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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Nonsuicidal self-injury in an american Indian reservation community: results from the white mountain apache surveillance system, 2007-2008.
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Nonsuicidal self-injury in an american Indian reservation community: results from the white mountain apache surveillance system, 2007-2008.

机译：美国印第安人保留社区的非自杀性自残：白山阿帕奇监视系统的结果，2007-2008年。

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OBJECTIVE: To describe characteristics and correlates of nonsuicidal self-injury (NSSI) among the White Mountain Apache Tribe. NSSI has not been studied before in American Indian samples despite associated risks for suicide, which disproportionately affect American Indian youth. METHOD: Apache case managers collected data through a tribally mandated surveillance system. Data from 2007 and 2008 (N = 182) were examined for rates, methods, precipitants, functions, past history of self-injury and service use, by age and gender. RESULTS: The rate of NSSI among all ages was 600 in 100,000, with individuals 10 to 14 years old disproportionately affected at a rate of 3,000 in 100,000. More females (65%) reported NSSI, and cutting was the preferred method (98%) for both genders combined. Most frequently reported precipitants were peer pressure/copying, conflict with boy/girlfriend and "depression." A substantial proportion (22%) was intoxicated/high at the time. More reported the function of NSSI was to "effect internal state" (45%) than "effect circumstances" (15%). More than one-third (39%) received ED treatment and referrals for aftercare (36%). Of those referred, only 30% followed up with services. Most (79%) reported past NSSI; 30% reported past suicidal ideation and 25% attempts. CONCLUSIONS: NSSI is a significant, largely unaddressed mental health problem among the White Mountain Apache Tribe and likely other reservation communities, especially as NSSI could serve as a precursor to suicide in this population. Interestingly, another self-destructive behavior, severe substance use, was reported to the surveillance system by Apaches and described in terms similar to NSSI, an important preliminary finding worth further exploration.
机译：目的：描述白山阿帕奇部落非自杀性自我伤害（NSSI）的特征和相关性。尽管有自杀的相关风险，但尚未在美洲印第安人样本中研究NSSI，自杀风险极大地影响了美洲印第安人的年轻人。方法：Apache案例管理员通过一个受委托的监视系统收集数据。检查了2007年和2008年的数据（N = 182），包括年龄，性别，比率，方法，沉淀物，功能，过去的自残历史和服务使用情况。结果：所有年龄段的NSSI发生率均为100,000分之600，其中10至14岁的个体受到的影响最大，为100,000分之3,000。报告有NSSI的女性人数更多（65％），并且切割是两种性别结合的首选方法（98％）。最经常报告的沉淀物是同伴压力/抄袭，与男/女友发生冲突和“沮丧”。当时有相当一部分（22％）被陶醉/醉酒。报告更多的是，NSSI的功能是“影响内部状态”（45％）而不是“影响情况”（15％）。超过三分之一（39％）接受ED治疗并转诊接受后期护理（36％）。在所提及的人员中，只有30％的人接受了服务。大多数（79％）报告过NSSI; 30％的人报告过自杀意念，而25％的人尝试自杀。结论：NSSI是白山阿帕奇部落和其他保留社区中一个严重的，尚未解决的心理健康问题，尤其是因为NSSI可能是该人群自杀的先兆。有趣的是，Apaches向监视系统报告了另一种自毁行为，即严重滥用毒品，并以类似于NSSI的术语进行了描述，这是一个重要的初步发现，值得进一步探索。

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