated factors associated with these outcomes. Method: We used data collected in the Multicentre Study of Self-harm in England on all self-harm hospital presentations by individuals aged 10-18 years between 2000 and 2007, and national death information on these individuals to the end of 2010. Cox hazard proportional models were used to identify independent and multivariable predictors of repetition of self-harm and of suicide. Results: Repetition of self-harm occurred in 27.3% of individuals (N = 3920) who presented between 2000 and 2005 and were followed up until 2007. Multivariate analysis showed that repetition was associated with age, self-cutting, and previous self-harm and psychiatric treatment. Of 51 deaths in individuals who presented between 2000 and 2007 and were followed up to 2010 (N = 5133) half (49.0%) were suicides. The method used was usually different to that used for self-harm. Multivariate analysis showed that suicide was associated with male gender [Hazard ratio (HR) = 2.4, 95% CI 1.2-4.8], self-cutting (HR = 2.1, 95% CI 1.1-3.7) and prior psychiatric treatment at initial presentation (HR = 4.2, 95% CI 1.7-10.5). It was also associated with self-cutting and history of psychiatric treatment at the last episode before death, and history of previous self harm. Conclusions: Self-cutting as a method of self-harm in children and adolescents conveys greater risk of suicide (and repetition) than self-poisoning although different methods are usually used for suicide. The findings underline the need for psychosocial assessment in all cases.
机译：背景：儿童和青少年的自我伤害（故意自我中毒和自我伤害）经常反复发生，并增加了未来自杀的风险。我们调查了与这些结果相关的因素。方法：我们使用了在英国“多中心自我伤害研究”中收集的数据，该数据涉及2000年至2007年之间10-18岁的个人在所有自我伤害医院中的表现，以及有关这些人到2010年底的国家死亡信息。Cox危害比例模型用于确定自残和自杀重复的独立和多变量预测因子。结果：2000年至2005年之间随访至2007年的27.3％（N = 3920）个人中，自我伤害的重复发生。多因素分析表明，重复与年龄，自我切割和先前的自我伤害有关。和精神病治疗。在2000年至2007年之间出现并随访至2010年的51人死亡中（N = 5133），一半（49.0％）是自杀。通常使用的方法不同于用于自残的方法。多因素分析表明，自杀与男性[危险比（HR）= 2.4，95％CI 1.2-4.8]，自切割（HR = 2.1，95％CI 1.1-3.7）和在初次就诊时曾接受过精神病治疗有关。 HR = 4.2，95％CI 1.7-10.5）。它还与自我切割和死亡前最后一集的精神病治疗史以及先前的自我伤害史相关。结论：自残是儿童和青少年的一种自残方法，尽管通常采用不同的自杀方法，但自杀（和重复）的风险要高于自毒。研究结果强调了在所有情况下都需要进行社会心理评估。

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