青少年非自杀性自伤行为研究进展

来源期刊：广州医药 | 1473-1481 发布时间：2025-11-20 收稿时间：2025/12/25 15:48:22 阅读量：45

作者：: 谭洁颖,

张璐璐,

关键词：: 非自杀性自伤青少年流行病学影响因素干预; non-suicidal self-injury adolescents epidemiology influencing factors intervention

DOI：: 10. 20223 / j. cnki. 1000-8535. 2025. 11. 002

收稿时间：: 2024-12-30
修订日期：
接收日期：
引用总数：: 1

非自杀性自伤行为（NSSI）是指个体在没有自杀意图的情况下，故意对自己身体进行伤害的行为。近年来，NSSI在全球范围内整体呈上升趋势，尤其在青少年群体中日益普遍，这与青少年的年龄特点、心理及生物学特征、社会压力等因素密切相关。有研究表明，NSSI是自杀行为的独立危险因素，不仅对青少年健康造成严重影响，也给家庭和社会带来了沉重的负担。因此，本文通过系统回顾NSSI相关文献，阐述其流行病学现况、影响因素和干预措施，旨在为早期识别高危人群、预防青少年NSSI行为的发生以及制定相应的干预策略提供科学依据。

张璐璐 中南大学医学博士，主任医师，研究生导师，博士后合作导师，现任广州市第一人民医院精神心理科主任，荣获广东省杰出青年医学人才、岭南名医、羊城好医生、广州市优秀健康科普专家称号。兼任中华医学会精神医学分会青年委员、中华医学会精神医学分会综合医院精神心理研究协作组委员、中华医学会心身医学分会心身重症医学协作学组委员、中国心理卫生协会老年心理卫生专业委员、中国老年保健协会心理健康和精神卫生分会常务委员、广东省心理学会临床心理专业委员会副主任委员、广东省医学会精神医学分会和心身医学分会常务委员等。发表多篇SCI论文，参编2部国家“十三五”规划教材和1部广东省高等学校“十二五”规划精品课程建设教材。擅长抑郁症、焦虑症、睡眠障碍、青少年情绪障碍的诊治和全病程康复。

非自杀性自伤行为（non-suicidal self-injury，NSSI）是指个体在不以死亡为目的的情况下，主动采取一系列包括但不限于咬伤、抓伤、烫伤、切割、在伤口上进行摩擦、挤压、揭痂等方式故意伤害自身器官或身体组织的行为^［1］。近年来，NSSI发生率呈上升趋势，尤其在青少年群体中愈发普遍。Lim等^［2］对1989年至2018年全球686 672名青少年的荟萃分析显示，青少年NSSI终生患病率高达22.1%。Griffin等^［3］对爱尔兰青少年自伤行为开展的前瞻性研究发现，2007年至2016年青少年自伤率增长22%。在《国际疾病分类（第十次修订本）》（International Classification of Diseases-10，ICD-10）中，NSSI被定义为一种症状而非独立疾病，而ICD-11将NSSI列为一种疾病，描述为“故意对身体造成的伤害，最常见的是割伤、刮擦、灼伤、咬伤或撞击，并预期只会导致轻微的身体伤害”，但目前在临床中还未被广泛应用。《精神障碍诊断与统计手册（第五版）》（Diagnostic and Statistical Manual of Mental Disorders，fifth edition，DSM-5）将NSSI列在第3部分需要进一步研究的状况中，并提出相应的诊断标准，呼吁进行更广泛和系统的研究^［4］。因此，本文主要对NSSI的流行病学现状、影响因素及干预措施三个方面进行系统性回顾，为NSSI的早期预防和干预提供参考依据。

1 流行病学现状

目前，NSSI已成为青少年中重要的公共卫生问题。 Kaess等^［5］对125名德国精神专科医院的青少年住院患者随访发现，在过去一年中有过NSSI的人数比例高达60%，49.6%的青少年出现重复性NSSI。Jiang等^［6］对中国2 376名中学生的调查研究发现，初中一、二、三年级的NSSI发生率分别为36.8%、35.5%、27.7%。Abbasi等^［7］对2013年至2014年共3 100名伊朗高中生的调查研究发现，高中生NSSI发生率为21.1%。Kiekens等^［8］对比利时某大学2014-2016学年招募的8 530名大学生的调查研究发现，大学一、二年级NSSI发生率分别为10.3%、6%，其中有7%出现重复性NSSI。Sun等^［9］对2018年10月至2019年12月在中国武汉市精神卫生中心住院的742名11~19 岁青少年患者进行的横断面研究发现，不同年龄阶段（11~13、13~15、15~17 和 17~19岁）的NSSI发生率分别为55.8%、58.5%、48.6%和29.1%。

有研究提出，NSSI在不同地域的流行特征不同，经济相对落后地区的NSSI可能更严重^［2］。在中国西南欠发达地区，NSSI终生患病率为47%^［10］。中国台湾地区约有20.1%的青少年在过去一年中至少有一次NSSI行为^［11］。伊朗青少年NSSI终生患病率为24.4%^［7］。在英国，NSSI终身患病率为4.86%，30.92%既往有过NSSI的患者存在严重自残行为^［12］。一项对印度与比利时的跨文化研究发现，印度年轻人NSSI的终生患病率和过去一年患病率分别约为21%和4%，印度年轻人NSSI的终生患病率可能高于比利时^［13］。

在2019年新型冠状病毒感染（COVID-19）流行期间，NSSI增加趋势愈发明显。Deng等^［14］对COVID-19流行期间的24 055名儿童和青少年的荟萃分析发现，NSSI的总体患病率为22.5%；青少年的患病率比成人约高出2倍，分别为32.40%和15.70%。这可能和在COVID-19流行期间，青少年对生活压力的感知更加敏感有关，特别是既往有NSSI病史、内化症状水平较高和调节情绪自我效能较差的人群，是导致NSSI的重要因素^［15］。

NSSI患病率在不同年龄、国家及地区之间存在差异，这可能和种族文化、经济水平的差异，以及研究测量方法的不同有关，但整体呈现上升趋势。

2 影响因素

2.1 生物学因素

2.1.1 下丘脑-垂体-肾上腺轴下丘脑-垂体-肾上腺（hypothalamic-pituitary-adrenal axis，HPA）轴是人体主要的应激系统，当个体处于应激状态时会激活HPA轴，促使肾上腺皮质释放皮质醇，皮质醇可在短时间内帮助个体从紧张的状态中恢复。研究发现，NSSI的发生可能与HPA轴功能障碍有关^{［16–18］}。患有NSSI的青少年在急性压力下其皮质醇反应降低，导致对压力的易感性增高，引起应激反应失常^［16］。Klimes-dougan等^［17］发现，在社会压力任务测试中，有反复NSSI史的青少年的唾液皮质醇水平低于无NSSI史的青少年，并有不同的皮质醇水平的变化轨迹，提示NSSI个体面对压力时反应迟钝和恢复缓慢。Reichl等^［18］对51名有NSSI行为的青少年进行了一项为期2年的队列研究发现，不良童年经历和HPA轴功能的相互作用可预测青少年NSSI的长期发展过程，与有严重不良童年经历且皮质醇水平升高的青少年相比，无不良童年经历且皮质醇水平升高的青少年第一年NSSI发生率可显著下降；然而随后第二年发现，这些青少年NSSI发生率相比于第一年有所上升，这可能是由于长期的高皮质醇分泌导致生理负担，从而使 NSSI行为再次增加。有严重不良童年经历的青少年，在不同的皮质醇水平下，NSSI发生率呈现下降的趋势，这可能因为有不良童年经历的青少年在日常生活中经历更多压力事件，而高皮质醇水平可能提供了一定的生理基础^［18］。

2.1.2 内源性阿片类 Faye^［19］在1995年提出了将NSSI概念化为成瘾行为的理论，NSSI出现之前负面情绪的增加类似于吸毒者的戒断症状。成瘾行为往往与内源性阿片类系统、奖赏系统以及应激系统有关。研究提示，个体通过NSSI激活内源性阿片系统，引起阿片类物质分泌增加，产生兴奋愉悦感增加的同时，减轻自伤行为带来的疼痛感，个体反复追求这种过程从而导致行为成瘾^［20-21］。Venne等^［22］发现，与健康对照组相比，伴有NSSI行为的青少年的疼痛阈值增高和疼痛敏感性降低，提示NSSI个体在疼痛的刺激下，体感大脑区域的活动较健康对照组活跃，从而导致与恐惧相关的疼痛程度降低并抑制疼痛反应的激活。Gavcar等^［23］研究发现，有NSSI行为的青少年唾液阿片肽水平升高，与疼痛阈值呈正相关；同时，自伤次数与阿片肽水平呈正相关，提示阿片肽可能是疼痛阈值与自伤次数的中介变量。Venne等^［22］发现，伴有NSSI的青少年血浆β-内啡肽水平较健康对照组降低。

2.1.3 奖赏系统奖赏系统由大脑额纹状体网络构成的，包括边缘系统的皮层下和额叶，腹侧纹状体/伏隔核、杏仁核和腹侧苍白球等边缘系统的皮层下结构主要负责奖赏处理的初步阶段，额叶特别是眶额叶皮质则与奖赏体验的评估相关^［24］。Lee等^［25］发现，与无 NSSI 行为史的健康对照组相比，根据DSM-5诊断为NSSI的患者在基于价值的决策中，其自伤行为与左侧眶额叶皮质、额上回和中央前回的异常激活有关；NSSI患者在奖赏评估过程中，右中扣带回和左海马体的神经活动降低。Poon等^［26］发现，与无NSSI想法的青少年相比，有NSSI想法的青少年在金钱奖赏的刺激下，双侧壳核激活显著增强，其他相关脑区如尾状核、伏隔核及腹内侧前额叶皮质虽有类似激活趋势，但未显示出与壳核类似的显著激活结果。此外，该研究还发现，早期有NSSI想法的青少年对奖赏具有高度的神经敏感性^［26］。

2.2 性别

Monto等^［27］采用2015年疾病控制和预防中心青少年风险行为监测系统对64 671名美国青少年调查发现，NSSI在青春期女性比男性更常见，这可能与青春期女性更容易出现抑郁、自杀观念、强迫性行为以及遭遇网络欺凌等有关；超过10%的青春期男性也有过NSSI行为，青春期男性主要通过打架、吸烟、使用毒品等行为来释放情绪^［27］。随着年龄增长，性别差异对NSSI的影响逐渐减小］^［28]。有研究发现，NSSI发生率在12~15岁的青春期女性中呈上升趋势，在16~18岁的年龄段中呈下降趋势，这可能和青春期女性的激素分泌水平变化以及面临月经初潮、月经不规律和月经疼痛等因素有关^［29］。

2.3 心理因素

2.3.1 对身体的关注有研究指出，NSSI理论模型之一是对身体的关注，对身体或容貌的不满意是NSSI的潜在影响因素^［30］。赫阳等^［31］在2022年对6 168名江苏省青少年调查研究发现，身体不满意是上行外貌（指外貌更有吸引力的个体进行向上社会比较的过程）与NSSI的中介。个体的外表条件性自我价值（指个体对自尊的评价标准取决于或依赖于外表评价）越高，上行外貌与身体不满意和NSSI的关系越密切，身体的被接纳感可降低身体不满意对NSSI的影响^［31］。Kennedy等^［32］对60名有NSSI行为的体重抑制的个体进行在线干预的对照研究发现，在线干预可以改善抑郁症状并提升个体的外观自尊和体重自尊，有效降低NSSI 的预期可能性。因此，提高对身体的欣赏和自我同情可以正向增加对身体的积极关注，降低NSSI的发生风险。

2.3.2 人格特质研究发现，高度的神经质和冲动型人格特质，以及情绪调节障碍是青少年NSSI的预测因素^{［11，33–37］}。神经质代表了情绪的不稳定性，使个体在应对外界刺激时表现出更强烈的情绪反应并能更容易感受到消极情绪。高度神经质的人格更容易导致NSSI成瘾^［38］。Cassels等^［33］对青少年NSSI的前瞻性研究发现，冲动可独立预测NSSI发生，提示冲动性增强是NSSI潜在的影响因素。运动冲动对NSSI起直接影响作用，认知冲动对NSSI起间接影响作用^［34］。此外，情绪失调也与NSSI的发生有关，影响NSSI的冲动观念甚至自杀观念^［35］。NSSI的患者可能采取了非适应性的认知情绪调节策略^［36］。非适应性的认知情绪调节策略增强了负性认知偏差对NSSI的影响，导致个体在面对不良情绪时容易产生消极的想法。因此，为了缓解不良情绪，NSSI有时被具有消极认知的青少年当作一种调节情绪的方法^［37］。

2.4 精神障碍

研究发现，NSSI可能会增加精神障碍的易感性^［39］，约63.82%的终生NSSI患者至少罹患一种精神障碍^［12］。精神障碍也导致NSSI风险增加^［28］，例如：抑郁、焦虑、双向障碍、注意缺陷多动障碍、创伤后应激障碍等。青少年群体处于心智发育阶段，容易受到外界环境和负面情绪的影响，约43.9% 的NSSI青少年同时伴有精神障碍，其发生风险也较成年人更高^［40］。

2.4.1 抑郁症抑郁是自杀的强烈危险因素之一^［41］，也是NSSI重要的风险预测因子^［9］。抑郁发作次数每增加一次，NSSI的发生风险就增加18%^［9］。NSSI患者往往存在认知情感调节缺陷。通过NSSI来缓解情绪的患者，其抑郁症状和自杀意念往往更强烈，遂而进一步加重了NSSI的发生^［42］。

2.4.2 焦虑症 Zhang等^［40］对中国上海市中学生的调查发现，焦虑症是与NSSI相关的最常见的精神障碍，约28.9%的青少年出现NSSI。也有研究表明焦虑症状与NSSI和自杀企图密切相关^［43］。患有焦虑症状的患者会通过NSSI或者自杀企图来减轻相关的负面情绪，尤其对于自杀失败的患者，可能会因为担忧、觉醒或者回避模式，从而进一步加剧自身的焦虑^［44］。

2.4.3 注意缺陷多动障碍（att e nti o n d efi cit hyperactivity disorder，ADHD） ADHD主要表现为注意力不集中、多动、冲动。有研究发现，患有ADHD的大学生比没有患ADHD的学生有更多的自杀行为和更高的NSSI患病率^［45］。在对ADHD亚维度的研究发现，冲动与自杀行为有关，注意力不集中与NSSI有关，多动与自杀行为或NSSI没有关联^［46］。而Balázs等^［47］发现，青少年ADHD与NSSI之间无直接关系，而是由于ADHD共病的其他疾病介导了二者之间的关系，例如情感障碍、自杀倾向、精神障碍和酒精使用障碍。因此，针对ADHD及其共病的干预可以预防NSSI发生。

2.4.4 创伤后应激障碍（postt raumatic st ress disorder，PTSD） PTSD是人们在经历过重大创伤性事件后出现的精神障碍。Deng等^［48］发现，患有PTSD的青少年出现NSSI的比例高达22.9%，远高于无PTSD的青少年。有研究发现，早期的PTSD症状（回避与麻木状态）可预测未来NSSI的发生^［49］，体验性回避对PTSD与终身NSSI、过去一年NSSI和自杀企图之间存在调节作用，体验性回避水平越高，其之间的相关性越低^［50］。

2.5 负性环境因素

负性环境因素包括不良童年经历、不良生活事件、低家庭功能等。Fan等^［51］对NSSI相关因素的荟萃分析发现，不良生活事件对NSSI的预测价值最大，包括了学业压力、生活压力、留守经历及创伤性事件（例如：欺凌、虐待、被忽视等）。这提示不良生活事件是NSSI发生的危险因素，并在一定程度上促使NSSI复发和加重其严重程度^［6，10］。学业压力、校园欺凌、同伴关系和父母关系等，影响青少年的认知和情绪，诱发相应的抑郁焦虑症状，增加NSSI和自杀企图的风险^［52-53］。不良童年经历分为结构性（指与广泛的结构/系统性健康社会决定因素相关）与家庭性（指与直系亲属和社交网络相关）两类。有研究指出，结构性不良童年经历可能是青少年NSSI与自杀行为高发的潜在根本原因，并且可能导致具有结构性根源的家庭性不良童年经历^［54］。因此，通过相关政策或优化社会机制可能减少结构性不良童年经历及NSSI的发生^［54］。

2.6 行为因素

2.6.1 网络成瘾网络成瘾与NSSI之间的联系在近些年来也备受关注。网络成瘾的特点是过度或不受控制的关注或使用互联网并可能导致痛苦和损害，尤其在青少年中非常普遍。Tang等^［55］发现，网络成瘾和NSSI呈相关，但在性别上没有差异。也有研究提出病理性互联网使用与精神障碍共病时才成为NSSI的危险因素^［56］。一些患有网络成瘾的青少年可能不会直接表现出NSSI行为，而是在出现精神障碍的相关症状如抑郁症状后才增加了NSSI的发生风险^［57］。

2.6.2 不良生活习惯有研究报道，酒精可能引起NSSI风险增加^［27］。酒精减少杏仁核对威胁信号的反应性，影响判断力和执行功能，降低个体对自我伤害的恐惧和抑制；而青少年对酒精的耐受较低，更容易在酒精影响下出现自我伤害^［58］。此外，电子烟和纹身在青少年群体中也很流行。电子烟的使用可危害青少年的身心健康，并与NSSI有关^［59］。

3 干预措施

3.1 心理治疗

NSSI常见的心理治疗主要有认知行为治疗、辩证行为治疗和情绪调节治疗。Santamarina等^［60］对35名在过去一年内有重复性NSSI或自杀企图的青少年的随机对照研究发现，相较常规治疗联合小组讨论，辩证行为治疗能更好地减少NSSI的发生和自伤风险。Berk等^［61］针对有自杀企图和重复性NSSI且患有抑郁症、焦虑症、边缘性人格障碍的173名青少年开展了一项随机对照研究，结果也发现辩证行为治疗组的自杀企图和NSSI复发率更低。Bjureberg等^［62］对伴有NSSI行为的抑郁症、惊恐障碍、ADHD等多种精神障碍的13~17岁青少年进行了为期12周的情绪调节个体治疗，结果发现NSSI发生率和社会功能较治疗前均有显著改善。

3.2 药物治疗

目前暂无针对NSSI统一的药物治疗方案。Dai等^［63］研究发现，舍曲林可有效改善重度抑郁症青少年的抑郁症状和NSSI行为。Liu等^［64］对伴有NSSI的青少年抑郁症患者的随机对照研究发现，相较于舍曲林联合认知行为治疗，舍曲林联合辩证行为治疗能更好地减少NSSI行为的发生，并有效改善抑郁焦虑症状。有研究发现，氟西汀联合认知行为治疗也可以有效降低抑郁症青少年自杀或自残风险及复发率^［65］。然而，Davey等^［66］发现，氟西汀联合认知行为治疗对于18岁以下的中重度抑郁症青少年的抑郁症状无明显改善效果，并在一定程度上可能会增加NSSI的风险。这可能与年龄的特殊性有关，18岁以下的青少年大脑仍未发育成熟，其心理调适、情绪管理等能力较弱，从而对治疗反应产生差异。但该结果不能简单认为抗抑郁药增加自杀风险，而是抑郁症患者本身就具有较高的自杀风险，同时自杀风险也受到多种综合性因素的影响。Sørensen等^［67］对接受抗抑郁药治疗的儿童青少年进行回顾性研究发现，在药物治疗6周后，其总体自杀倾向风险降低，NSSI也呈现下降趋势。

3.3 物理治疗

重复经颅磁刺激（repetitive transcranical magnetic stimulation，rTMS）是常见的抑郁症物理治疗方法之一，对青少年的抑郁症状改善优于成人^［68］。研究发现，药物联合rTMS治疗对改善青少年抑郁症患者的抑郁症状和NSSI行为显著优于药物治疗组，这可能和rTMS影响了伴有NSSI的青少年抑郁症患者的微状态参数并进行调节有关^［69］。Liu等^［70］对伴有NSSI的抑郁症患者的研究发现，与药物（舍曲林）治疗组相比，rTMS 联合舍曲林可改善抑郁症状，在改善认知功能、炎症反应等多方面也发挥了积极作用。

4 总结与展望

NSSI已成为一个不容忽视的公共心理健康问题。NSSI在青少年中的患病率在全球范围内呈上升趋势，不同地区或国家的流行率差异较大，这可能与社会经济发展水平或文化差异相关。NSSI是受到多因素影响的行为，包括生物学因素、性别、心理因素、精神疾病因素、负性环境因素和行为因素等。干预措施主要包括心理治疗、药物治疗和物理治疗。目前关于青少年NSSI的研究多数为横断面研究，缺乏结合生物-社会心理因素间交互作用的长期随访，无法充分揭示NSSI的发生发展过程，未来可以对青少年NSSI开展更多的前瞻性研究以探讨NSSI的预测因子和与精神疾病间的发展趋势。此外，目前青少年NSSI研究缺乏对不同社会经济背景和文化环境下的多中心研究，未来可注重样本的多样性或开展跨文化的比较研究。迄今尚无青少年NSSI干预指南，可进一步探索各干预措施的优化组合和实施策略，以提高治疗效果并减少NSSI的发生，针对不同风险群体进行个体化预防和干预策略。环境因素和良好的社会家庭支持系统对维护青少年心理健康至关重要，通过提高青少年及家长对心理健康的正确认知，减少校园等不良事件以及加强对电子烟和网络成瘾等风险因素的监管，来综合预防青少年心理疾病和NSSI的发生。

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2、LIM%E2%80%83K%E2%80%83S%EF%BC%8CWONG%E2%80%83C%E2%80%83H%EF%BC%8CMCINTYRE%E2%80%83R%E2%80%83S%EF%BC%8Cet%E2%80%83al%EF%BC%8E%0AGlobal%E2%80%83lifetime%E2%80%83and%E2%80%83%2012-month%E2%80%83%20prevalence%E2%80%83of%E2%80%83%20suicidal%E2%80%83%0Abehavior%EF%BC%8Cdeliberate%E2%80%83self-harm%E2%80%83and%E2%80%83non-suicidal%E2%80%83self%02injury%E2%80%83in%E2%80%83children%E2%80%83and%E2%80%83adolescents%E2%80%83between%E2%80%831989%E2%80%83and%E2%80%83%0A2018%EF%BC%9AA%E2%80%83meta-analysis%EF%BC%BBJ%EF%BC%BD%EF%BC%8EInt%E2%80%83%20J%E2%80%83%20Environ%E2%80%83Res%E2%80%83%0APublic%E2%80%83Health%EF%BC%8C2019%EF%BC%8C16%EF%BC%8822%EF%BC%89%EF%BC%9A4581%EF%BC%8E

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23、GAVCAR%E2%80%83E%E2%80%83G%EF%BC%8CKABUK%C3%87U%E2%80%83BA%C5%9EAY%E2%80%83B%EF%BC%8CAVCI%E2%80%83E%EF%BC%8C%0Aet%E2%80%83al%EF%BC%8ERelationship%E2%80%83between%E2%80%83saliva%E2%80%83opiorphin%E2%80%83levels%EF%BC%8C%0Apain%E2%80%83threshold%EF%BC%8Cand%E2%80%83cutting%E2%80%83number%E2%80%83in%E2%80%83adolescents%E2%80%83with%E2%80%83%0Anon%E2%80%83suicidal%E2%80%83self%E2%80%83injury%EF%BC%BBJ%EF%BC%BD%EF%BC%8EJ%E2%80%83Psychiatr%E2%80%83Res%EF%BC%8C2022%0A%EF%BC%88151%EF%BC%89%EF%BC%9A611-618%EF%BC%8E

24、VEGA%E2%80%83D%EF%BC%8CRIPOLL%20%C3%89%20S%E2%80%83P%EF%BC%8CSOTO%E2%80%83%20%C3%80%EF%BC%8Cet%E2%80%83al%EF%BC%8E%0AOrbitofrontal%E2%80%83%20overactivation%E2%80%83in%E2%80%83%20reward%E2%80%83%20processing%E2%80%83in%E2%80%83%0Aborderline%E2%80%83personality%E2%80%83disorder%EF%BC%9AThe%E2%80%83role%E2%80%83of%E2%80%83non%02suicidal%E2%80%83self-injury%EF%BC%BBJ%EF%BC%BD%EF%BC%8EBrain%E2%80%83Imaging%E2%80%83Behav%EF%BC%8C2018%EF%BC%8C12%EF%BC%881%EF%BC%89%EF%BC%9A217-228%EF%BC%8E

25、LEE%E2%80%83J%E2%80%83O%EF%BC%8CMOON%E2%80%83H%EF%BC%8CZOH%E2%80%83S%E2%80%83M%EF%BC%8Cet%E2%80%83al%EF%BC%8ENeural%E2%80%83%0Acorrelates%E2%80%83%20of%E2%80%83%20reward%E2%80%83%20valuation%E2%80%83in%E2%80%83individuals%E2%80%83%20with%E2%80%83%0Anonsuicidal%E2%80%83self-injury%E2%80%83under%E2%80%83uncertainty%EF%BC%BBJ%EF%BC%BD%EF%BC%8E%0APsychol%E2%80%83Med%EF%BC%8C2024%EF%BC%8C54%EF%BC%8812%EF%BC%89%EF%BC%9A1-10%EF%BC%8E

26、POON%E2%80%83J%E2%80%83A%EF%BC%8CTHOMPSON%E2%80%83J%E2%80%83C%EF%BC%8CFORBES%E2%80%83E%E2%80%83E%EF%BC%8Cet%E2%80%83al%EF%BC%8E%0AAdolescents%E2%80%99%E2%80%83reward-related%E2%80%83neural%E2%80%83activation%EF%BC%9ALinks%E2%80%83%0Ato%E2%80%83thoughts%E2%80%83of%E2%80%83nonsuicidal%E2%80%83self-injury%EF%BC%BBJ%EF%BC%BD%EF%BC%8ESuicide%E2%80%83%0ALife%E2%80%83Threat%E2%80%83Behav%EF%BC%8C2019%EF%BC%8C49%EF%BC%881%EF%BC%89%EF%BC%9A76-89%EF%BC%8E

27、%E2%80%83MONTO%E2%80%83M%E2%80%83A%EF%BC%8CMCREE%E2%80%83N%EF%BC%8CDERYCK%E2%80%83F%E2%80%83S%EF%BC%8E%0ANonsuicidal%E2%80%83self-injury%E2%80%83among%E2%80%83a%E2%80%83%20representative%E2%80%83sample%E2%80%83%0Aof%E2%80%83US%E2%80%83adolescents%EF%BC%8C2015%EF%BC%BBJ%EF%BC%BD%EF%BC%8EAm%E2%80%83J%E2%80%83Public%E2%80%83Health%EF%BC%8C%0A2018%EF%BC%8C108%EF%BC%888%EF%BC%89%EF%BC%9A1042-1048%EF%BC%8E

28、WANG%E2%80%83Y%E2%80%83J%EF%BC%8CLI%E2%80%83X%EF%BC%8CNG%E2%80%83C%E2%80%83H%EF%BC%8Cet%E2%80%83al%EF%BC%8ERisk%E2%80%83factors%E2%80%83for%E2%80%83%0Anon-suicidal%E2%80%83self-injury%EF%BC%88NSSI%EF%BC%89in%E2%80%83adolescents%EF%BC%9A%0AA%E2%80%83meta-analysis%EF%BC%BBJ%EF%BC%BD%EF%BC%8EEClinicalMedicine%EF%BC%8C2022%0A%EF%BC%8846%EF%BC%89%EF%BC%9A101350%EF%BC%8E

29、%E2%80%83%20LIU%E2%80%83X%EF%BC%8CLIU%E2%80%83Z%E2%80%83Z%EF%BC%8CFAN%E2%80%83F%EF%BC%8Cet%E2%80%83al%EF%BC%8EMenarche%E2%80%83%20and%E2%80%83%0Amenstrual%E2%80%83problems%E2%80%83are%E2%80%83associated%E2%80%83with%E2%80%83non-suicidal%E2%80%83%0Aself-injury%E2%80%83in%E2%80%83adolescent%E2%80%83girls%EF%BC%BBJ%EF%BC%BD%EF%BC%8EArch%E2%80%83Womens%E2%80%83%0AMent%E2%80%83Health%EF%BC%8C2018%EF%BC%8C21%EF%BC%886%EF%BC%89%EF%BC%9A649-656%EF%BC%8E

30、徐明图，李敬阳，付聪，等．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［J］．吉林大学学报（医学版），2023，49（4）：1053- 1059．

31、郝阳，安献丽，朱传林，等．上行外貌比较与青少年非自杀性自伤的关系及作用机理［J］．中国临床心理学杂志，2023，31（6）：1414-1420．

32、KENNEDY%E2%80%83G%E2%80%83A%EF%BC%8CJEAN%E2%80%83FORNEY%E2%80%83K%EF%BC%8CPINNER%E2%80%83D%EF%BC%8C%0Aet%E2%80%83al%EF%BC%8EReducing%E2%80%83anticipated%E2%80%83non-suicidal%E2%80%83%20self-injury%E2%80%83%0Aby%E2%80%83improving%E2%80%83body%E2%80%83esteem%E2%80%83in%E2%80%83individuals%E2%80%83with%E2%80%83weight%E2%80%83%0Asuppression%EF%BC%9AA%E2%80%83proof%E2%80%83of%E2%80%83concept%E2%80%83study%EF%BC%BBJ%EF%BC%BD%EF%BC%8EInt%E2%80%83J%E2%80%83Eat%E2%80%83%0ADisord%EF%BC%8C2019%EF%BC%8C52%EF%BC%882%EF%BC%89%EF%BC%9A206-210%EF%BC%8E

33、CASSELS%E2%80%83M%EF%BC%8CNEUFELD%E2%80%83S%EF%BC%8Cvan%E2%80%83HARMELEN%E2%80%83A%E2%80%83L%EF%BC%8C%0Aet%E2%80%83al%EF%BC%8EProspective%E2%80%83pathways%E2%80%83from%E2%80%83impulsivity%E2%80%83to%E2%80%83non%02suicidal%E2%80%83self-injury%E2%80%83among%E2%80%83youth%EF%BC%BBJ%EF%BC%BD%EF%BC%8EArch%E2%80%83Suicide%E2%80%83%0ARes%EF%BC%8C2022%EF%BC%8C26%EF%BC%882%EF%BC%89%EF%BC%9A534-547%EF%BC%8E

34、REN%E2%80%83T%EF%BC%8CWEN%E2%80%83Y%EF%BC%8CMA%E2%80%83L%EF%BC%8Cet%E2%80%83al%EF%BC%8EPsychosocial%E2%80%83factors%E2%80%83%0Aaffect%E2%80%83the%E2%80%83%20occurrence%E2%80%83%20of%E2%80%83%20nonsuicidal%E2%80%83%20self-injury%E2%80%83in%E2%80%83%0Aadolescents%E2%80%83with%E2%80%83major%E2%80%83%20depressive%E2%80%83%20disorder%E2%80%83through%E2%80%83%0Achain%E2%80%83mediation%EF%BC%BBJ%EF%BC%BD%EF%BC%8EEur%E2%80%83Arch%E2%80%83%20Psychiatry%E2%80%83%20Clin%E2%80%83%0ANeurosci%EF%BC%8C2024%EF%BC%8E

35、GRATZ%E2%80%83K%E2%80%83L%EF%BC%8CDIXON-GORDON%E2%80%83K%E2%80%83L%EF%BC%8CCHAPMAN%E2%80%83%20A%E2%80%83L%EF%BC%8Cet%E2%80%83al%EF%BC%8EDiagnosis%E2%80%83and%E2%80%83characterization%E2%80%83of%E2%80%83DSM-%205%E2%80%83nonsuicidal%E2%80%83self-injury%E2%80%83disorder%E2%80%83using%E2%80%83the%E2%80%83clinician-administered%E2%80%83nonsuicidal%E2%80%83self-injury%E2%80%83disorder%E2%80%83index%EF%BC%BBJ%EF%BC%BD%EF%BC%8EAssessment%EF%BC%8C2015%EF%BC%8C22%EF%BC%885%EF%BC%89%EF%BC%9A527-539%EF%BC%8E

36、LANG%E2%80%83A%E2%80%83N%EF%BC%8CZHONG%E2%80%83Y%EF%BC%8CLEI%E2%80%83W%EF%BC%8Cet%E2%80%83al%EF%BC%8ENeural%E2%80%83%0Amechanism%E2%80%83%20of%E2%80%83%20non-adaptive%E2%80%83%20cognitive%E2%80%83%20emotion%E2%80%83%0Aregulation%E2%80%83in%E2%80%83patients%E2%80%83with%E2%80%83non-suicidal%E2%80%83self-injury%0A%EF%BC%BBJ%EF%BC%BD%EF%BC%8ECompr%E2%80%83Psychiatry%EF%BC%8C2024%EF%BC%88133%EF%BC%89%EF%BC%9A152487%EF%BC%8E

37、%E2%80%83%20HAN%E2%80%83X%EF%BC%8CZHANG%E2%80%83Y%EF%BC%8CCHEN%E2%80%83D%EF%BC%8Cet%E2%80%83al%EF%BC%8EThe%E2%80%83impact%E2%80%83%0Aof%E2%80%83negative%E2%80%83cognitive%E2%80%83bias%E2%80%83on%E2%80%83NSSI%EF%BC%9AMediating%E2%80%83non%02adaptive%E2%80%83cognitive%E2%80%83emotion%E2%80%83regulation%E2%80%83strategies%EF%BC%BBJ%EF%BC%BD%EF%BC%8E%0ABMC%E2%80%83Nurs%EF%BC%8C2024%EF%BC%8C23%EF%BC%881%EF%BC%89%EF%BC%9A358%EF%BC%8E

38、严惠茹，李明珠，葛宇琪，等．青少年及成年早期精神障碍患者非自杀性自伤功能与成瘾特征和神经质人格的关系［J］．中国心理卫生杂志，2024， 38（4）：332-337．

39、KIEKENS%E2%80%83G%EF%BC%8CHASKING%E2%80%83P%EF%BC%8CBRUFFAERTS%E2%80%83R%EF%BC%8Cet%E2%80%83al%EF%BC%8E%0ANon-suicidal%E2%80%83%20self-injury%E2%80%83%20among%E2%80%83first-year%E2%80%83%20college%E2%80%83%0Astudents%E2%80%83and%E2%80%83its%E2%80%83association%E2%80%83with%E2%80%83mental%E2%80%83disorders%EF%BC%9A%0AResults%E2%80%83from%E2%80%83the%E2%80%83World%E2%80%83Mental%E2%80%83Health%E2%80%83%20International%E2%80%83%0ACollege%E2%80%83Student%EF%BC%88WMH-ICS%EF%BC%89initiative%EF%BC%BBJ%EF%BC%BD%EF%BC%8E%0APsychol%E2%80%83Med%EF%BC%8C2023%EF%BC%8C53%EF%BC%883%EF%BC%89%EF%BC%9A875-886%EF%BC%8E

40、ZHANG%E2%80%83F%EF%BC%8CCLOUTIER%E2%80%83P%E2%80%83F%EF%BC%8CYANG%E2%80%83H%EF%BC%8Cet%E2%80%83al%EF%BC%8ENon%02suicidal%E2%80%83%20self-injury%E2%80%83in%E2%80%83%20Shanghai%E2%80%83inner%E2%80%83%20bound%E2%80%83middle%E2%80%83%0Aschool%E2%80%83students%EF%BC%BBJ%EF%BC%BD%EF%BC%8EGen%E2%80%83Psychiatr%EF%BC%8C2019%EF%BC%8C32%0A%EF%BC%884%EF%BC%89%EF%BC%9Ae100083%EF%BC%8E

41、%E2%80%83%20CRUMP%E2%80%83C%EF%BC%8CSUNDQUIST%E2%80%83K%EF%BC%8CSUNDQUIST%E2%80%83J%EF%BC%8Cet%E2%80%83al%EF%BC%8E%0ASociodemographic%EF%BC%8Cpsychiatric%E2%80%83and%E2%80%83somatic%E2%80%83risk%E2%80%83factors%E2%80%83%0Afor%E2%80%83suicide%EF%BC%9AA%E2%80%83Swedish%E2%80%83national%E2%80%83cohort%E2%80%83study%EF%BC%BBJ%EF%BC%BD%EF%BC%8E%0APsychol%E2%80%83Med%EF%BC%8C2014%EF%BC%8C44%EF%BC%882%EF%BC%89%EF%BC%9A279-289%EF%BC%8E

42、ROSARIO-WILLIAMS%E2%80%83B%EF%BC%8CKAUR%E2%80%83S%EF%BC%8CMIRANDA%E2%80%83R%EF%BC%8E%0AExamining%E2%80%83decentering%E2%80%83as%E2%80%83a%E2%80%83moderator%E2%80%83in%E2%80%83the%E2%80%83%20relation%E2%80%83%0Abetween%E2%80%83non-suicidal%E2%80%83self-injury%E2%80%83and%E2%80%83suicide%E2%80%83ideation%E2%80%83%0Avia%E2%80%83cognitive-affective%E2%80%83factors%EF%BC%BBJ%EF%BC%BD%EF%BC%8ESuicide%E2%80%83%20Life%E2%80%83%0AThreat%E2%80%83Behav%EF%BC%8C2021%EF%BC%8C51%EF%BC%884%EF%BC%89%EF%BC%9A741-754%EF%BC%8E

43、%E2%80%83%20YADLOSKY%E2%80%83L%E2%80%83B%EF%BC%8CMOWREY%E2%80%83W%E2%80%83B%EF%BC%8CPIMENTEL%E2%80%83S%E2%80%83S%EF%BC%8E%0ARisky%E2%80%83business%EF%BC%9AConsiderations%E2%80%83of%E2%80%83emotion%E2%80%83%20regulation%E2%80%83%0Aand%E2%80%83high-risk%E2%80%83behaviors%E2%80%83in%E2%80%83anxious%E2%80%83adolescents%EF%BC%BBJ%EF%BC%BD%EF%BC%8E%0AJ%E2%80%83Anxiety%E2%80%83Disord%EF%BC%8C2023%EF%BC%8899%EF%BC%89%EF%BC%9A102760%EF%BC%8E

44、BODUSZEK%E2%80%83D%EF%BC%8CDEBOWSKA%E2%80%83A%EF%BC%8COCHEN%E2%80%83E%E2%80%83A%EF%BC%8C%0Aet%E2%80%83al%EF%BC%8EPrevalence%E2%80%83and%E2%80%83correlates%E2%80%83of%E2%80%83non-suicidal%E2%80%83self%02injury%EF%BC%8Csuicidal%E2%80%83ideation%EF%BC%8Cand%E2%80%83suicide%E2%80%83attempt%E2%80%83among%E2%80%83%0Achildren%E2%80%83and%E2%80%83adolescents%EF%BC%9AFindings%E2%80%83from%E2%80%83Uganda%E2%80%83and%E2%80%83%0AJamaica%EF%BC%BBJ%EF%BC%BD%EF%BC%8EJ%E2%80%83Affect%E2%80%83Disord%EF%BC%8C2021%EF%BC%88283%EF%BC%89%EF%BC%9A172-%0A178%EF%BC%8E

45、BROWN%E2%80%83N%EF%BC%8CMCLAFFERTY%E2%80%83M%EF%BC%8CO%E2%80%99NEILL%E2%80%83S%E2%80%83M%EF%BC%8Cet%E2%80%83%0Aal%EF%BC%8EThe%E2%80%83mediating%E2%80%83roles%E2%80%83of%E2%80%83mental%E2%80%83health%E2%80%83and%E2%80%83substance%E2%80%83use%E2%80%83on%E2%80%83suicidal%E2%80%83behavior%E2%80%83among%E2%80%83undergraduate%E2%80%83students%E2%80%83%0Awith%E2%80%83ADHD%EF%BC%BBJ%EF%BC%BD%EF%BC%8EJ%E2%80%83Atten%E2%80%83Disord%EF%BC%8C2022%EF%BC%8C26%0A%EF%BC%8811%EF%BC%89%EF%BC%9A1437-1451%EF%BC%8E

46、OJALA%E2%80%83O%EF%BC%8CKUJA-HALKOLA%E2%80%83R%EF%BC%8CBJUREBERG%E2%80%83J%EF%BC%8C%0Aet%E2%80%83al%EF%BC%8EAssociations%E2%80%83of%E2%80%83impulsivity%EF%BC%8Chyperactivity%EF%BC%8Cand%E2%80%83%0Ainattention%E2%80%83with%E2%80%83%20nonsuicidal%E2%80%83%20self-injury%E2%80%83and%E2%80%83%20suicidal%E2%80%83%0Abehavior%EF%BC%9ALongitudinal%E2%80%83cohort%E2%80%83study%E2%80%83following%E2%80%83children%E2%80%83%0Aat%E2%80%83risk%E2%80%83for%E2%80%83neurodevelopmental%E2%80%83disorders%E2%80%83into%E2%80%83mid%02adolescence%EF%BC%BBJ%EF%BC%BD%EF%BC%8EBMC%E2%80%83Psychiatry%EF%BC%8C2022%EF%BC%8C22%0A%EF%BC%881%EF%BC%89%EF%BC%9A679%EF%BC%8E

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53、VICTOR%E2%80%83S%E2%80%83E%EF%BC%8CHIPWELL%E2%80%83A%E2%80%83E%EF%BC%8CSTEPP%E2%80%83S%E2%80%83D%EF%BC%8Cet%E2%80%83al%EF%BC%8E%0AParent%E2%80%83and%E2%80%83peer%E2%80%83relationships%E2%80%83as%E2%80%83longitudinal%E2%80%83predictors%E2%80%83%0Aof%E2%80%83adolescent%E2%80%83non-suicidal%E2%80%83self-injury%E2%80%83onset%EF%BC%BBJ%EF%BC%BD%EF%BC%8E%0AChild%E2%80%83Adolesc%E2%80%83Psychiatry%E2%80%83Ment%E2%80%83Health%EF%BC%8C2019%EF%BC%8813%EF%BC%89%EF%BC%9A%0A1%EF%BC%8E

54、JEWETT%E2%80%83P%E2%80%83I%EF%BC%8CTALIAFERRO%E2%80%83L%E2%80%83A%EF%BC%8CBOROWSKY%E2%80%83%20I%E2%80%83W%EF%BC%8Cet%E2%80%83al%EF%BC%8EStructural%E2%80%83adverse%E2%80%83childhood%E2%80%83experiences%E2%80%83%0Aassociated%E2%80%83with%E2%80%83suicidal%E2%80%83ideation%EF%BC%8Csuicide%E2%80%83attempts%EF%BC%8C%0Aand%E2%80%83%20repetitive%E2%80%83nonsuicidal%E2%80%83%20self-injury%E2%80%83among%E2%80%83%20racially%E2%80%83%0Aand%E2%80%83ethnically%E2%80%83minoritized%E2%80%83youth%EF%BC%BBJ%EF%BC%BD%EF%BC%8ESuicide%E2%80%83Life%E2%80%83%0AThreat%E2%80%83Behav%EF%BC%8C2025%EF%BC%8C55%EF%BC%881%EF%BC%89%EF%BC%9Ae13084%EF%BC%8E

55、TANG%E2%80%83J%EF%BC%8CMA%E2%80%83Y%EF%BC%8CLEWIS%E2%80%83S%E2%80%83P%EF%BC%8Cet%E2%80%83al%EF%BC%8EAssociation%E2%80%83of%E2%80%83%0Ainternet%E2%80%83addiction%E2%80%83with%E2%80%83nonsuicidal%E2%80%83self-injury%E2%80%83among%E2%80%83%0Aadolescents%E2%80%83in%E2%80%83China%EF%BC%BBJ%EF%BC%BD%EF%BC%8EJAMA%E2%80%83Netw%E2%80%83Open%EF%BC%8C%0A2020%EF%BC%8C3%EF%BC%886%EF%BC%89%EF%BC%9Ae206863%EF%BC%8E

56、M%C3%89SZ%C3%81ROS%E2%80%83G%EF%BC%8CGY%C5%90RI%E2%80%83D%EF%BC%8CHORV%C3%81TH%E2%80%83L%E2%80%83O%EF%BC%8Cet%E2%80%83al%EF%BC%8E%0ANonsuicidal%E2%80%83self-injury%EF%BC%9AIts%E2%80%83%20associations%E2%80%83%20with%E2%80%83%0Apathological%E2%80%83internet%E2%80%83use%E2%80%83and%E2%80%83psychopathology%E2%80%83among%E2%80%83%0Aadolescents%EF%BC%BBJ%EF%BC%BD%EF%BC%8EFront%E2%80%83Psychiatry%EF%BC%8C2020%EF%BC%8811%EF%BC%89%EF%BC%9A%0A814%EF%BC%8E

57、MA%E2%80%83Y%EF%BC%8CLI%E2%80%83Y%EF%BC%8CXIE%E2%80%83X%EF%BC%8Cet%E2%80%83al%EF%BC%8EThe%E2%80%83%20role%E2%80%83of%E2%80%83depressive%E2%80%83%0Asymptoms%E2%80%83%20and%E2%80%83%20social%E2%80%83%20support%E2%80%83in%E2%80%83the%E2%80%83%20association%E2%80%83%20of%E2%80%83%0Ainternet%E2%80%83addiction%E2%80%83with%E2%80%83non-suicidal%E2%80%83self-injury%E2%80%83among%E2%80%83%0Aadolescents%EF%BC%9AA%E2%80%83cohort%E2%80%83study%E2%80%83in%E2%80%83China%EF%BC%BBJ%EF%BC%BD%EF%BC%8EBMC%E2%80%83%0APsychiatry%EF%BC%8C2023%EF%BC%8C23%EF%BC%881%EF%BC%89%EF%BC%9A322%EF%BC%8E

58、YING%E2%80%83W%EF%BC%8CSHEN%E2%80%83Y%EF%BC%8COU%E2%80%83J%EF%BC%8Cet%E2%80%83al%EF%BC%8EIdentifying%E2%80%83clinical%E2%80%83%0Arisk%E2%80%83factors%E2%80%83correlated%E2%80%83with%E2%80%83addictive%E2%80%83features%E2%80%83of%E2%80%83non%02suicidal%E2%80%83%20self-injury%E2%80%83among%E2%80%83a%E2%80%83consecutive%E2%80%83%20psychiatric%E2%80%83%0Aoutpatient%E2%80%83sample%E2%80%83of%E2%80%83adolescents%E2%80%83and%E2%80%83young%E2%80%83adults%EF%BC%BBJ%EF%BC%BD%EF%BC%8EEur%E2%80%83%0AArch%E2%80%83Psychiatry%E2%80%83Clin%E2%80%83Neurosci%EF%BC%8C2024%EF%BC%8C274%EF%BC%882%EF%BC%89%EF%BC%9A%0A291-300%EF%BC%8E

59、%E2%80%83%20WANG%E2%80%83Y%EF%BC%8CXU%E2%80%83S%EF%BC%8CZHANG%E2%80%83X%EF%BC%8Cet%E2%80%83al%EF%BC%8EEffects%E2%80%83%20of%E2%80%83%0Atobacco%E2%80%83versus%E2%80%83electronic%E2%80%83cigarette%E2%80%83usage%E2%80%83on%E2%80%83nonsuicidal%E2%80%83%0Aself-injury%E2%80%83and%E2%80%83suicidality%E2%80%83among%E2%80%83Chinese%E2%80%83youth%EF%BC%9A%0ACross-sectional%E2%80%83self-report%E2%80%83survey%E2%80%83study%EF%BC%BBJ%EF%BC%BD%EF%BC%8EJMIR%E2%80%83%0APublic%E2%80%83Health%E2%80%83Surveill%EF%BC%8C2023%EF%BC%889%EF%BC%89%EF%BC%9Ae47058%EF%BC%8E

60、SANTAMARINA-PEREZ%E2%80%83P%EF%BC%8CMENDEZ%E2%80%83I%EF%BC%8CSINGH%E2%80%83%0AM%E2%80%83K%EF%BC%8Cet%E2%80%83al%EF%BC%8EAdapted%E2%80%83dialectical%E2%80%83behavior%E2%80%83therapy%E2%80%83for%E2%80%83%0Aadolescents%E2%80%83with%E2%80%83a%E2%80%83high%E2%80%83%20risk%E2%80%83of%E2%80%83suicide%E2%80%83in%E2%80%83a%E2%80%83community%E2%80%83%0Aclinic%EF%BC%9AA%E2%80%83pragmatic%E2%80%83randomized%E2%80%83controlled%E2%80%83trial%EF%BC%BBJ%EF%BC%BD%EF%BC%8E%0ASuicide%E2%80%83Life%E2%80%83Threat%E2%80%83Behav%EF%BC%8C2020%EF%BC%8C50%EF%BC%883%EF%BC%89%EF%BC%9A652-%0A667%EF%BC%8E

61、%E2%80%83%20BERK%E2%80%83M%E2%80%83S%EF%BC%8CGALLOP%E2%80%83R%EF%BC%8CASARNOW%E2%80%83J%E2%80%83R%EF%BC%8Cet%E2%80%83al%EF%BC%8E%0ARemission%EF%BC%8Crecovery%EF%BC%8Crelapse%EF%BC%8Cand%E2%80%83%20recurrence%E2%80%83%20rates%E2%80%83%0Afor%E2%80%83%20suicide%E2%80%83%20attempts%E2%80%83%20and%E2%80%83%20nonsuicidal%E2%80%83%20self-injury%E2%80%83for%E2%80%83%0Asuicidal%E2%80%83youth%E2%80%83treated%E2%80%83with%E2%80%83dialectical%E2%80%83behavior%E2%80%83therapy%E2%80%83%0Aor%E2%80%83supportive%E2%80%83therapy%EF%BC%BBJ%EF%BC%BD%EF%BC%8EJ%E2%80%83Am%E2%80%83Acad%E2%80%83Child%E2%80%83Adolesc%E2%80%83%0APsychiatry%EF%BC%8C2024%EF%BC%8C63%EF%BC%889%EF%BC%89%EF%BC%9A888-897%EF%BC%8E

62、BJUREBERG%E2%80%83J%EF%BC%8CSAHLIN%E2%80%83H%EF%BC%8CHELLNER%E2%80%83C%EF%BC%8Cet%E2%80%83al%EF%BC%8E%0AEmotion%E2%80%83%20regulation%E2%80%83individual%E2%80%83therapy%E2%80%83for%E2%80%83adolescents%E2%80%83%0Awith%E2%80%83nonsuicidal%E2%80%83self-injury%E2%80%83disorder%EF%BC%9AA%E2%80%83feasibility%E2%80%83study%EF%BC%BBJ%EF%BC%BD%EF%BC%8EBMC%E2%80%83Psychiatry%EF%BC%8C2017%EF%BC%8C17%EF%BC%881%EF%BC%89%EF%BC%9A411%EF%BC%8E

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64、%E2%80%83%20LIU%E2%80%83C%EF%BC%8CYE%E2%80%83X%EF%BC%8CCHEN%E2%80%83M%EF%BC%8ESertraline%E2%80%83medications%E2%80%83plus%E2%80%83%0Adialectical%E2%80%83behavior%E2%80%83therapy%E2%80%83for%E2%80%83depressed%E2%80%83adolescents%E2%80%83%0Awith%E2%80%83nonsuicidal%E2%80%83self-injury%E2%80%83behaviors%EF%BC%BBJ%EF%BC%BD%EF%BC%8ESuicide%E2%80%83%0ALife%E2%80%83Threat%E2%80%83Behav%EF%BC%8C2025%EF%BC%8C55%EF%BC%881%EF%BC%89%EF%BC%9Ae13132%EF%BC%8E

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66、%E2%80%83%20DAVEY%E2%80%83C%E2%80%83G%EF%BC%8CCHANEN%E2%80%83A%E2%80%83M%EF%BC%8CHETRICK%E2%80%83S%E2%80%83E%EF%BC%8Cet%E2%80%83al%EF%BC%8EThe%E2%80%83%0Aaddition%E2%80%83of%E2%80%83fluoxetine%E2%80%83to%E2%80%83cognitive%E2%80%83behavioural%E2%80%83therapy%E2%80%83%0Afor%E2%80%83youth%E2%80%83depression%EF%BC%88YoDA-C%EF%BC%89%EF%BC%9AA%E2%80%83randomised%EF%BC%8C%0Adouble-blind%EF%BC%8Cplacebo-controlled%EF%BC%8Cmulticentre%E2%80%83%0Aclinical%E2%80%83trial%EF%BC%BBJ%EF%BC%BD%EF%BC%8ELancet%E2%80%83Psychiatry%EF%BC%8C2019%EF%BC%8C6%0A%EF%BC%889%EF%BC%89%EF%BC%9A735-744%EF%BC%8E

67、%E2%80%83%20S%C3%98RENSEN%E2%80%83J%E2%80%83%20%C3%98%EF%BC%8CRASMUSSEN%E2%80%83A%EF%BC%8CROESBJERG%E2%80%83%0AT%EF%BC%8Cet%E2%80%83al%EF%BC%8ESuicidality%E2%80%83and%E2%80%83self%E2%80%90injury%E2%80%83with%E2%80%83%20selective%E2%80%83%0Aserotonin%E2%80%83reuptake%E2%80%83inhibitors%E2%80%83in%E2%80%83youth%EF%BC%9AOccurrence%EF%BC%8C%0Apredictors%E2%80%83and%E2%80%83timing%EF%BC%BBJ%EF%BC%BD%EF%BC%8EActa%E2%80%83Psychiatr%E2%80%83Scand%EF%BC%8C%0A2022%EF%BC%8C145%EF%BC%882%EF%BC%89%EF%BC%9A209-222%EF%BC%8E

68、%E2%80%83%20ZHANG%E2%80%83T%EF%BC%8CZHU%E2%80%83J%EF%BC%8CXU%E2%80%83L%EF%BC%8Cet%E2%80%83al%EF%BC%8EAdd-on%E2%80%83%20rTMS%E2%80%83for%E2%80%83%0Athe%E2%80%83acute%E2%80%83treatment%E2%80%83of%E2%80%83depressive%E2%80%83symptoms%E2%80%83is%E2%80%83probably%E2%80%83%0Amore%E2%80%83effective%E2%80%83in%E2%80%83adolescents%E2%80%83than%E2%80%83in%E2%80%83adults%EF%BC%9AEvidence%E2%80%83%0Afrom%E2%80%83real-world%E2%80%83clinical%E2%80%83practice%EF%BC%BBJ%EF%BC%BD%EF%BC%8EBrain%E2%80%83Stimul%EF%BC%8C%0A2019%EF%BC%8C12%EF%BC%881%EF%BC%89%EF%BC%9A103-109%EF%BC%8E

69、%E2%80%83%20ZHAO%E2%80%83L%EF%BC%8CZHOU%E2%80%83D%EF%BC%8CHU%E2%80%83J%EF%BC%8Cet%E2%80%83al%EF%BC%8EChanges%E2%80%83%20in%E2%80%83%0Amicrostates%E2%80%83of%E2%80%83first-episode%E2%80%83untreated%E2%80%83nonsuicidal%E2%80%83self%02injury%E2%80%83adolescents%E2%80%83exposed%E2%80%83to%E2%80%83negative%E2%80%83emotional%E2%80%83stimuli%E2%80%83%0Aand%E2%80%83after%E2%80%83receiving%E2%80%83rTMS%E2%80%83intervention%EF%BC%BBJ%EF%BC%BD%EF%BC%8EFront%E2%80%83%0APsychiatry%EF%BC%8C2023%EF%BC%8814%EF%BC%89%EF%BC%9A1151114%EF%BC%8E

70、LIU%E2%80%83J%EF%BC%8CGUAN%E2%80%83J%EF%BC%8CXIONG%E2%80%83J%EF%BC%8Cet%E2%80%83al%EF%BC%8EEffects%E2%80%83%20of%E2%80%83%0Atranscranial%E2%80%83%20magnetic%E2%80%83%20stimulation%E2%80%83%20combined%E2%80%83%20with%E2%80%83%0Asertraline%E2%80%83on%E2%80%83cognitive%E2%80%83level%EF%BC%8Cinflammatory%E2%80%83%20response%E2%80%83%0Aand%E2%80%83%20neurological%E2%80%83%20function%E2%80%83%20in%E2%80%83%20depressive%E2%80%83%20disorder%E2%80%83%0Apatients%E2%80%83with%E2%80%83non-suicidal%E2%80%83self-injury%E2%80%83behavior%EF%BC%BBJ%EF%BC%BD%EF%BC%8E%0AActas%E2%80%83Esp%E2%80%83Psiquiatr%EF%BC%8C2024%EF%BC%8C52%EF%BC%881%EF%BC%89%EF%BC%9A28-36%EF%BC%8E

1、广东省基础与应用基础研究基金项目（2021A1515220103）()