青少年消极身体意象潜在类别与自杀意念和非自杀性自伤的关系

doi:10.13481/j.1671-587X.20230429

Abstract

Abstract:

Objective To discuss the potential categories of adolescents’ negative physical intentions， and to further analyze the relationships between different potential categories and suicidal ideation and non-suicidal self-injury of adolescents’ negative physical intentions. Methods In Changchun City of Jilin Province，4 middle schools were randomly selected， and 2 or 3 teaching classes were selected from each grade by using cluster randomly sampling method，and 1 459 students were regarded as the survey subjects， Beck Scale for Suicide Ideation Chinese Version（BSI-CV）， Adolescent Self Harm Scale （ASHS）， and Negative Physical Self Scale （NPSS） were used for the on-the-spot questionnaire survey， and the results were analyzed by latent profile analysis，χ² test，and Logistic regression analysis. Results The adolescents’ negative physical intentions were divided into body satisfaction（65.2%，951 persons），emaciated body dissatisfaction（13.4%，195 persons） and obese appearance dissatisfaction（21.4%，313 persons）.The Logistic regression analysis results showed that only-child（OR=2.43，95%CI：1.21－4.89，P<0.05）， bullying experience（OR=2.43， 95%CI：2.19－5.72，P<0.05），emaciated body dissatisfaction（OR =5.42， 95%CI：2.66－11.05，P<0.01），and obese appearance dissatisfaction（OR=9.34， 95%CI：5.18－16.83，P<0.01） were the risk factors for the adolescents’ suicidal ideation； girls（OR=2.35，95%CI：1.49－3.71，P<0.01），single-parent family（OR=1.99，95%CI：1.11－3.59，P<0.05），bullying experience（OR=5.26， 95%CI：3.42－8.08，P<0.01），emaciated body dissatisfaction（OR=2.34， 95%CI：1.21－4.53，P<0.05），and obese appearance dissatisfaction（OR=5.24， 95%CI：3.31－8.28，P<0.01）were the risk factors for the non-suicidal self-injury of the adolescents. Conclusion The negative physical intentions of the adolescents have heterogeneous；emaciated body dissatisfaction and obese appearance dissatisfaction are the risk factors for the suicidal ideation and non-suicidal self-injury.

Key words: Negative physical intentions, Suicidal ideation, Non-suicidal self-injury, Adolescent

CLC Number:

R395.2

Mingtu XU,Jingyang LI,Cong FU,Runhui TIAN. Relationships between potential categories of adolescents’ negative physical intentions and suicidal ideation and non-suicidal self-injury[J].Journal of Jilin University(Medicine Edition), 2023, 49(4): 1053-1059.

Figures/Tables 5

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References 31

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Type	AIC	BIC	nBIC	Entropy	P_BLRT	P_LMRT
1	19 887.25	19 953.57	19 996.71	－	－	－
2	19 668.31	19 752.88	19 702.05	0.81	<0.01	<0.01
3	19 245.27	19 361.55	19 291.66	0.85	<0.01	<0.01
4	19 045.48	19 193.48	19 104.53	0.74	<0.01	<0.01
5	18 778.28	18 957.99	18 849.99	0.79	<0.01	<0.01
6	18 644.94	18 856.36	18 729.29	0.81	<0.01	0.24
“－”：No data.

Variable	n	Suicidal ideation				Non-suicidal self-injury
Variable	n	Yes	No	χ²	P	Yes	No	χ²	P
Gender
Boy	676	32	644	3.74	0.05	37	639	9.58	<0.01
Girl	783	56	727			77	706
Whether one-child
Yes	1 112	78	1 034	7.97	<0.01	91	1 021	0.88	0.350
No	347	10	337			23	324
Whether single-parent family
Yes	121	15	106	9.43	<0.01	20	101	13.91	<0.01
No	1 338	73	1 265			94	1 024
Whether bullying experience
Yes	230	41	189	67.02	<0.01	56	174	103.63	<0.01
No	1 229	47	1 182			58	1 171
Negative physical intention
Body satisfaction	951	16	935	107.76	<0.01	34	917	96.63	<0.01
Emaciated body dissatisfaction	195	17	178			15	180
Obese appearance dissatisfaction	313	55	258			65	248

Variable	Value
Dependent variable
Suicidal ideation	0=No,1=Yes
Non-suicidal self-injury	0=No,1=Yes
Independent variable
Gender	0=Boy,1=Girl
Whether only-child	0=No,1=Yes
Whether single-parent family	0=No,1=Yes
Whether bullying experience	0=No,1=Yes
Negative physical intention	0=Body satisfaction,1=Emaciated body dissatisfaction,2=Obese appearance dissatisfaction

Variable	β	SE	Wald χ²	OR	95%CI	P
Whether one-child
Yes/No	0.89	0.36	6.25	2.43	1.21－4.89	<0.05
Whether single-parent family
Yes/No	0.38	0.33	1.34	1.47	0.76－2.84	0.25
Whether bullying experience
Yes/No	1.27	0.24	26.85	3.55	2.19－5.72	<0.01
Negative physical intention
Emaciated body dissatisfaction/Body satisfaction	1.69	0.36	21.50	5.42	2.66－11.05	<0.01
Obese appearance dissatisfaction/Body satisfaction	2.23	0.31	55.21	9.34	5.18－16.83	<0.01

Variable	β	SE	Wald χ²	OR	95%CI	P
Gender
Girl/Boy	0.85	0.23	13.62	2.35	1.49－3.71	<0.01
Whether single-parent family
Yes/No	0.69	0.30	5.33	1.99	1.11－3.59	<0.05
Whether bullying experience
Yes/No	1.66	0.22	57.58	5.26	3.42－8.08	<0.01
Negative physical intention
Emaciated body dissatisfaction/Body satisfaction	0.85	0.34	6.32	2.34	1.21－4.53	<0.05
Obese appearance dissatisfaction/Body satisfaction	1.66	0.23	50.17	5.24	3.31－8.28	<0.01

Relationships between potential categories of adolescents’ negative physical intentions and suicidal ideation and non-suicidal self-injury

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