青少年抑郁症患者非自杀性自伤体验的质性研究

彭建燕; 吴冬梅; 谌青云; 周英; 叶子翔

doi:10.16835/j.cnki.1000-9817.2023.02.019

青少年抑郁症患者非自杀性自伤体验的质性研究

doi: 10.16835/j.cnki.1000-9817.2023.02.019

四川省成都市第四人民医院儿少心理中心，610036

基金项目:

2021年成都市医学科研课题计划项目 2021292

详细信息

作者简介:
彭建燕(1986-)，女，四川乐至人，硕士，主管护师，主要研究方向为儿童青少年精神科

利益冲突声明 所有作者声明无利益冲突。
中图分类号: B846 R179
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出版历程
- 收稿日期: 2022-08-20
- 修回日期: 2022-12-13
- 网络出版日期: 2023-03-02
- 刊出日期: 2023-02-25

A qualitative study of experiences of non-suicidal self-injury in adolescents with depression

Children's Psychology Center, The Fourth People's Hospital of Chengdu, Chengdu (610036), China

摘要

摘要: 目的了解非自杀性自伤(nonsuicidal self-injury, NSSI)青少年抑郁症患者使用切割工具自伤时的真实体验和感受，为提供针对性干预措施提供指导。方法采用目的抽样法，于2021年11月—2022年5月对四川省成都市某三级甲等精神病专科医院收治的19例使用切割工具NSSI青少年抑郁症患者进行半结构式访谈，以诠释现象学分析法分析转录资料。结果青少年抑郁症患者非自杀性自伤体验和感受可归纳为5个主题：外界干扰下滋生的自伤意念；思绪万千中的自伤行为；痛并快乐着的自伤体验；万里挑一的自伤工具；有爱、有责任，自伤行为有所减少。结论青少年抑郁症患者非自杀性自伤行为受多方面因素影响。应根据此类患者特点提供有针对性护理措施，指导患者签署NSSI承诺书、教会患者掌握NSSI行为替代技巧、联合患者家属构建多维度社会支持平台。
- 抑郁症 /
- 自我伤害行为 /
- 精神卫生 /
- 青少年
Abstract: Objective To understand the real experience and feelings of self-injurious cutting in adolescents with depression, to provide guidance for clinical targeted interventions. Methods During November 2021 to May 2022, 19 adolescent patients with depression who had cut themselves as the type of non-suicidal self-injury were recruited from a tertiary first-class psychiatric hospital in Chengdu, Sichuan Province. All the participants were interviewed in a semi-structured manner, which used the interpretative phenomenological analysis to analyze the transcription data. Results The experience and feelings of non-suicidal self-injury in adolescent with depression could be summarized into five themes: self-injury thoughts that arise under external interference; self-injurious behavior in a thousand thoughts; painful but a happy experience of self-injury; cutting as the most frequently selected form of non-suicidal self-injury; decreases in self-injurious behavior reduced when they feel love and responsibility. Conclusion Non-suicidal self-injury of adolescent patients with depression are affected by various factors. Clinicians should provide targeted clinical care according to the characteristics of patients, as well as the no-suicide contract, alternative skills of non-suicidal self-injury behaviors, and a multi-dimensional social support platform with the families of patients.
- Depressive disorder /
- Self-injurious behavior /
- Mental health /
- Adolescent
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