| Abstract |
Abstract: Objective To observe the differences in emotional symptoms, behavior, suicidal attitude and social support between female adolescents with and without non suicidal self injury (NSSI) depressive disorder. Methods A total of 120 female adolescent patients who met the 《diagnostic and Statistical Manual of mental disorders in the United States》,5th Edition( DSM-5 )for depression were divided into study group (with NSSI) and control group (without NSSI) according to the diagnostic criteria recommended by DSM-5 for NSSI. The two groups were assessed with self-rating Depression Scale (SDS), Hamilton Depression Scale (HAMD-17), childrens behavior scale (CBCL), suicide attitude questionnaire (QSA) and social support rating scale (SSRs) before drug treatment within 3 days after enrollment. Results HAMD and SDS scores showed that there was no significant difference between the study group and the control group (P > 0.05); The scores of CBCL showed that the scores of activity ability and social ability in the study group were lower than those in the control group, and the difference was statistically significant (P < 0.05). The scores of anxiety compulsion, depression withdrawal and aggressive factors in the study group were higher than those in the control group, and the difference was statistically significant (P < 0.05); QSA scale showed that the understanding of the nature of suicidal behavior, the attitude towards suicides, the attitude towards euthanasia and the total score of the study group were lower than those of the control group, and the difference was statistically significant (P < 0.05); SSRS scale showed that the scores of objective support and subjective support in the study group were lower than those in the control group, and the difference was statistically significant (P < 0.01). Conclusion for depressive patients with NSSI, we should not only pay attention to NSSI behavior, but also pay more attention to other related behaviors that may appear earlier and last longer than NSSI behavior, including adolescents activity ability, social ability, anxiety compulsive behavior, depression withdrawal behavior and aggression; The relationship between NSSI behavior and suicidal behavior is complex, and there are many influencing factors. Individual evaluation of suicidal attitude may be a more effective index to predict whether suicidal behavior will occur in the future; Increase the social support between family parents and children, between school teachers and students and students, so that patients with depressive disorder with NSSI have better perception of social support, which can effectively reduce the incidence of NSSI behavior.
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