Abstract：
OBJECTIVE: Engagement in self-injurious thoughts and behaviors (SITBs) is associated with low help-seeking intentions. Nevertheless, prior research has primarily relied on cross-sectional data, leaving uncertainties about the longitudinal dynamics between SITBs and help-seeking intentions. This study aims to investigate the longitudinal relationship between SITBs and help-seeking intentions for them.
METHODS: A one-year interval follow-up investigation was conducted among 1788 Chinese students (71.5% girls, Mage = 19.5). Changes in help-seeking intentions were initially analyzed among four SITBs transition groups. Subsequently, a cross-lagged model was employed to explore the possible bidirectional associations.
RESULTS: 232 participants (12.90%) experienced changes in SITBs, while 65 participants (3.60%) exhibited sustained SITBs between two measurement time points. Changes in help-seeking intentions varied across SITBs transition groups. Participants whose SITBs faded 1 year later showed a significant increase in help-seeking intentions, whereas those who experienced newly developed SITBs across two measurement time points demonstrated a significant decline. The cross-lagged analysis revealed that help-seeking intentions negatively predicted the subsequent risk of experiencing SITBs.
CONCLUSIONS: Greater help-seeking intentions predicted decreased SITBs 1 year later. Changes in help-seeking intentions serve as a valuable indicator for distinguishing between different types of SITBs transition. These findings underscore the importance of implementing prevention and intervention strategies targeted at enhancing help-seeking intentions to reduce SITBs.
METHODS: A one-year interval follow-up investigation was conducted among 1788 Chinese students (71.5% girls, Mage = 19.5). Changes in help-seeking intentions were initially analyzed among four SITBs transition groups. Subsequently, a cross-lagged model was employed to explore the possible bidirectional associations.
RESULTS: 232 participants (12.90%) experienced changes in SITBs, while 65 participants (3.60%) exhibited sustained SITBs between two measurement time points. Changes in help-seeking intentions varied across SITBs transition groups. Participants whose SITBs faded 1 year later showed a significant increase in help-seeking intentions, whereas those who experienced newly developed SITBs across two measurement time points demonstrated a significant decline. The cross-lagged analysis revealed that help-seeking intentions negatively predicted the subsequent risk of experiencing SITBs.
CONCLUSIONS: Greater help-seeking intentions predicted decreased SITBs 1 year later. Changes in help-seeking intentions serve as a valuable indicator for distinguishing between different types of SITBs transition. These findings underscore the importance of implementing prevention and intervention strategies targeted at enhancing help-seeking intentions to reduce SITBs.
摘要：
目标：参与自我伤害的思想和行为（SITB）与低寻求帮助的意图有关。然而，先前的研究主要依赖于横截面数据，留下了SITB和寻求帮助意图之间纵向动态的不确定性。本研究旨在调查SITB与他们的求助意图之间的纵向关系。
方法：对1788名中国学生进行了为期一年的随访调查（71.5%的女生，法师=19.5）。最初分析了四个SITB过渡组之间寻求帮助意图的变化。随后，采用交叉滞后模型来探索可能的双向关联。
结果：232名参与者（12.90%）经历了SITB的变化，而65名参与者(3.60%)在两个测量时间点之间表现出持续的SITB。各SITB过渡组之间寻求帮助意图的变化各不相同。SITB在1年后消失的参与者显示，寻求帮助的意图显着增加，而在两个测量时间点经历新开发的SITB的人表现出显著下降。交叉滞后分析显示，寻求帮助的意图负面地预测了随后经历SITB的风险。
结论：更高的求助意愿预测1年后SITB下降。寻求帮助意图的变化是区分不同类型的SITB过渡的宝贵指标。这些发现强调了实施旨在增强寻求帮助的意图以减少SITB的预防和干预战略的重要性。
方法：对1788名中国学生进行了为期一年的随访调查（71.5%的女生，法师=19.5）。最初分析了四个SITB过渡组之间寻求帮助意图的变化。随后，采用交叉滞后模型来探索可能的双向关联。
结果：232名参与者（12.90%）经历了SITB的变化，而65名参与者(3.60%)在两个测量时间点之间表现出持续的SITB。各SITB过渡组之间寻求帮助意图的变化各不相同。SITB在1年后消失的参与者显示，寻求帮助的意图显着增加，而在两个测量时间点经历新开发的SITB的人表现出显著下降。交叉滞后分析显示，寻求帮助的意图负面地预测了随后经历SITB的风险。
结论：更高的求助意愿预测1年后SITB下降。寻求帮助意图的变化是区分不同类型的SITB过渡的宝贵指标。这些发现强调了实施旨在增强寻求帮助的意图以减少SITB的预防和干预战略的重要性。
