青少年非自杀性自伤行为的研究进展
Advances in the Study of Non-Suicidal Self-Injurious Behavior in Adolescents
DOI: 10.12677/ap.2025.1511571, PDF,   
作者: 赵 洋:浙江大学医学院附属第一医院精神卫生科,浙江 杭州;杭州市临安区第五人民医院心身障碍科,浙江 杭州;叶科琪:杭州市临安区第一人民医院神经内科,浙江 杭州;丁 力:杭州医学院心理健康教育中心,浙江 杭州;陆邵佳*:浙江大学医学院附属第一医院精神卫生科,浙江 杭州
关键词: 青少年非自杀性自伤Adolescents Non-Suicidal Self-Injury
摘要: 2013年《美国精神障碍诊断与统计手册第5版》(DSM-5)将非自杀性自伤(NSSI)作为独立的临床障碍进行研究,并制定了相应的诊断标准。大量研究表明,青少年是NSSI行为的高发人群,尤其是在青春期早中期。青少年群体与NSSI行为之间复杂的关联已引起广泛关注,成为全球公共卫生的重要议题。本文系统梳理了青少年NSSI行为在流行病学、发病机制、理论模型、临床干预及预防等方面的研究进展,为控制和预防该行为提供科学依据与实践指导。
Abstract: In 2013, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) recognized non-suicidal self-injury (NSSI) as an independent clinical disorder and established corresponding diagnostic criteria. A substantial body of research has demonstrated that adolescents constitute a high-risk group for NSSI behavior, particularly during the early to middle stages of adolescence. The intricate relationship between this population and NSSI behavior has garnered significant attention and emerged as a critical issue in global public health. This article systematically reviews the advancements in research concerning the epidemiology, pathogenesis, theoretical models, clinical interventions, and prevention strategies related to NSSI behavior among adolescents. It aims to provide a scientific foundation and practical guidance for controlling and preventing such behaviors.
文章引用:赵洋, 叶科琪, 丁力, 陆邵佳 (2025). 青少年非自杀性自伤行为的研究进展. 心理学进展, 15(11), 1-9. https://doi.org/10.12677/ap.2025.1511571

参考文献

[1] 艾明, 靳佳佳, 冉柳毅, 洪素, 王苏亚, 张琪, 等(2018). 神经胶质高亲和力谷氨酸转运体基因多态性与青少年非自杀性自伤的关联研究. 中华行为医学与脑科学杂志, 27(3), 222-225.
[2] 陈胡丹, 及若菲, 黄国平(2016). 辩证行为疗法及其临床应用的最新进展. 四川精神卫生, 29(5), 477-481.
[3] 陈哲平, 王艳秋, 王金峰, 段滢, 张烨, 金岳龙, 姚应水(2018). 青少年生活事件和父母教养方式对高校大学生自伤行为的影响. 齐齐哈尔医学院学报, 39(7), 816-818.
[4] 干欣翊, 刘晓华(2023). 内源性阿片类系统与非自杀性自伤关系的研究进展. 临床精神医学杂志, 33(5), 412-414.
[5] 高骏波(2020). 重复经颅磁刺激治疗对青少年抑郁症自我伤害的影响作用-低频刺激右背外侧前额叶疗效研究. 硕士学位论文, 成都: 电子科技大学.
[6] 宦宗素, 何旭斌, 杜娜, 吴冬梅, 岳玉川(2023). 青少年非自杀性自伤发病机制及治疗研究进展. 中国学校卫生, 44(4), 636-640.
[7] 贾骏, 雷千乐, 江琴(2020). 青少年非自杀性自伤评估与治疗方法. 医学与哲学, 41(17), 44-48.
[8] 李振阳, 王皋茂, 何现萍, 高贺, 宋京瑶, 曾巧羚(2020). 青少年非自杀性自伤行为研究进展. 国际神经精神科学杂志, 9(4), 69-75.
[9] 马颖, 陈雁如, 张曼, 郭宏达, 易艳妮, 唐杰(2019). 青少年非自杀性自伤行为和网络成瘾的相关性. 中国学校卫生, 40(7), 972-976.
[10] 孙蒙, 史战明, 陈登国, 吉航西, 罗丽霞, 张渝雪(2020). 非自杀性自伤与精神障碍关系研究进展. 国际精神病学杂志, 47(1), 11-13, 24.
[11] 万里洋, 况利(2014). 青少年非自杀性自伤危险因素的研究进展. 四川精神卫生, 27(6), 566-568, 569.
[12] 温宇娇, 徐一凡, 乔丹, 刘志芬(2020). 青少年非自杀性自伤行为的社会心理因素解释模型及干预研究. 国际精神病学杂志, 47(5), 885-888.
[13] 许春杏, 王雅琴, 蒙永彩(2022). 青少年非自杀性自伤的发病机理、理论模型及其研究进展. 大众科技, 24(6), 107-111.
[14] 喻承甫, 李美金, 张卫(2021). 童年期创伤、亲子冲突与青少年非自杀性自伤: 催产素受体基因rs53576多态性的调节作用. 中国青年社会科学, 40(5), 97-108.
[15] 张敏, 郑新竹, 刘丽萍, 王喜今(2024). 青少年非自杀性自伤危险因素及治疗研究进展. 神经疾病与精神卫生, 24(12), 863-870.
[16] 张迎黎, 冯飞, 梁炜, 方莉, 周云飞, 位照国, 刘铁榜(2019). 认知行为治疗对自杀症状疗效的系统评价和meta分析. 中国心理卫生杂志, 33(1), 8-14.
[17] 周东东(2015). 非自杀性自伤的治疗进展. 硕士学位论文, 重庆: 重庆医科大学.
[18] Ando, A., Reichl, C., Scheu, F., Bykova, A., Parzer, P., Resch, F. et al. (2018). Regional Grey Matter Volume Reduction in Adolescents Engaging in Non-Suicidal Self-Injury. Psychiatry Research: Neuroimaging, 280, 48-55.[CrossRef] [PubMed]
[19] Beauchaine, T. P., Sauder, C. L., Derbidge, C. M., & Uyeji, L. L. (2019). Self-Injuring Adolescent Girls Exhibit Insular Cortex Volumetric Abnormalities That Are Similar to Those Seen in Adults with Borderline Personality Disorder. Development and Psychopathology, 31, 1203-1212.[CrossRef] [PubMed]
[20] Bentley, K. H., Nock, M. K., & Barlow, D. H. (2014). The Four-Function Model of Nonsuicidal Self-Injury. Clinical Psychological Science, 2, 638-656.[CrossRef
[21] Bonenberger, M., Plener, P. L., Groschwitz, R. C., Grön, G., & Abler, B. (2015). Differential Neural Processing of Unpleasant Haptic Sensations in Somatic and Affective Partitions of the Insula in Non-Suicidal Self-Injury (NSSI). Psychiatry Research: Neuroimaging, 234, 298-304.[CrossRef] [PubMed]
[22] Bresin, K., & Gordon, K. H. (2013). Endogenous Opioids and Nonsuicidal Self-Injury: A Mechanism of Affect Regulation. Neuroscience & Biobehavioral Reviews, 37, 374-383.[CrossRef] [PubMed]
[23] Bresin, K., & Schoenleber, M. (2015). Gender Differences in the Prevalence of Nonsuicidal Self-Injury: A Meta-Analysis. Clinical Psychology Review, 38, 55-64.[CrossRef] [PubMed]
[24] Brown, M. Z., Comtois, K. A., & Linehan, M. M. (2002). Reasons for Suicide Attempts and Nonsuicidal Self-Injury in Women with Borderline Personality Disorder. Journal of Abnormal Psychology, 111, 198-202.[CrossRef
[25] Busby, D. R., Hatkevich, C., McGuire, T. C., & King, C. A. (2020). Evidence-Based Interventions for Youth Suicide Risk. Current Psychiatry Reports, 22.[CrossRef] [PubMed]
[26] Chapman, A. L., Gratz, K. L., & Brown, M. Z. (2006). Solving the Puzzle of Deliberate Self-Harm: The Experiential Avoidance Model. Behaviour Research and Therapy, 44, 371-394.[CrossRef] [PubMed]
[27] Chartrand, H., Sareen, J., Toews, M., & Bolton, J. M. (2012). Suicide Attempts versus Nonsuicidal Self-Injury among Individuals with Anxiety Disorders in a Nationally Representative Sample. Depression and Anxiety, 29, 172-179.[CrossRef] [PubMed]
[28] Cullen, K. R., Amatya, P., Roback, M. G., Albott, C. S., Westlund Schreiner, M., Ren, Y. et al. (2018). Intravenous Ketamine for Adolescents with Treatment-Resistant Depression: An Open-Label Study. Journal of Child and Adolescent Psychopharmacology, 28, 437-444.[CrossRef] [PubMed]
[29] Glenn, C. R., Esposito, E. C., Porter, A. C., & Robinson, D. J. (2019). Evidence Base Update of Psychosocial Treatments for Self-Injurious Thoughts and Behaviors in Youth. Journal of Clinical Child & Adolescent Psychology, 48, 357-392.[CrossRef] [PubMed]
[30] Gross, J. J. (1998). The Emerging Field of Emotion Regulation: An Integrative Review. Review of General Psychology, 2, 271-299.[CrossRef
[31] Guerreiro, D. F., Cruz, D., Frasquilho, D., Santos, J. C., Figueira, M. L., & Sampaio, D. (2013). Association between Deliberate Self-Harm and Coping in Adolescents: A Critical Review of the Last 10 Years’ Literature. Archives of Suicide Research, 17, 91-105.[CrossRef] [PubMed]
[32] Hankin, B. L., Barrocas, A. L., Young, J. F., Haberstick, B., & Smolen, A. (2015). 5-Httlpr×Interpersonal Stress Interaction and Nonsuicidal Self-Injury in General Community Sample of Youth. Psychiatry Research, 225, 609-612.[CrossRef] [PubMed]
[33] He, H., Hu, C., Ren, Z., Bai, L., Gao, F., & Lyu, J. (2020). Trends in the Incidence and DALYs of Bipolar Disorder at Global, Regional, and National Levels: Results from the Global Burden of Disease Study 2017. Journal of Psychiatric Research, 125, 96-105.[CrossRef] [PubMed]
[34] Islam, M. A., Steiger, H., Jimenez‐Murcia, S., Israel, M., Granero, R., Agüera, Z. et al. (2015). Non‐Suicidal Self‐Injury in Different Eating Disorder Types: Relevance of Personality Traits and Gender. European Eating Disorders Review, 23, 553-560.[CrossRef] [PubMed]
[35] Kaess, M., Koenig, J., Bauer, S., Moessner, M., Fischer-Waldschmidt, G., Mattern, M. et al. (2019). Self-Injury: Treatment, Assessment, Recovery (STAR): Online Intervention for Adolescent Non-Suicidal Self-Injury-Study Protocol for a Randomized Controlled Trial. Trials, 20, Article No. 425.[CrossRef] [PubMed]
[36] Kaess, M., Parzer, P., Mattern, M., Plener, P. L., Bifulco, A., Resch, F. et al. (2013). Adverse Childhood Experiences and Their Impact on Frequency, Severity, and the Individual Function of Nonsuicidal Self-Injury in Youth. Psychiatry Research, 206, 265-272.[CrossRef] [PubMed]
[37] Keenan, K., Hipwell, A. E., Stepp, S. D., & Wroblewski, K. (2014). Testing an Equifinality Model of Nonsuicidal Self-Injury among Early Adolescent Girls. Development and Psychopathology, 26, 851-862.[CrossRef] [PubMed]
[38] Klonsky, E. D., May, A. M., & Glenn, C. R. (2013). The Relationship between Nonsuicidal Self-Injury and Attempted Suicide: Converging Evidence from Four Samples. Journal of Abnormal Psychology, 122, 231-237.[CrossRef] [PubMed]
[39] Liu, Y., Xiao, Y., Ran, H., He, X., Jiang, L., Wang, T. et al. (2020). Association between Parenting and Non-Suicidal Self-Injury among Adolescents in Yunnan, China: A Cross-Sectional Survey. PeerJ, 8, e10493.[CrossRef] [PubMed]
[40] Muehlenkamp, J. J., Claes, L., Havertape, L., & Plener, P. L. (2012). International Prevalence of Adolescent Non-Suicidal Self-Injury and Deliberate Self-Harm. Child and Adolescent Psychiatry and Mental Health, 6, Article No. 10.[CrossRef] [PubMed]
[41] Nock, M. (2009a). Understanding Nonsuicidal Self-Injury: Origins, Assessment, and Treatment. American Psychological Association.
[42] Nock, M. K. (2009b). Why Do People Hurt Themselves? New Insights into the Nature and Functions of Self-Injury. Current Directions in Psychological Science, 18, 78-83.[CrossRef] [PubMed]
[43] O’Connor, R. C., Rasmussen, S., Miles, J., & Hawton, K. (2009). Self-Harm in Adolescents: Self-Report Survey in Schools in Scotland. British Journal of Psychiatry, 194, 68-72.[CrossRef] [PubMed]
[44] Poon, J. A., Thompson, J. C., Forbes, E. E., & Chaplin, T. M. (2019). Adolescents’ Reward‐Related Neural Activation: Links to Thoughts of Nonsuicidal Self‐Injury. Suicide and Life-Threatening Behavior, 49, 76-89.[CrossRef] [PubMed]
[45] Prinstein, M. J., Heilbron, N., Guerry, J. D., Franklin, J. C., Rancourt, D., Simon, V. et al. (2010). Peer Influence and Nonsuicidal Self Injury: Longitudinal Results in Community and Clinically-Referred Adolescent Samples. Journal of Abnormal Child Psychology, 38, 669-682.[CrossRef] [PubMed]
[46] Selby, E. A., & Joiner, T. E. (2009). Cascades of Emotion: The Emergence of Borderline Personality Disorder from Emotional and Behavioral Dysregulation. Review of General Psychology, 13, 219-229.[CrossRef] [PubMed]
[47] Stanley, B., Sher, L., Wilson, S., Ekman, R., Huang, Y., & Mann, J. J. (2010). Non-Suicidal Self-Injurious Behavior, Endogenous Opioids and Monoamine Neurotransmitters. Journal of Affective Disorders, 124, 134-140.[CrossRef] [PubMed]
[48] Taliaferro, L. A., McMorris, B. J., & Eisenberg, M. E. (2018). Psychiatry Research, 268, 65-67.[CrossRef] [PubMed]
[49] van Geel, M., Goemans, A., & Vedder, P. (2015). A Meta-Analysis on the Relation between Peer Victimization and Adolescent Non-Suicidal Self-Injury. Psychiatry Research, 230, 364-368.[CrossRef] [PubMed]
[50] Wang, J., Qin, W., Liu, B., Zhou, Y., Wang, D., Zhang, Y. et al. (2014). Neural Mechanisms of Oxytocin Receptor Gene Mediating Anxiety-Related Temperament. Brain Structure and Function, 219, 1543-1554.[CrossRef] [PubMed]
[51] Wang, X., Huang, X., Huang, X., & Zhao, W. (2022). Parents’ Lived Experience of Adolescents’ Repeated Non-Suicidal Self-Injury in China: A Qualitative Study. BMC Psychiatry, 22, Article No. 70.[CrossRef] [PubMed]
[52] Weisler, R. H., Khan, A., Trivedi, M. H., Yang, H., Eudicone, J. M., Pikalov, A. et al. (2011). Analysis of Suicidality in Pooled Data from 2 Double-Blind, Placebo-Controlled Aripiprazole Adjunctive Therapy Trials in Major Depressive Disorder. The Journal of Clinical Psychiatry, 72, 548-555.[CrossRef] [PubMed]
[53] Witt, K. G., Hetrick, S. E., Rajaram, G., Hazell, P., Taylor Salisbury, T. L., Townsend, E. et al. (2021). Psychosocial Interventions for Self-Harm in Adults. Cochrane Database of Systematic Reviews, No. 4, CD13668.[CrossRef] [PubMed]
[54] Zetterqvist, M. (2015). The DSM-5 Diagnosis of Nonsuicidal Self-Injury Disorder: A Review of the Empirical Literature. Child and Adolescent Psychiatry and Mental Health, 9, Article No. 31.[CrossRef] [PubMed]
[55] Zetterqvist, M., Lundh, L., Dahlström, Ö., & Svedin, C. G. (2013). Prevalence and Function of Non-Suicidal Self-Injury (NSSI) in a Community Sample of Adolescents, Using Suggested DSM-5 Criteria for a Potential NSSI Disorder. Journal of Abnormal Child Psychology, 41, 759-773.[CrossRef] [PubMed]