Journal of International Psychiatry

Objective: To explore the influence of repetitive transcranial magnetic stimulation (rTMS) combined with psychological support on non-suicidal self-injury (NSSI) in adolescents. Methods: The clinical data of adolescent depression patients with NSSI admitted to our hospital were retrospectively analyzed from April 2021 to April 2023. 275 cases were randomly selected from the clinical data of adolescents with psychological support intervention and were included in control group, and 275 cases collected from the clinical data of adolescents with psychological support combined with rTMS were enrolled as observation group. The number of self-injury, self-injury behavior [Ottawa Self-Injury Scale (OSI)], psychological status [Child Depression Inventory (CDI), Child Loneliness Scale (CLS)], self-efficacy [General Self-Efficacy Scale (GSES)], impulsiveness level [Barratt Impulsiveness Scale-II (BIS-II)], emotion regulation ability [Difficulties in Emotion Regulation Scale (DERS)] and social support [Multidimensional Scale of Perceived Social Support (MSPSS)] were recorded before intervention and after 30 days of intervention. Results: After 30 days of intervention, the number of self-injury, OSI score, CDI score, CLS score, BIS-II scores and DERS scores of patients were declined compared with those before intervention, and the indicators in observation group were lower than those in control group (P<0.05). The GSES scores and MSPSS scores were risen compared to before intervention, and the scores were higher in observation group (P<0.05). Conclusion: For adolescent patients with NSSI, the application of psychological support and rTMS can help reduce the occurrence of self-injury and enhance the self-efficacy.

Adolescents; Non-suicidal self-injury; Psychological support; Repetitive transcranial magnetic stimulation; Self-efficacy