Objective To investigate the status of non-suicidal self-injury (NSSI) among Tibetan middle school students in agricultural and pastoral areas of Tibet and its association with help-seeking behaviors, in order to provide reference for the prevention and intervention of NSSI in this demographic. Methods A self-report questionnaire survey on NSSI and help-seeking behaviors was conducted among 4 204 Tibetan middle school students in the rural and pastoral areas of Nagqu and Ali regions of Tibet from April to May 2023. Chi-square tests, t test, and Logistic regression analysis were employed to analyze the data. Results The detection rate of NSSI among Tibetan middle school students in agricultural and pastoral areas of Tibet was 33.33% (1 401/4 204), with junior high school students having a significantly higher rate of 36.00% (878/2 439) compared to 29.63% (523/1 765) for senior high school students(χ2=18.68, P<0.01). Senior high school students with NSSI had a significantly lower score on help-seeking intentions, help-seeking targets (family, teachers, friends), and help-seeking Methods (face-to-face communication, telephone conversations, WeChat/QQ) than those without NSSI (P <0.01). Logistic regression analysis revealed that female junior high school students (OR=1.46), class leaders (OR=1.28), urban students (OR=1.47), average parent-child relationships (OR=1.46), poor parent-child relationships (OR=2.01), average parenting styles (OR=1.44), poor parenting styles (OR=2.11), frequent scolding (OR=1.99), and heavy academic pressure (OR=1.42) were positively associated with the occurrence of NSSI (P<0.05). Among senior high school students, help-seeking intentions (OR=0.85), seeking help from family members (OR=0.96), and seeking help from teachers (OR=0.98) were negatively associated with the occurrence of NSSI (P<0.05). Conclusions NSSI among Tibetan secondary school students in agricultural and pastoral areas of Tibet should not be ignored, and there is a close association between NSSI and help-seeking behaviors. Tibetan secondary school students in agricultural and pastoral areas should be encouraged to proactively seek help, reduce academic stress and reprimands, and maintain good parent-child relationships and parenting styles in order to reduce the incidence of NSSI.
Key words
Tibetan autonomous region /
adolescents /
non-suicidal self-injury /
help-seeking behavior
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References
[1] Li Y, Li X, Li Y, et al. The effects of family environment cognition and its difference perceived by adolescents and their parents on the treatment effect of non-suicidal self-injury behaviors in adolescents: A 1-year prospective cohort study[J]. Front Psychiatry, 2023, 14:1183916.
[2] Meng L, Qu D, Bu H, et al. The psychosocial correlates of non-suicidal self-Injury within a sample of adolescents with mood disorder[J]. Front Public Health, 2022, 10:768400.
[3] 鲍晓旋. 初中生学业求助行为的影响因素探究—立足不同班级环境的追踪研究[J]. 中小学心理健康教育, 2020, 20(6):21-25.
Bao XX. A Probe into the influencing factors of junior high school students′ academic help-seeking behavior—a tracking study based on different class environments[J]. Mental Health Education for Primary and Middle Schools, 2020, 20(6):21-25. (in Chinese)
[4] Xu H, Jiang Z, Li S, et al. Differences in influencing factors between non-suicidal self-injury and suicide attempts in chinese adolescents: The role of gender[J]. Front Psychiatry, 2022, 13:870864.
[5] Nixon M K,Levesque C,Preyde M,et al. The Ottawa Self-Injury Inventory: Evaluation of an assessment measure of nonsuicidalself-injury in an inpatient sample of adolescents[J]. Child Adolesc Psychiatry Ment Health,2015,9(1):1-7.
[6] Eliot M,Cornell D,Gregory A,et al. Supportive school cli-mate and student willingness to seek help for bullying and threats of violence[J]. J Sch Psychol,2010,48(6):533-553.
[7] Rickwood D,Deane FP,Wilson CJ,et al. Young people′shelp-seeking for mental health problems[J]. Austr J Advance Ment Health,2005,4(3):218-251.
[8] 王兰,李丹琳,杨蓉,等. 沈阳某校中学生健康素养和视屏时间与非自杀性自伤行为关联[J]. 中国学校卫生,2020,41(2):205-208.
Wang L,Li DL,Yang R,et al. Associations of health literacy and screen time with non-suicidal self-injury behavior among middleschool students in Shenyang[J]. Chin J Sch Health,2020,41(2):205-208. (in Chinese)
[9] 胡旺,殷映群,邹仪瑄,等. 江西省初中生与高中生非自杀性自伤行为特征及影响因素比较[J]. 现代预防医学,2019,46(2):305-309.
Hu W,Yin YQ,Zhou YX,et al. Comparison of behavioral char-acteristics and influencing factors between non-suicidal self-injury ofjunior high school students and high school students in Jiangxi[J].Mordern Preventive Medicine,2019,46(2):305-309. (in Chinese)
[10] 张曼,陈雁如,郭宏达,等. 情绪管理在农村中学生攻击行为与自伤行为间的中介作用[J]. 中国学校卫生,2019,40(7):980-983.
Zhang M,Chen YR,Guo HD,et al. Mediation of emotional regulation in the association between aggressive behavior and non-sui-cide self-injured in rural middle school students[J]. Chin J Sch Health,2019,40(7):980-983. (in Chinese)
[11] 韩阿珠,徐耿,苏普玉. 中国大陆中学生非自杀性自伤流行特征的 Meta 分析[J]. 中国学校卫生,2017,38(11):1665-1670.
Han AZ,Xu G,Su PY,et al. A Meta-analysis of characteristicsof non-suicidal self-injury among middle school students in mainland China[J]. Chin J Sch Health,2017,38(11):1665-1670. (in Chinese)
[12] 胡旺, 殷映群, 邹仪瑄,等. 江西省初中生与高中生非自杀性自伤行为特征及影响因素比较[J]. 现代预防医学, 2019, 46(2):305-309,331.
Hu W, Yin YQ, Zou YX, et al. Comparison of characteristics and influencing factors of non-suicidal self-injury behavior between junior high school students and high school students in Jiangxi Province[J]. Modern Preventive Medicine, 2019, 46(2):305-309,331. (in Chinese)
[13] Richmond S, Hasking P, Meaney R. Psychological distressand non-suicidal self-injury: the mediating roles of rumination,cogni-tive reappraisal and expressive suppression[J]. Arch Suicid Res, 2017,21(1): 62-72.
[14] Bandel SL, Brausch AM. Poor sleep associates with recentnonsuicidal self-injury engagement in adolescents[J]. Behav Sleep Med,2020,18(1): 81-90.
[15] Lin MP,You JN,Ren YX,et al. Prevalence of nonsuicidal self-injury and its risk and protective factors among adolescents in Taiwan[J]. Psychiatry Res, 2017, 255: 119- 127.
[16] Liang K, Zhao L, Lei Y, et al. Nonsuicidal self-injury behaviour in a city of China and its association with family environment, media use and psychopathology[J]. Compr Psychiatry, 2022, 115:152311.
[17] Wang Y, Luo B, Hong B, et al. The relationship between family functioning and non-suicidal self-injury in adolescents: A structural equation modeling analysis[J]. J Affect Disord, 2022, 309:193-200.
[18] 徐慧琼, 万宇辉, 许韶君. 青少年非自杀性自伤行为与自杀行为关联的理论模型研究进展[J]. 中国学校卫生, 2019, 40(2):160-163.
Xu HQ, Wan YH, Xu SJ. Research progress on theoretical models of the association between non-suicidal self-injury behaviors and suicidal behaviors in adolescents[J]. Chin J Sch Health, 2019, 40(2):160-163. (in Chinese)
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