Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Mar 19, 2024; 14(3): 398-408
Published online Mar 19, 2024. doi: 10.5498/wjp.v14.i3.398
Deliberate self-harm among pediatric psychiatric inpatients in China: A single-center retrospective study
Xing-Zhi Jiang, Huan-Huan Li, Zhen-Zhen Yu, Chen Wang
Xing-Zhi Jiang, Department of Child and Adolescent Psychiatry, Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen Key Laboratory for Psychological Healthcare and Shenzhen Institute of Mental Health, Shenzhen 518020, Guangdong Province, China
Xing-Zhi Jiang, Department of Psychiatry, Xiamen Xianyue Hospital, Xiamen 361012, Fujian Province, China
Huan-Huan Li, Department of Geriatric Medicine, Dalian Medical University, Dalian 116000, Liaoning Province, China
Zhen-Zhen Yu, Department of Neurology, The Second Affiliated Hospital of Xiamen Medical College, Xiamen 361000, Fujian Province, China
Chen Wang, Department of Neurology and Department of Neuroscience, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen 361000, Fujian Province, China
Co-first authors: Xing-Zhi Jiang and Huan-Huan Li.
Co-corresponding authors: Chen Wang and Zhen-Zhen Yu.
Author contributions: Jiang XZ contributed to the study conception and design, drafting manuscript, data analysis and interpretation, critical revision of article for important intellectual content; Li HH contributed to the critical revision of article for important intellectual content; Yu ZZ contributed to the study conception and design, critical revision of article for important intellectual content; Wang C contributed to the study conception and design, drafting manuscript, critical revision of article for important intellectual content. Jiang XZ and Li HH contributed equally to this work as co-first authors. The reasons for designating Jiang XZ and Li HH as co-first authors authors are threefold. First, the research was performed as a collaborative effort, and the designation of co-corresponding authorship accurately reflects the distribution of responsibilities and burdens associated with the time and effort required to complete the study and the resultant paper. This also ensures effective communication and management of post-submission matters, ultimately enhancing the paper's quality and reliability. Second, the overall research team encompassed authors with a variety of expertise and skills from different fields, and the designation of co-first authors best reflects this diversity. This also promotes the most comprehensive and in-depth examination of the research topic, ultimately enriching readers' understanding by offering various expert perspectives. Third, Jiang XZ and Li HH contributed efforts of equal substance throughout the research process. The choice of these researchers as co-first authors acknowledges and respects this equal contribution, while recognizing the spirit of teamwork and collaboration of this study. In summary, we believe that designating Jiang XZ and Li HH as co-first authors of is fitting for our manuscript as it accurately reflects our team's collaborative spirit, equal contributions, and diversity. Wang C and Yu ZZ contributed equally to this work as co-corresponding authors. The reasons for designating Wang C and Yu ZZ as co-corresponding authors are threefold. First, the research was performed as a collaborative effort, and the designation of co-corresponding authorship accurately reflects the distribution of responsibilities and burdens associated with the time and effort required to complete the study and the resultant paper. This also ensures effective communication and management of post-submission matters, ultimately enhancing the paper's quality and reliability. Second, the overall research team encompassed authors with a variety of expertise and skills from different fields, and the designation of co-corresponding authors best reflects this diversity. This also promotes the most comprehensive and in-depth examination of the research topic, ultimately enriching readers' understanding by offering various expert perspectives. Third, Wang C and Yu ZZ contributed efforts of equal substance throughout the research process. The choice of these researchers as co-corresponding authors acknowledges and respects this equal contribution, while recognizing the spirit of teamwork and collaboration of this study. In summary, we believe that designating Wang C and Yu ZZ as co-corresponding authors of is fitting for our manuscript as it accurately reflects our team's collaborative spirit, equal contributions, and diversity.
Supported by Shenzhen Fund for Guangdong Provincial High-level Clinical Key Specialties, No. SZGSP013; Shenzhen Key Medical Discipline Construction Fund, No. SZXK042; Sanming Project of Medicine in Shenzhen, No. SZSM202311025; Natural Science Fund of Fujian Province, No. 2023J011622; and Natural Science Fund of Xiamen City, No. 3502Z20224ZD1259.
Institutional review board statement: This study was approved by the Institutional Review Board of Xiamen Xianyue Hospital (2019-KY-20).
Informed consent statement: This is a retrospective study that used anonymous clinical data. According to institutional policies, informed consent was not required from patients in this study and the informed consent was waived by the Ethics Committee.
Conflict-of-interest statement: All authors declare no conflicts of interest.
Data sharing statement: The data for this study can be obtained from the corresponding author upon request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chen Wang, MD, PhD, Assistant Professor, Department of Neurology and Department of Neuroscience, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, No. 55 Zhenhai Road, Siming District, Xiamen 361000, Fujian Province, China. wangchen1986xm@163.com
Received: November 25, 2023
Peer-review started: November 25, 2023
First decision: January 12, 2024
Revised: January 22, 2024
Accepted: February 25, 2024
Article in press: February 25, 2024
Published online: March 19, 2024
Abstract
BACKGROUND

For children and adolescents, deliberate self-harm (DSH) is becoming a mental health problem of concern. Despite several studies on the prevalence and factors of DSH in the world, there is little information on DSH among children and adolescents in China. This study explores the prevalence, types, associated risk factors and tendency of DSH in pediatric psychiatric inpatients in China.

AIM

To understand the situation of DSH among hospitalized children and adolescents and its related factors.

METHODS

In this study, we retrospectively studied 1414 hospitalized children and adolescents with mental illness at Xiamen Mental Health Center from 2014 to 2019, extracted the demographic and clinical data of all patients, and analyzed clinical risk factors of DSH.

RESULTS

A total of 239 (16.90%) patients engaged in at least one type of DSH in our study. Cutting (n = 115, 48.12%) was the most common type of DSH. Females (n = 171, 71.55%) were more likely to engage in DSH than males (n = 68, 28.45%). DSH was positively associated with depressive disorders [OR = 3.845 (2.196-6.732); P < 0.01], female [OR = 2.536 (1.815-3.542); P < 0.01], parental marital status [OR = 5.387 (2.254-12.875); P < 0.01] and negative family history of psychiatric illness [OR = 7.767 (2.952-20.433); P < 0.01], but not with occupation, substance use and history of physical abuse.

CONCLUSION

Our findings suggest that for patients with depression, females, an abnormal marriage of parents, and no history of mental illness, attention should be paid to the occurrence of DSH.

Keywords: Deliberate self-harm, Children, Adolescent, Psychiatric inpatients, Retrospective study

Core Tip: Deliberate self-harm (DSH) is a serious global problem in children and adolescents. Studies have proved that DSH is related to many factors. This study collected a total of 1414 hospitalized case records of children and adolescents under the age of 18 from 2014 to 2019. According to the study, 16.9% of hospitalized children and adolescents had at least one kind of DSH which was associated with gender, depression, parents' marital status and so on. This suggests that we can deal with DSH in children and adolescents from the aspects of relevant influencing factors.