Self-Harm Significantly Higher in Populations with ADHD, Anxiety, ASD, Depression, and Eating Disorders. I appreciated your recent paper on the large and well-matched studies on nonfatal self-harm and suicide among adolescents in the UK Clinical Practice Research Datalink (Cybulski et al. 2021). This large study involved 56,008 self-harm cases and 1,399,356 controls aged 10–19 years and reported that many diagnoses were associated with significantly higher rates of self-harm. Compared to controls, the risk of self-harm was significantly higher in attention-deficit/hyperactivity disorder (ADHD) (OR 3.3, 95% CI 3.1–3.4), anxiety disorder (OR 3.8, 95% CI 3.7–3.9), autism spectrum disorder (ASD) (OR 2.4, 95% CI 2.3–2.6), depression (OR 7.9, 95% CI 7.8–8.2), and eating disorders (OR 3.1, 95% CI 3.0–3.2) (Cybulski et al. 2021).

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评论：自闭症谱系障碍人群的自杀风险很高，但经常被忽视

患有多动症、焦虑症、自闭症谱系障碍、抑郁症和饮食失调症的人群的自我伤害明显更高。我感谢您最近发表的关于英国临床实践研究数据链 (Cybulski et al. 2021) 中关于青少年非致命性自残和自杀的大型且匹配良好的研究的论文。这项大型研究涉及 56,008 名自残病例和 1,399,356 名年龄在 10-19 岁的对照，并报告说许多诊断与显着较高的自残率有关。与对照组相比，注意力缺陷/多动障碍 (ADHD) (OR 3.3, 95% CI 3.1–3.4)、焦虑症 (OR 3.8, 95% CI 3.7–3.9)、自闭症患者的自残风险显着更高谱系障碍 (ASD) (OR 2.4, 95% CI 2.3–2.6)、抑郁症 (OR 7.9, 95% CI 7.8–8.2) 和进食障碍 (OR 3.1, 95% CI 3.0–3.2) (Cybulski et al. 2021 ）。