title: Prevalence and Correlates of Direct Self-Injurious Behavior among Chinese Adolescents: Findings from a Multicenter and Multistage Survey.
abstract: Direct self-injurious behavior (DSIB) has become an important focus due to its perniciousness and perplexity. Little is known about its prevalence and correlative factors in Chinese adolescents, including how data may differ according to gender. A multicenter, multistage stratified cluster random sampling was used to examine the previous 12-month prevalence of DSIB, as well as the possible correlates of demographics, risky behaviors, suicidality, and psychosocial factors associated with DSIB in a school-based sample of 11,880 students (49.5 % boys and 50.5 % girls). Approximately 30 % of the adolescents in the sample reported at least one incident of DSIB in the past 12-month period. After controlling for demographic variables, analyses of the independent relationships of DSIB with risky behaviors, suicidality, and psychosocial factors were conducted for each gender. Smoking, binge drinking, running away from home, suicide ideation, suicide plans, positive affect, and physical symptoms were identified as common factors associated with DSIB for both genders in the final model. In addition, truancy, fighting, physical inactivity, motor impulsiveness, and depressed affect were found to be related to DSIB in boys, whereas suicide attempts and somatic complaints were found to be related to DSIB in girls. Separation anxiety and social anxiety associated negatively with DSIB in boys and girls, respectively. DSIB was not found to independently relate to attention impulsiveness, non-planned impulsiveness, self-esteem, or harm avoidance in either genders. DSIB was prevalent in Chinese adolescents. Programs intended to promote physical and mental health in adolescents should take into account gender differences in DSIB-associated factors, including risky behaviors, suicidality, and psychosocial factors.
authors: Medical Psychological Institute, Second Xiangya Hospital, Central South University, No. 139 Ren-Min Middle Road, Changsha, 410011, Hunan, People's Republic of China.|Mental Health Center, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, People's Republic of China.|Medical Psychology Department, Clinical Medical College, Ningxia Medical University, Yinchuan, Ningxia, People's Republic of China.
authors: Xiuhong
authors: X
authors: Xin
authors: School of Humanities & Social Sciences, Xi'an Jiaotong University, Xi'an, Shaanxi, People's Republic of China.
authors: Yuping
authors: Y
authors: Wang
authors: Mental Health Center, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, People's Republic of China.|Medical Psychology Department, Clinical Medical College, Ningxia Medical University, Yinchuan, Ningxia, People's Republic of China.
authors: Jianqun
authors: J
authors: Fang
authors: Medical Psychological Institute, Second Xiangya Hospital, Central South University, No. 139 Ren-Min Middle Road, Changsha, 410011, Hunan, People's Republic of China.
authors: Qingsen
authors: Q
authors: Ming
authors: Medical Psychological Institute, Second Xiangya Hospital, Central South University, No. 139 Ren-Min Middle Road, Changsha, 410011, Hunan, People's Republic of China. Shuqiaoyao@163.com.
authors: Shuqiao
authors: S
authors: Yao
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D002648:Child; D002681:China / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D016728:Self-Injurious Behavior / Q000453:epidemiology* / Q000523:psychology*; D012737:Sex Factors; D059020:Suicidal Ideation
keywords: Adolescents; Deliberate self-harm; Gender difference; School-based survey; Self-injury; Suicidality