Relationship between self-harm with depression and anxiety in college students

Abstract

Objective To examine the status of self-harm, depression and anxiety and to analyze the relation of self-harm with depression and anxiety in college students.

Methods Totally 9 638 college students were randomly selected from five universities in Anhui province using stratified cluster sampling and were surveyed with basic demographic characteristics, Depression Self Rating Scale (SDS), Self-evaluation of Anxiety Scale (SAS) and self-harm behavior questionnaire.

Results The detection rate of selfharm among college students was 22.94%(2 211), boys (24.51%) were higher than girls(21.72%), the difference was statistically significant (χ ² = 10.46, P<0.05). The detection rate of depression was 28.57%(2 754). The detection rate of anxiety was 11.11% (1 071). The detection rate of self-harm in the depression group was 33.48%, which was significantly higher than those without depression group (18.72%) (χ ² = 242.22, P<0.01). The similar results were found in the anxiety analysis, students with anxiety showed higher detection rate in self-harm (48.74%) than those without anxiety (19.72%) (χ ² =453.66, P<0.01). Both depression and anxiety were positively associated with self-harm behaviors ( r = 0.24, 0.27, P <0.01). Multivariate Logistic regression model found that after covariates controlled, depression ( OR = 1.48) and anxiety ( OR = 2.84) were positively associated with self-harm of college students ( P<0.05).

Conclusion Self-harm, depression and anxiety among college students in Anhui Province are at a high level, and a positive correlation between self-harm behaviors and depression and anxiety is observed. Attention should be paid to the mental health education of college students.

Abstract

【摘要】 目的 了解安黴省大学生自伤行为与抑郁、焦虑症状现况及其相关性, 为减少大学生自伤行为发生提供理论依 据。 方法 采用分层整群抽样的方法, 对安黴省5所高校的9 638名在校大学生进行问卷调查, 问卷内容包括基本人口学 特征、抑郁自评量表（SDS)、焦虑自评量表（SAS)和自伤行为问卷等。 结果 9 638名大学生自伤行为检出率为22.94% (2 211名）, 男生（24.51%)高于女生（21.72%), 差异有统计学意义(χ ² = 10.46, P<0.05);抑郁检出率为28.57%(2 754名）, 焦虑检出率为11.11%(1 071名）。抑郁组自伤行为的检出率为33.48%, 高于非抑郁组（18.72%), 差异有统计学意义(χ ² = 242.22, P<0.01);焦虑组自伤行为的检出率为48.74%, 高于非焦虑组（19.72%), 差异有统计学意义(χ ²=453.66,<0.01)。 抑郁、焦虑均与自伤行为存在正相关( r值分别为0.24,0.27'值均<0.01)。多因素Logistic回归分析表明, 在控制其他相 关的影响因素后, 抑郁（ OR =1.48)及焦虑（ OR = 2.84)与大学生自伤行为发生呈正相关( P值均<0.05)。 结论 安黴省大学 生自伤行为、抑郁和焦虑检出率不容乐观, 且自伤行为与抑郁、焦虑之间呈正相关。应重视对大学生的心理健康教育。