Cross-sectional Investigation Of Adolescent Patients With Mental Disorders On Non-suicidal Self-injury Disclosure And Related Factors

None-suicidal self-injury(NSSI)refers to deliberate and direct destruction or alteration of bodily tissue(e.g.,self-cutting,burning,severe scratching;American Psychiatric Association,2013)without the intent to die,causing mild to medium harm to ones body,for purposes not socially sanctioned.Studies show NSSI to be positively correlated with multiple psychiatric diseases such as personality disorders,anxiety disorders,depression,substance abuse etc.NSSI disclosure refers to revealing one’s NSSI behavior to others willingly,no matter the motivation.Disclosure of NSSI is the most straight-forward way for one’s close family and friends to learn about one’s self-harm behavior.If the person choose to conseal it the chances that NSSI be discovered or treated at an early stage would be negligible.Looking forward to learn more about NSSI disclosure,we did a cross-sectional study in Guangdong General Hospital,among the adolescents with mental disorders,including inpatients and outpatients.Study aim:to explore the relevant factors of NSSI disclosure in the adolescents NSSI group with mental disorders,and its relationship with bullying,overall loneliness,school bullying,childhood trauma,etc.Study population:adolescents with mental disorders that committed NSSI in Guangdong General Hospital,who must be able to sign informed consent by themselves or their family members;must be in stable condition with no factors affecting the reading comprehension of the questionnaire;exclude those with strong suicide intention,substance dependence or abuse,psychoactive substances,and those with serious physical or brain diseases.Study method:we made a survey consists of montgomery depression rating scale,the Self-Harm and Suicide Disclosure Scale,child trauma questionnaire,interpersonal needs questionnaire,UCLA loneliness questionnaire,BPRS,Owleus Bully/Victim Questionnaire,the Functional Assessment of Self-Mutilation,family response quality questionnaire combined with demographic information collection,using SPSS26 for statistical analysis,statistical methods:independent sample t-test,variance analysis,univariate regression analysis.multiple stepwise regression analysis.The results are:(1)NSSI adolescents’ depression differ significantly in the only child status,which is significantly higher in the only child than the non-only child.The total disclosure level of NSSI in the adolescent NSSI group is significantly different in the only child status,which is significantly higher in the only child than that of the non-only child;(2)there is a significant negative correlation between NSSI total disclosure level and depression,NSSI disclosure and interpersonal needs,NSSI disclosure and loneliness.Depression showed a significant negative correlation with NSSI total disclosure level while also positively correlated with childhood trauma,interpersonal needs,loneliness,school bullying,and psychiatric symptoms:Childhood trauma is positively correlated with depression,interpersonal needs,school bullying,severity of NSSI,and psychiatric symptoms;Interpersonal needs are positively correlated with depression,childhood trauma,perceived loneliness,NSSI severity,and psychiatric symptoms,while negatively associated with NSSI total disclosure level and family response quality:Loneliness is positively associated with depressed mood,interpersonal needs,psychiatric symptoms,and has a negative correlation with NSSI total exposure level:family response quality is negatively correlated with interpersonal needs:School bullying is positively correlated with depression,childhood trauma,and NSSI severity:The severity of NSSI is positively correlated with childhood trauma,interpersonal needs,school bullying,and psychiatric symptoms:Psychotic symptoms are positively correlated with depression,childhood trauma,interpersonal needs,loneliness,and NSSI severity.(3)Interpersonal needs can negatively predict the total NSSI disclosure level in the adolescent NSSI population.The formla for predicting the total disclosure level of NSSI in the adolescent NSSI population is:NSSI total disclosure level=0.752-0.008*interpersonal needs.(4)Interpersonal needs and family response quality have a significant prediction of loneliness in adolescent NSSI groups.Between them,interpersonal needs have a significant positive prediction of loneliness,while family response quality has a significant negative prediction of loneliness;depression makes no difference in prediction of loneliness.