Psychiatric hospitalization can cause significant distress for patients. Research has shown that to cope with the stress, patients sometimes resort to self-harm. Given the paucity of research on self-harm among psychiatric inpatients, a better understanding of transdiagnostic processes as predictors of self-harm during psychiatric hospitalization is needed. The current study examined whether coping styles predicted self-harm after controlling for commonly associated factors, such as age, gender, and borderline personality disorder. Participants were 72 patients (mean age = 39.32 years, SD = 12.29, 64% male) admitted for inpatient treatment at a public psychiatric hospital in Sydney, Australia. Participants completed self-report measures of coping styles and ward-specific coping behaviors, including self-harm, in relation to coping with the stress of acute hospitalization. Results showed that younger age, diagnosis of borderline personality disorder, and higher emotion-oriented coping were associated with self-harm. After controlling for age and borderline personality disorder, higher levels of emotion-oriented coping were found to be a significant predictor of self-harm. Findings were partially consistent with hypotheses; emotion-oriented but not avoidance-oriented coping significantly predicted self-harm. This finding may help to identify and provide psychiatric inpatients who are at risk of self-harm with appropriate therapeutic interventions.

中文翻译：

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以情绪为导向的应对方式预测对急性精神病住院的自我伤害。

精神病住院会给患者带来严重的痛苦。研究表明，为了应对压力，患者有时会自残。鉴于对精神病住院患者自残的研究很少，需要更好地理解跨诊断过程作为精神病住院期间自残的预测因素。目前的研究检验了在控制了年龄、性别和边缘型人格障碍等常见相关因素后，应对方式是否能预测自残。参与者是在澳大利亚悉尼的一家公立精神病医院住院治疗的 72 名患者（平均年龄 = 39.32 岁，SD = 12.29，64% 为男性）。参与者完成了应对方式和病房特定应对行为的自我报告措施，包括自残、关于应对急性住院的压力。结果表明，年龄较小、边缘型人格障碍的诊断和较高的情绪导向应对与自残有关。在控制了年龄和边缘型人格障碍后，发现更高水平的以情绪为导向的应对是自我伤害的重要预测因素。结果与假设部分一致；情绪导向而非回避导向的应对方式显着预测了自我伤害。这一发现可能有助于识别并为有自残风险的精神病住院患者提供适当的治疗干预。在控制了年龄和边缘型人格障碍后，发现更高水平的以情绪为导向的应对是自我伤害的重要预测因素。结果与假设部分一致；情绪导向而非回避导向的应对方式显着预测了自我伤害。这一发现可能有助于识别并为有自残风险的精神病住院患者提供适当的治疗干预。在控制了年龄和边缘型人格障碍后，发现更高水平的以情绪为导向的应对是自我伤害的重要预测因素。结果与假设部分一致；情绪导向而非回避导向的应对方式显着预测了自我伤害。这一发现可能有助于识别并为有自残风险的精神病住院患者提供适当的治疗干预。