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

PENG Jianyan; WU Dongmei; CHEN Qingyun; ZHOU Ying; YE Zixiang

doi:10.16835/j.cnki.1000-9817.2023.02.019

Volume 44 Issue 2

Feb. 2023

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(2): 242-245

PENG Jianyan, WU Dongmei, CHEN Qingyun, ZHOU Ying, YE Zixiang. A qualitative study of experiences of non-suicidal self-injury in adolescents with depression[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(2): 242-245. doi: 10.16835/j.cnki.1000-9817.2023.02.019

Citation:

PENG Jianyan, WU Dongmei, CHEN Qingyun, ZHOU Ying, YE Zixiang. A qualitative study of experiences of non-suicidal self-injury in adolescents with depression[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(2): 242-245. doi: 10.16835/j.cnki.1000-9817.2023.02.019

Citation:

PDF( 982 KB)

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

doi: 10.16835/j.cnki.1000-9817.2023.02.019

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

Received Date: 2022-08-20
Rev Recd Date: 2022-12-13

Available Online: 2023-03-02

Publish Date: 2023-02-25

Abstract

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

FullText(HTML)

References(24)

References

[1]	SULLIVAN P F, DE GEUS E J C, WILLEMSEN G, et al. Genome-wide association for major depressive disorder: a possible role for the protein piccolo[J]. Mol Psychiatry, 2009, 14(4): 359-375. doi: 10.1038/mp.2008.125
[2]	GORE F M, BLOEM P J, PATTON G C, et al. Global burden of disease in young people aged 10-24 years: a systematic analysis[J]. Lancet, 2011, 377(9783): 2093-2108. doi: 10.1016/S0140-6736(11)60512-6
[3]	BARROCAS A L, GILETTA M, HANKIN B L, et al. Nonsuicidal self-injury in adolescence: iongitudinal course, trajectories, and intrapersonal predictors[J]. J Abnorm Child Psychol, 2015, 43(2): 369-380. doi: 10.1007/s10802-014-9895-4
[4]	LIM K S, WONG C H, MCINTYRE R S, et al. Global lifetime and 12-month prevalence of suicidal behavior, deliberate self-harm and non-suicidal self-injury in children and adolescents between 1989 and 2018: a Meta-analysis[J]. Int J Environ Res Public Health, 2019, 16(22): 4581. doi: 10.3390/ijerph16224581
[5]	韩阿珠, 徐耿, 苏普玉. 中国大陆中学生非自杀性自伤流行特征的Meta分析[J]. 中国学校卫生, 2017, 38(11): 1665-1670. doi: 10.16835/j.cnki.1000-9817.2017.11.019 HAN A Z, XU G, SU P Y. Meta-analysis of the prevalence of non-suicidal self-injury among middle school students in mainland China[J]. Chin J Sch Health, 2017, 38(11): 1665-1670. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2017.11.019
[6]	张芳. 上海市中心区初中生非自杀性自伤行为现状和相关危险因素研究[D]. 上海: 上海交通大学, 2014. ZHANG F. Current situation and related risk factors of non-suicidal self-injury among junior high school students in downtown Shanghai[D]. Shanghai: Shanghai Jiao Tong University, 2014. (in Chinese)
[7]	National Collaborating Centre for Mental Health(UK). National Clinical Practice Guideline Number 16. Self-Harm. The short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care; commissioned by National Institute for Clinical Excellence[M]. Leicester, UK: British Psychological Society, 2004.
[8]	张小梅, 韩利, 张红, 等. 青少年精神障碍患者非自杀性自伤体验的质性研究[J]. 护理学杂志, 2022, 37(2): 71-74. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202202021.htm ZHANG X M, HAN L, ZHANG H, et al. Qualitative study on the experience of non-suicidal self-injury in adolescents with mental disorders[J]. J Nurs, 2022, 37(2): 71-74. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202202021.htm
[9]	尚超娜, 王剑英, 宋涛, 等. 伴非自杀性自伤行为心境障碍青少年患者心理体验的质性研究[J]. 中华护理杂志, 2022, 57(7): 827-834. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202207010.htm SHANG C N, WANG J Y, SONG T, et al. A qualitative study on psychological experience of adolescents with mood disorders associated with non-suicidal self-injury behavior[J]. Chin J Nurs, 2022, 57(7): 827-834. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202207010.htm
[10]	CHEN X Y, ZHOU Y, LI L, et al. Influential factors of non-suicidal self-injury in an eastern cultural context: a qualitative study from the perspective of school mental health professionals[J]. Front Psychiatry, 2021, 12: 681985. doi: 10.3389/fpsyt.2021.681985
[11]	章薇, 胡德英, 丁小萍, 等. 青少年非自杀性自伤的护理研究进展[J]. 护理学杂志, 2022, 37(7): 109-113. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202207030.htm ZHANG W, HU D Y, DING X P, et al. Nursing research progress of non-suicidal self-injury in adolescents[J]. J Nurs, 2022, 37(7): 109-113. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202207030.htm
[12]	朱家恺, 黄洁夫, 陈积圣. 外科学辞典[M]. 北京: 北京科学技术出版社, 2003. ZHU J K, HUANG J F, CHEN J S. Dictionary of surgery[M]. Beijing: Beijing Science and Technology Press, 2003. (in Chinese)
[13]	世界卫生组织. 疾病和有关健康问题的国际统计分类第十次修订本(第一卷)[M]. 2版. 董景五, 译. 北京: 人民卫生出版社, 2008: 699-789. WHO. The tenth revision of the International Statistical Classification of Diseases and Related Health Issues(the first volume)[M]. 2 ed. DONG J W, translate. Beijing: People's Medical Publishing House, 2008: 699-789.
[14]	SMITH J A, FLOWERSP, LARKIN M. Interpretative phenomeno logical analysis: theory, method, andresearch[M]. London: Sage Publications, 2009.
[15]	American Psychiatric Association. Diagnostic and Statistical Manual of mentaldisorders(5th edition)[M]. Arlington, VA: American Psychiatric Publishing, 2013: 803-806.
[16]	GANDHI A, LUYCKX K, BAETENS I, et al. Age of onset of non-suicidal self-injury in Dutch-speaking adolescents and emerging adults: an event history analysis of pooled data[J]. Compr Psychiatry, 2018, 80: 170-178. doi: 10.1016/j.comppsych.2017.10.007
[17]	JENKINS A L, MCCLOSKEY M S, KULPER D, et al. Self-harm behavior among individuals with intermittent explosive disorder and personality disorders[J]. J Psychiatr Res, 2015, 60: 125-131. doi: 10.1016/j.jpsychires.2014.08.013
[18]	BROWN T B, KIMBALL T. Cutting to live: a phenomenology of self-harm[J]. J Marit Fam Ther, 2012, 39: 195-208.
[19]	MILLER M, REDLEY M, WILKINSON P O. A qualitative study of understanding reasons for self-harm in adolescent girls[J]. Int J Environ Res Public Health, 2021, 18(7): 3361.
[20]	BROWN R C, WITT A. Social factors associated with non-suicidal self-injury (NSSI)[J]. Child Adolesc Psychiatry Ment Health, 2019, 13: 23.
[21]	MEHLUM L, RAMBERG M, TRMOEN A J, et al. Dialectical behavior therapy compared with enhanced usual care for adolescents with repeated suicidal and self-harming behavior: outcomes over a oneyear follow-up[J]. J Am Acad Child Adolesc Psychiatry, 2016, 55(4): 295-300.
[22]	应佳丽, 苏亚娅, 喻彦, 等. 上海市某区初中生自伤行为发生现状及家庭影响因素[J]. 环境与职业医学, 2021, 38(1): 58-63. https://www.cnki.com.cn/Article/CJFDTOTAL-LDYX202101010.htm YING J L, SU Y Y, YU Y, et al. Current situation and family influencing factors of self-injury among junior middle school students in a district of Shanghai[J]. J Environ Occup Med, 2021, 38(1): 58-63. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-LDYX202101010.htm
[23]	CHEN R, WANG Y, LIU L, et al. A qualitative study of how self-harm starts and continues among Chinese adolescents[J]. BJPsych Open, 2020, 7(1): e20.
[24]	PICARDO J, MCKENZIE S K, COLLINGS S, et al. Suicide and self-harm content on instagram: a systematic scoping review[J]. PLoS One, 2020, 15(9): e238603.