Abstract

Objective

Deliberate self-harm (DSH) is a major health concern among adolescents, and is often associated with the need for inpatient psychiatric hospitalization. The aim of this study was to identify clinical and demographic characteristics associated with DSH behavior among adolescents admitted to an acute psychiatric inpatient unit.

Method

We retrospectively analyzed data from the electronic medical records of consecutive admittances to a single acute adolescent inpatient unit (n = 703, mean age 15.2). We compared inpatients with DSH to inpatients without DSH and further compared within the DSH group based on the presence of suicidal intent.

Results

Compared to Non-DSH inpatients (n = 497), youths admitted following DSH (n = 206) were more likely to be female (OR = 2.6, 95%CI 1.7–4), currently in depressive exacerbation (OR = 2.4, 95%CI 1.6–3.6), with concurrent suicidal ideation (OR = 3.9, 95%CI 2.5–5.9), and history of alcohol use (OR = 5.6, 95%CI 3.2–9.5). Within DSH youths, no significant clinical differences were identified between those admitted following a suicide attempt (n = 102) compared to non-suicidal-self-injury (n = 104), who were generally younger.

Conclusions

Findings suggest that early detection and intervention of DSH and depressive crisis is warranted, regardless of the self-harm subtype.

• HIGHLIGHTS

• Deliberate self-harm is common among adolescent psychiatric inpatients.

• Adolescent inpatients with deliberate self-harm are predominantly females with concurrent depression and suicidal ideation.

• We did not detect significant clinical and demographic differences between self-harmers with or without suicidal intent.

中文翻译：

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自残行为后入住急性精神病住院部的青少年的表型特征

摘要

客观的

故意自残 (DSH) 是青少年的一个主要健康问题，通常与住院精神科住院治疗的需要有关。本研究的目的是确定入住急性精神科住院病房的青少年中与 DSH 行为相关的临床和人口特征。

方法

我们回顾性分析了单个急性青少年住院病房连续入院的电子病历数据（n  = 703，平均年龄 15.2）。我们将接受 DSH 的住院患者与未接受 DSH 的住院患者进行了比较，并根据自杀意图的存在在 DSH 组内进行了进一步比较。

结果

与非 DSH 住院患者 ( n  = 497) 相比，接受 DSH 入院的青少年 ( n  = 206) 更有可能是女性 (OR = 2.6, 95% CI 1.7–4)，目前处于抑郁恶化状态 (OR = 2.4, 95) %CI 1.6–3.6），同时有自杀意念（OR = 3.9，95%CI 2.5–5.9），并且有饮酒史（OR = 5.6，95%CI 3.2–9.5）。在 DSH 青少年中，自杀未遂入院的青少年 ( n = 102) 与 一般较年轻的 非自杀自伤 ( n = 104) 入院的青少年相比，没有发现显着的临床差异。

结论

研究结果表明，无论自残亚型如何，都需要尽早发现并干预 DSH 和抑郁危机。

• 强调

• 故意自残在青少年精神病住院患者中很常见。

• 故意自残的青少年住院患者主要是女性，同时患有抑郁症和自杀意念。

• 我们没有发现有或没有自杀意图的自残者之间存在显着的临床和人口统计学差异。