ABSTRACT
Background: Non-suicidal self-injury (NSSI), as a major public health issue of high complexity, multifactorial causes and great socioeconomic and family impact, affects China now especially after COVID-19. The aim of this study was to explore the clinical and psychological characteristic in adolescent psychiatric patients with or without NSSI. Methods: : Adolescent psychiatric patients were recruited from psychiatric outpatient and inpatient unit in Guangdong mental Health Center between October and December 2020. NSSI was evaluated by the modified version of Adolescents Self-Harm Scale. Childhood trauma was assessed by the Childhood Trauma Questionnaire-Short Form (CTQ-SF). Peer bullying experience was evaluated by The Revised Olweus Bully/Victim Questionnaire（BVQ-R). Depression was assessed by the Montgomery–Asberg Depression Rating Scale (MADRS). Clinical data were collected from electronic medical record system. Results: : The sample included 157 adolescent psychiatric patients (72.6% female), aged 13-18 years (M=15.39, SD=0.145). NSSI group experienced more peer bullying (t=4.08, P ＜0.001), more likely to get into romantic relationship currently(χ2=5.38, P =0.02), more times of hospitalization (t=0.36, P <0.001), receiving more antipsychotic treatment (t=3.58, P <0.001), benzodiazepine treatment (t=3.46, P ＜0.001), and mood-stabilizer treatment (χ2 =8.53, P <0.001). The significant predictor of NSSI for the last one year included being in romantic relationship currently (OR =4.27, 95% CI=[1.53,11.93]), outpatient (OR=0.38, 95%CI=[0.16,0.88]), BVQ-R total (OR=1.10, 95% CI=[1.02,1.18])，MARDS total (OR= 1.05, 95% CI=[1.01,1.09]), and benzodiazepine PDD/DDD (OR=5.79, 95% CI=[0.99,33.72]). Conclusions: : Adolescent psychiatric patients with NSSI have significantly higher incidences of life event such as peer bulling, childhood trauma experience, and they were more likely to get into a romantic relationship. Meanwhile, patients with NSSI had significantly severe level of depression, being more on benzodiazepine and mood-stabilizer use. This provides a valuable basis for our clinical treatment of adolescent mental patients with NSSI.
Subject(s)
Camurati-Engelmann Syndrome , Mental Disorders , Wounds and Injuries , Intellectual Disability , COVID-19ABSTRACT
The COVID-19 pandemic imposed not only serious threats to the physical health of the population, but also provoked a wide range of psychological problems. Objective: to identify the most vulnerable populations during the epidemic period (including among individuals with affective disorders) who are most in need of psychological and / or psychiatric help. Material and methods: on-line survey of 1957 Russian-speaking respondents over 18 years old from March 30 to April 5, 2020. The level of anxiety distress was verified with the psychological stress scale (PSM-25). Stigmatization of individuals experiencing respiratory symptoms was assessed with modified devaluation / discrimination questionnaire (PDD; Cronbach's = 0.707). Results: 99.8% of respondents had variable concerns associated with COVID-19. Their mean scores of psychological stress were increased to moderate levels (104.9 {+/-} 34.4 points), and the stigmatization scores exceeded the value of the whole sample median (19.5 {+/-} 3.4; Me = 19). 35% of respondents had concerns about COVID-19 associated with anxiety distress (Cohen's d = 0.16-0.39). These were "risk of isolation" and "possible lack of medication for daily use". The most prone to concerns were respondents' groups with affective disorders; young people ([≤]20 years old), unemployed, single, those without higher education and women. Conclusions: large sub-cohorts of the Russian-speaking sample need correction of anxiety distress associated with the COVID-19 pandemic. The implementation of such measures should be targeted and oriented in terms of coverage and content to identified vulnerable social groups.