青少年非自杀性自伤的纵向轨迹及其预测因素：系统综述和荟萃分析
Longitudinal trajectories of non-suicidal self-injury in adolescents and their predictors: A systematic review and meta-analysis.
摘要(中文译文)
青少年非自杀性自伤（NSSI）的患病率不断上升，凸显了针对性预防的必要性。了解其纵向发展轨迹对于早期干预至关重要。然而，现有证据尚未得到系统综合。本研究对十个数据库进行了全面检索，截止至2025年9月。遵循PRISMA指南，由两名评审员独立筛选研究并提取数据，分歧由第三名评审员解决。采用纽卡斯尔-渥太华量表评估研究质量。共纳入十项高质量研究，涉及13,224名青少年。各研究间识别出两至四种不同的NSSI发展轨迹。一部分青少年持续处于中高风险NSSI轨迹，合并患病率为22.9%（95% CI：13.2，36.9）。NSSI轨迹的显著调节因素包括国家（Q = 26.09，P < 0.001）、招募场所（Q = 5.01，P < 0.05）、分析类型（Q = 46.46，P < 0.001）和随访时长（Q = 14.95，P < 0.001）。相比之下，NSSI评估工具类型未显示出显著的调节效应（Q = 5.16，P = 0.16）。元回归分析表明，招募场所和随访时长是统计学上显著的异质性来源（P < 0.05）。与NSSI轨迹相关的关键预测因素包括情绪失调、精神症状（如抑郁）以及家庭相关因素（如家庭冲突、父母心理控制和父母批评）。处于中高风险NSSI轨迹的青少年表现出相当大的异质性，这种异质性受到国家、招募场所、分析类型和随访时长等情境因素的调节。
Abstract
The increasing prevalence of non-suicidal self-injury (NSSI) among adolescents underscores the need for targeted prevention. Understanding its longitudinal trajectories is essential for early intervention. However, existing evidence has not been systematically synthesized. A comprehensive search across ten databases was performed up to September 2025. Following PRISMA guidelines, two reviewers independently screened studies and extracted data, with discrepancies resolved by a third reviewer. Study quality was assessed using the Newcastle-Ottawa Scale. Ten high-quality studies involving 13,224 adolescents were included. Between two and four distinct NSSI trajectories were identified across the studies. A subgroup of adolescents consistently followed a medium-to high-risk NSSI trajectory, with a pooled prevalence of 22.9% (95% CI: 13.2, 36.9). Significant moderators of NSSI trajectory included country (Q = 26.09, P < 0.001), recruitment setting (Q = 5.01, P < 0.05), analysis type (Q = 46.46, P < 0.001), and follow-up duration (Q = 14.95, P < 0.001). In contrast, the type of NSSI assessment instrument did not show a significant moderating effect (Q = 5.16, P = 0.16). Meta-regression indicated that recruitment setting and follow-up duration were statistically significant sources of heterogeneity (P < 0.05). Key predictors associated with NSSI trajectories included emotional dysregulation, psychiatric symptoms (e.g., depression), and family-related factors (e.g., family conflict, parental psychological control, and parental criticism). Adolescents on medium-to high-risk NSSI trajectories demonstrate considerable heterogeneity, which is moderated by contextual factors such as country, recruitment setting, analysis type, and follow-up duration.
如何引用
AMA
Qian You, Linglin Guo, Xiaozhen Song, Feng Wang, Shouqin Wen, Qin Ding, et al. Longitudinal trajectories of non-suicidal self-injury in adolescents and their predictors: A systematic review and meta-analysis.. Journal of affective disorders. 2026; doi:10.1016/j.jad.2026.121818.
APA
Qian You, Linglin Guo, Xiaozhen Song, Feng Wang, Shouqin Wen, Qin Ding, et al (2026). Longitudinal trajectories of non-suicidal self-injury in adolescents and their predictors: A systematic review and meta-analysis.. Journal of affective disorders. https://doi.org/10.1016/j.jad.2026.121818
GB/T 7714
Qian You, Linglin Guo, Xiaozhen Song, Feng Wang, Shouqin Wen, Qin Ding, et al. Longitudinal trajectories of non-suicidal self-injury in adolescents and their predictors: A systematic review and meta-analysis.[J]. Journal of affective disorders, 2026 doi:10.1016/j.jad.2026.121818.
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