Jing Tang|Guowei Li|Baoxin Chen|Zhijie Huang|Yanmei Zhang|Hongjuan Chang|Chunxia Wu|Xiaoguang Ma|Jiaji Wang|Yizhen Yu
Prevalence of and risk factors for non-suicidal self-injury in rural China: Results from a nationwide survey in China
First Affiliated Hospital of Guangzhou Medical University|Guangzhou Medical University|St. Joseph Hospital|Guangzhou Medical University|Guangzhou Medical University|Huazhong University of Science and Technology|Huazhong University of Science and Technology|Huazhong University of Science and Technology|Zhejiang University|Guangzhou Medical University|Huazhong University of Science and Technology
nonsuicidal selfinjury nssi highly prevalent serious public health problem among adolescents worldwide however date studies assessing prevalence nssi defined suggested dsm5 criteria among chinese adolescents aimed conduct nationwide survey explore prevalence risk factors nssi among schoolbased adolescents rural chinaa total sample 15623 adolescents rural china enrolled using multistage sampling method data collected selfreport questionnaires including demographic characteristics neglect maltreatment loneliness resilience social support emotional management ability nssi defined suggested dsm5 criteria according engagement selfinjury took place 5 times year multinomial logistic regression models used estimate association risk factors nssithere 122 adolescents n 1908 met suggested dsm5 criteria approximately 29 reported history nssi least last year significant differences found several demographic factors including gender ethnicity grade family structure adolescents without experiencing nssi top three nssi behaviors among adolescents nssi experience hitting self pinching pulling hair prevalence rate 167 141 112 respectively female han ethnicity fathers education level neglect maltreatment loneliness social support suicidal behaviors emotional management ability significantly associated nssi multivariate analysis significant relationship found resilience risk nssithe dsm5 proposed 6 groups criteria nssi used criteria frequency given accepted feasibility pragmatic application consequently may different prevalence estimated criteriato best knowledge first study reporting prevalence nssi defined suggested dsm5 criteria among adolescent rural china comparison finding similar samples adolescents chinese rural adolescents seem relative higher prevalence potential risk factors nssi include female fathers education han ethnicity psychosocial factors suicide behaviors evidence understanding context occurrence improving access health care utilization identifying role psychosocial factors family relationship needed prevention management nssi