机构:[1]Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, China[2]Affiliated Wuhan Mental Health Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China[3]Peking University Clinical Research Institute, Peking University Health Science Center, Beijing, China[4]Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming, China内科科室精神科昆明医科大学附属第一医院
Background: There is paucity of data regarding the prevalence and methods of deliberate self-harm (DSH) in patients with heroin dependence in international literature. In China, there have been a few studies investigating the prevalence of DSH in heroin-dependent patients (HDPs), but their rates varied widely. We thus conducted a meta-analysis of studies assessing the prevalence of DSH among Chinese HDPs. Methods: Relevant studies were retrieved from major Chinese databases (China National Knowledge Infrastructure, Wanfang data, and SinoMed) and western databases (PubMed, EMBASE, and PsycInfo). Two authors independently identified eligible studies and extracted data. Studies that included a representative sample of Chinese HDPs and ascertained DSH caseness in a reliable way were considered as high quality. Statistical analysis was performed using R software. Results: In total, 15 eligible studies with a total of 37,243 Chinese HDPs were included. All included studies were conducted in heroin detoxification settings. Only two studies were rated as high quality. The pooled prevalence of DSH in Chinese HDPs was 4.4% (95% CI: 2.9, 6.2%), but the heterogeneity of prevalence rates across studies was significant (I-2 = 98%, P < 0.001). Studies rated as high quality had significantly higher prevalence of DSH than those rated as low quality (13.2 vs. 3.4%, P < 0.001). Swallowing foreign objects was the most common method of DSH, with a combined prevalence of 2.7% (95% CI: 1.6, 4.4%). Extreme DSH methods such as cutting off fingers and jumping from height were also not uncommon in this patient population. Conclusion: Due to methodological problems in available studies, we find a relatively low prevalence of DSH among Chinese HDPs receiving detoxification treatment. Nevertheless, the self-harmers of Chinese HDPs are more likely to harm themselves in a dangerous or life-threatening way. Restricting the availability of DSH methods may be an effective way to prevent or reduce DSH in China's detoxification treatment settings.
基金:
Health and Family Planning Commission of Yunnan Province [2016NS027]; Wuhan Health and Family Planning Commission [WG16A02, WX17Q30]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [71774060]
第一作者机构:[1]Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, China[2]Affiliated Wuhan Mental Health Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
通讯作者:
推荐引用方式(GB/T 7714):
Zhong Bao-Liang,Xu Yan-Min,Xie Wu-Xiang,et al.Prevalence of Deliberate Self-harm Among Chinese Patients With Heroin Dependence: A Meta-Analysis[J].FRONTIERS IN PSYCHIATRY.2018,9:doi:10.3389/fpsyt.2018.00325.
APA:
Zhong, Bao-Liang,Xu, Yan-Min,Xie, Wu-Xiang,Chen, Wen-Cai&Lu, Jin.(2018).Prevalence of Deliberate Self-harm Among Chinese Patients With Heroin Dependence: A Meta-Analysis.FRONTIERS IN PSYCHIATRY,9,
MLA:
Zhong, Bao-Liang,et al."Prevalence of Deliberate Self-harm Among Chinese Patients With Heroin Dependence: A Meta-Analysis".FRONTIERS IN PSYCHIATRY 9.(2018)