目的 了解西藏农牧区藏族中学生非自杀性自伤行为(NSSI)状况及与求助行为之间的关联关系,为农牧区藏族中学生预防NSSI和干预提供帮助。方法 2023年4—5月选取西藏农牧区的那曲和阿里地区4 204名农牧区藏族中学生进行NSSI和求助行为的自评问卷调查,并采用χ2检验、t检验、Logistic回归分析等方法进行统计分析。结果 西藏农牧区藏族中学生NSSI检出率为33.33%(1 401/4 204),其中初中学生检出率为36.00%(878/2 439),高中学生为29.63%(523/1 765),差异有统计学意义(χ2=18.68,P＜0.01)。高中生存在NSSI的学生求助意愿、求助对象(家人、教师、朋友)和求助方式(面对面交流、电话交流、微信QQ)得分均显著低于非NSSI者,差异均有统计学意义(P＜0.01)。Logistic回归分析显示,初中女生(OR=1.46)、班干部(OR=1.28)、城市学生(OR=1.47)、亲子关系一般(OR=1.46)、亲子关系较差(OR=2.01)、教养方式一般(OR=1.44)、教养方式较差(OR=2.11)、常被训斥(OR=1.99)、学习压力较重(OR=1.42)与NSSI发生呈正相关(P＜0.05)。高中生求助意愿(OR=0.85)、求助家人(OR=0.96)、求助教师(OR=0.98)与NSSI发生呈负相关(P＜0.05)。结论 西藏农牧区藏族中学生NSSI不容忽视,与求助行为之间存在密切关联。应鼓励农牧区藏族中学生积极主动寻求帮助,缓解学业压力和减少训斥,保持良好的亲子关系和教养方式,以降低NSSI的发生。
Abstract
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.
关键词
藏族 /
青少年 /
非自杀性自伤行为 /
求助行为
Key words
Tibetan autonomous region /
adolescents /
non-suicidal self-injury /
help-seeking behavior
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