臺灣國中生自傷行為盛行率與心理社會成因及預防教育之研究

According to the analysis of the Ministry of Education (2005 vs. 2016), students in the junior high school level reported suicidal behavior incidents 12.12 times greater than previously recorded, and was much higher compared to students in the elementary, senior high school, and college level. The purpose of the present study is to conduct a longitudinal follow-up design to understand the prevalence and psychosocial risk factors associated with NSSI behavior among junior high school students. Moreover, based on previous empirical research findings in psychosocial risk factors, the present study attempts to design a preventive educational course geared towards NSSI behaviors, and further revise and evaluate its effectiveness in order to promote the NSSI preventive education among junior high school students. However, the present study only received funding for the first year of the project, and without funding for the second and third year. The prevalence of NSSI was found to be 40.9% (95% confidence interval, 37.9%-43.9%) among junior high school students in Taiwan, and the prevalence appears to be higher than those found in previous researches regarding middle school student samples. Consequently, the prevalence of NSSI in Taiwan has ascend and suggest future research pay more attention of this issue and create policies and design programs to prevent NSSI of adolescents. On the other hand, participants were surveyed during March 2 through March 27, 2020, and junior high school students may also encounter various psychosocial impacts and stress due to the COVID-19 outbreak. Therefore, suggest future research pay close attention to the variation of the prevalence of NSSI among junior high school students in Taiwan. In terms of psychological factors, when compared to the non-NSSI group, the NSSI group was found to have significantly: Higher neuroticism, impulsivity, alexithymia, depression, emotion reactivity, and self-criticism total scores; lower conscientiousness, distress tolerance, self-esteem, and subjective well-being total scores. In terms of social factors, when compared to the non-NSSI group, family functioning found the NSSI group to have significantly lower scores, and actual and virtual social support revealed that the NSSI group had significantly lower scores in actual social support total scores, and significantly higher scores in virtual social support. Additionally, the NSSI group displayed significantly higher scores in the relationship problems and dissatisfaction of academic record performance. In terms of the psychosocial model, results showed that the psychosocial factors including self-esteem, relationship problems, neuroticism, and emotion reactivity were able to significantly predict NSSI among junior high school students. The final report included the data and analyses of the first year research, which provides cross-sectional results, thus, suggest future research to verify through incorporation of the follow-up study data in order to validate which psychosocial factors in the first year can predict NSSI in the second year. In further, suggest future research based on this empirical research findings in psychosocial risk factors to design a preventive educational course geared towards NSSI behaviors, and further revise and evaluate its effectiveness in order to promote the NSSI preventive education among junior high school students in Taiwan.