四川精神卫生
四川精神衛生
사천정신위생
SICHUAN MENTAL HEALTH
2015年
3期
244-247
,共4页
李苏燕%程勤华%贾孙玉%曾银川
李囌燕%程勤華%賈孫玉%曾銀川
리소연%정근화%가손옥%증은천
自伤行为%功能性评估%高职学生
自傷行為%功能性評估%高職學生
자상행위%공능성평고%고직학생
Self-injurious kehavior%Functional assessment%Higher vocational college students
目的了解高职学生自伤行为的现状及检出率，并对自伤行为进行功能性评估，为高职学生自伤行为的预防和干预提供参考依据。方法采用整群随机抽样方法抽取浙江省杭州市2014级900名新入校高职学生为调查对象，采用自编的大学生自伤行为问卷调查高职学生自伤行为时的想法、目的及功能。结果853名高职学生有效完成调查，其中52.3%报告有自伤行为，6.4%经常自伤，自伤行为在性别方面差异无统计学意义（χ2=0.047， P=0.977）。67.6%的个体初次发生自伤行为是在12~15岁，19.5%是在16~20岁；自伤方式中，66.7%用手打玻璃或墙壁等硬物体，52.4%用手打脸或身体其它部位；自伤行为功能评估发现81.2%是宣泄情绪，69.4%是弥补过错或者惩罚自己，68.2%是获得关注，16.3%是获得某种快感，13.8%是鼓励或鞭策自己，2.5%是模仿崇拜或喜欢的人。结论高职学生自伤行为的检出率较高；自伤行为发生时间早，实施前考虑时问短，行为冲动；缓解不良情绪是个体自伤最常见的动机；早期创伤经验可能会增加个体自伤行为的发生。
目的瞭解高職學生自傷行為的現狀及檢齣率，併對自傷行為進行功能性評估，為高職學生自傷行為的預防和榦預提供參攷依據。方法採用整群隨機抽樣方法抽取浙江省杭州市2014級900名新入校高職學生為調查對象，採用自編的大學生自傷行為問捲調查高職學生自傷行為時的想法、目的及功能。結果853名高職學生有效完成調查，其中52.3%報告有自傷行為，6.4%經常自傷，自傷行為在性彆方麵差異無統計學意義（χ2=0.047， P=0.977）。67.6%的箇體初次髮生自傷行為是在12~15歲，19.5%是在16~20歲；自傷方式中，66.7%用手打玻璃或牆壁等硬物體，52.4%用手打臉或身體其它部位；自傷行為功能評估髮現81.2%是宣洩情緒，69.4%是瀰補過錯或者懲罰自己，68.2%是穫得關註，16.3%是穫得某種快感，13.8%是鼓勵或鞭策自己，2.5%是模倣崇拜或喜歡的人。結論高職學生自傷行為的檢齣率較高；自傷行為髮生時間早，實施前攷慮時問短，行為遲動；緩解不良情緒是箇體自傷最常見的動機；早期創傷經驗可能會增加箇體自傷行為的髮生。
목적료해고직학생자상행위적현상급검출솔，병대자상행위진행공능성평고，위고직학생자상행위적예방화간예제공삼고의거。방법채용정군수궤추양방법추취절강성항주시2014급900명신입교고직학생위조사대상，채용자편적대학생자상행위문권조사고직학생자상행위시적상법、목적급공능。결과853명고직학생유효완성조사，기중52.3%보고유자상행위，6.4%경상자상，자상행위재성별방면차이무통계학의의（χ2=0.047， P=0.977）。67.6%적개체초차발생자상행위시재12~15세，19.5%시재16~20세；자상방식중，66.7%용수타파리혹장벽등경물체，52.4%용수타검혹신체기타부위；자상행위공능평고발현81.2%시선설정서，69.4%시미보과착혹자징벌자기，68.2%시획득관주，16.3%시획득모충쾌감，13.8%시고려혹편책자기，2.5%시모방숭배혹희환적인。결론고직학생자상행위적검출솔교고；자상행위발생시간조，실시전고필시문단，행위충동；완해불량정서시개체자상최상견적동궤；조기창상경험가능회증가개체자상행위적발생。
Objective To dnow the reported rate and functional evaluation of vocational college studentsˊself-injurious kehavior, to provide a theoretical reference for the prevention and intervention. Methods Using random cluster sampling method from Hangzhou city of Zhejiang Province,2014 grade 900 new school of higher vocational students as research sample,use the questionnaire of college studentsˊself-injurious kehavior,also investigate the idea,purpose and function as self-injurious kehavior happened. Results 853 vo=cational students complete the survey effectively,52. 3% of them reported self-injurious kehavior. 6. 4% often injury themselves,there is no significant difference in terms of gender self-injurious kehavior(χ2 =0. 047,P=0. 977). 67. 6% of individuals who exercised self-injury for the first time were at the age of 12~15,19. 5% are at the age of 16~20. As the methods in self-injury,66. 7% are hitting hands onto hard okjects,such as glass or wall,52. 4% are slapping their faces or other parts of the kody. The functional assessment of self-injurious kehavior found that the main function of self-injurious kehavior was"vent(81. 2%)",followed ky"in order to made up for mistades or punish yourself(69. 4%)","hoping to draw attention for themselves(68. 2%)",in order to oktain some dind of pleasure (16. 3%)","in order to encourage and motivate myself(13. 8%)","imitation the person that is worshiped or lided(2. 5%)". Conclu-sion The detection rate of vocational studentsˊself-injurious kehavior is high. Self-injurious kehavior occurred at the early stage,it is an impulsive kehavior with a short time to consider previously. To alleviate kad mood is the most common motivation of individual injury;early trauma experience may increase the occurrence of individual`sself-injurious kehavior.
