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題名：一般在學青少年自殘行為之相關環境因素初探
書刊名：中華心理衛生學刊
作者：陳毓文 引用關係
作者(外文)：Chen, Yu-wen
出版日期：2006
卷期：19:2
頁次：頁95-124
主題關鍵詞：青少年自殘行為；父母衝突；親子關係；同儕關係；師生關係；Adolescent self-mutilating behaviors；Parental conflict；Parent-child relationship；Peer relationships；Relationships with teachers
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  • 被引用次數被引用次數:期刊(14) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:13
  • 共同引用共同引用:44
  • 點閱點閱:64
本研究的主要目在檢視一般在學青少年自殘行為發生的比例，並探究家中他人的自殘經驗、親子關係、父母衝突、同儕關係以及師生關係等環境因素與青少年自殘行為之相關性；同時也將檢視自殘行為的性別差異現象。本研究以分層隨機抽樣的方式選取受訪樣本，先按台灣地區都市特性與都市化程度，將台灣分成北、中、南、東四大區域，再依據學校性質分為國中組、高中組與高職組。在取得校方同意後，遂委請學校以隨機的方式選取每一個年級各一班學生參與，並透過自填式團體問卷調查來蒐集相關資料。結果共得有效樣本數為1,975人，其中42%為男性，58%為女性。在本研究樣本中，有22.4%的受訪者過去曾經有過自殘的行為；而且在這些自殘者當中，有75.6%的人表示曾經自殘至少兩次，更有17%的人表示，自己這樣的自殘行為已經發生過「很多次」或「數不清楚幾次」；自殘方式中則以「用利器（如美工刀、玻璃片）割傷自己身體某部位」者所佔的比例(48.6%)為最高，其次則為「用香菸或火柴燙傷自己」(26.5%)。多元邏輯迴歸分析則發現“在控制的情境下，女性、家裡曾有人自殘過、親子關係越差，父母衝突越嚴重，以及師生關係越差的青少年，其自殘的機率就越大。本研究最後根據研究結果進行討論，並提出相關的處遇建議。
The present study investigated the prevalence and environmental correlates of self-mutilation in a community sample of adolescents. It was hypothesized that self-mutilation of family members, parental conflict, poor parent-child relationships, poor peer relationships, and the poor relationship with teachers were related to adolescent self-mutilating behaviors. Gender difference was also examined. The research population was students enrolled in grades 7 to 12 in Taiwan. The multi-stage cluster sampling method was used to select study participants. The effective sample size was 1,975, 42% of whom were male, 58% were female. Data were collected by means of questionnaires administered in the group setting. Logistic regressions were used to test the multivariate model. In this sample, 22.4% of the respondents had self-mutilating behaviors. Among these people, 75.6% had harmed themselves deliberately at least twice, and 17% reported that they did it many times. The most commonly reported self-mutilating behavior was carving on skin (48.6%), followed by burning skin (26.5%). Multivariate logistic analyses indicated that in the controlled setting, the chance of self-mutilation is higher for adolescents who experienced more parental conflict, had poorer parent-child relationships, had poorer relationships with teachers, and had someone at home engaged in self-mutilation. Gender difference was also found; more girls had self-mutilation behavior than boys. Discussion and implication for future interventions are suggested.
期刊論文
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6.Gratz, K. L.(2001)。Measurement of Deliberate Self-Harm: Preliminary Data on the Deliberate Self-Harm Inventory。Journal of Psychopathology and Behavioral Assessment，23，253-263。  new window
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10.黃雅羚、林妙容(20040100)。安置機構內青少年自殘行為成因與介入策略。學生輔導，90，81-88。  延伸查詢new window
11.羅國英(19980300)。青少年前期的同儕關係:與親子關係的延續、競爭、或彌補﹖。東吳社會工作學報，4，35-78。new window  延伸查詢new window
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15.Carroll, Lynne、Anderson, Roxanne、Carroll, L.、Anderson, R.(2002)。Body Piercing, Tattooing, Self-esteem, and Body Investment in Adolescent Girls。Adolescence，37(147)，627-637。  new window
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17.王修平、陸汝斌(1992)。自殘行為。國防醫學，14(1)，89-92。  延伸查詢new window
18.Allen, C.(1995)。Helping with Deliberate Self-harm: Some Practical Guidelines。Journal of Mental Health，4，243-250。  new window
19.Applewhite, L. W.、Joseph, M. W.(1994)。Confidentiality: Issues in Working with Self-harming Adolescents。Child and Adolescent Social Work Journal，11，279-291。  new window
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21.Bush, Ellen Greene、Pargament, Kenneth I.(1995)。A Quantitative and Qualitative Analysis of Suicidal Preadolescent Children and Their Families。Child Psychiatry & Human Development，25(4)，241-252。  new window
22.Chowanec, G. D.、Josephson, A. S.、Coleman, C.、Davis, H.(1991)。Self-harming Behavior in Incarcerated Male Delinquent Adolescents。Journal of the American Academy of Child & Adolescent Psychiatry，30，202-207。  new window
23.Darche, M. A.(1990)。Psychological Factors Differentiating Self-Mutilating and Non-Self-Mutilating Adolescent in Patient Females。Psychiatric Hospital，21(1)，31-35。  new window
24.Derouin, A.、Barvender, T.(2004)。Living on the Edge: The Current Phenomenon of Self-mutilation in Adolescents。The American Journal of Maternal/Child Nursing，29(1)，12-20。  new window
25.Emery, R. E.(1982)。Interparental Conflict and the Children of Discord and Divorce。Psychological Bulletin，93，310-330。  new window
26.Favazza, A. R.(1998)。The Coming of Age of Self-mutilation。The Journal of Nervous and Mental Disease，186(5)，259-268。  new window
27.Garrison, C. Z.、Addy, C. L.、McKeown, R. E.、Cuffe, S. P.、Jackson, K. L.、Waller, J. L.(1993)。Nonsuicidal Physically Self-damaging Acts in Adolescents。Journal of Child and Family Studies，2，339-352。  new window
28.Guertin, T.、Lloyd-Richardson, E.、Spirito, A.、Donaldson, D.、Boergers, J.(2001)。Self-mutilative Behavior in Adolescents Who Attempt Suicide by Overdose。Journal of the American Academy of Child & Adolescent Psychiatry，40(9)，1062-1069。  new window
29.Guthrie, E.、Kapur, N.、Mackway-Jones, K.、Chew-Graham, C.、Moorey, J.(2001)。Randomized Controlled Trial Of Brief Psychological Intervention After Deliberate Self Poisoning。British Medical Journal，323，135-138。  new window
30.Hurry, J.(2000)。Deliberate Self-harm in Children and Adolescents。International Review of Psychiatry，12，31-36。  new window
31.Jeffreys, S.(2000)。Body Art' and Social Status: Cutting, Tattooing and Piercing from a Feminist Perspective。Feminism and Psychology，10，409-429。  new window
32.Lipschitz, D. S.、Wingegar, R. K.、Nicolaou, A. L.、Hartnick, E.、Wolfson, M.、Southwick, S. M.(1999)。Perceived Abuse and Neglect as Risk Factors for Suicidal Behavior in Adolescent Inpatients。The Journal of Nervous and Mental Disease，187，32-39。  new window
33.Martin, A.(2000)。On Teenagers and Tattoos。Reclaiming Children and Youth，9(3)，143-144。  new window
34.McLaughlin, Jo-Ann、Miller, Peter、Warwick, Hilary(1996)。Deliberate Self-Harm in Adolescents: Hopelessness, Depression, Problems, and Problem-solving。Journal of Adolescence，19(6)，523-532。  new window
35.Patton, G. C.、Harris, R.、Carlin, J. B.、Hibbert, M. E.、Coffey, C.、Schwartz, M.、Bowes, G.(1997)。Adolescent Suicidal Behaviors: A Population-based Study of Risk。Psychological Medicine，27(3)，715-724。  new window
36.Simeon, D.、Stanley, B.、Frances, A.、Mann, J. J.、Winchel, R.、Stanley, M.(1992)。Self-mutilation in Personality Disorders: Psychological and Biological Correlates。The American Journal of Psychiatry，149，221-226。  new window
37.Stiffman, A. R.、Chen, Y. W.、Elze, D.、Dore, P.、Cheng, L. C.(1997)。Adolescents and Providers' Perspectives on the Need and Use of Mental Health Services。Journal of Adolescent Health Car，21(5)，335-342。  new window
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39.Tulloch, A. L.、Blizzard, L.、Pinkus, Z.(1997)。Adolescent-parent Communication in Self-harm。Journal of Adolescent Health，21，267-275。  new window
40.Yip, P. S. F.、Liu, K. Y.、Lam, T. H.、Stewart, S. M.、Chen, E.、Fan, S.(2004)。Suicidality among High School Students in Hong Kong SAR。Suicide and Life-Threatening Behavior，34(3)，284-297。  new window
41.Zlotnick, C.、Mattia, J. I.、Zimmerman, M.(1999)。Clinical Correlates of Self-mutilation in a Sample of General Psychiatric Patients。The Journal of Nervous and Mental Disease，187，296-301。  new window
學位論文
1.單延愷(1995)。青少年自殺行為危險因子與危險警訊之探討(碩士論文)。中原大學。  延伸查詢new window
2.賴自強(1998)。兒童知覺雙親衝突對其自我概念影響之研究(碩士論文)。中國文化大學。  延伸查詢new window
3.蔡姿娟(1999)。國中生社會支持、生活適應與寂寞感之相關研究(碩士論文)。國立高雄師範大學，高雄市。  延伸查詢new window
4.劉秀汶(1999)。國民中學中輟生問題及支援系統之研究--以台北縣為例(碩士論文)。國立臺灣師範大學。  延伸查詢new window
5.蔡素玲(1997)。青少年依附品質、社會支持與自殺傾向之研究(碩士論文)。國立彰化師範大學。  延伸查詢new window
6.鄭秋紅(1993)。智障兒童青少年手足與一般家庭青少年親子關係與生活適應之比較研究，0。  延伸查詢new window
圖書
1.Walsh, B.、Rosen, P. M.(1988)。Self-mutilation: Theory, research and treatment。New York, NY：Guilford。  new window
2.Youniss, James、Jacqueline Smollar(1985)。Adolescent Relations with Mothers, Fathers, and Friends。Chicago：University of Chicago Press。  new window
3.金樹人、Charles, C. M.(1994)。教室裡的春天--教室管理的科學與藝術。臺北：張老師文化。  延伸查詢new window
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7.Daily, S. G.(1992)。Suicide solution: the relationship of alcohol and drug abuse to adolescent suicide。Adolescent Substance Abuse: Etiology, Treatment, and Prevention。Maryland。  new window
8.Ross, R. R.、McKay, H. B.(1979)。Self-mutilation。Self-mutilation。Lexington, MA。  new window
9.Agresti, A.、Finlay, B.(1986)。Statistical Methods for the Social Sciences。Statistical Methods for the Social Sciences。New Jersey, NJ。  new window
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圖書論文
1.Brown, B. B.(1990)。Peer groups and peer cultures。At the threshold: the developing adolescent。Cambridge, MA：Harvard University Press。  new window
 
 
 
 
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