個人、家庭與學校因素及社會支持與青少年自我傷害行為之關聯性研究

The Impact of Personal, Family, and School Factors and Social Support on Adolescent Self-harm Behavior

本研究之主要目的嘗試從青少年個人、家庭及學校等層面整理出導致青少年自我傷害行為發生的機制，以及瞭解社會支持在自我傷害行為發生中的扮演角色。本研究對象為台南市國中生，採用分層叢集抽樣方式，有效分析樣本共549名學生，並運用巢式迴歸分析進行資料處理。本研究結果發現：（1）青少年憂鬱情緒愈嚴重、低自尊，以及具有求樂衝動、情緒衝動及刺激尋求性格，發生自我傷害行為的可能性愈大；（2）青少年與父母的不良關係若是源於消費衝突，則青少年愈容易發生自我傷害行為；（3）當我們同時考量個人、家庭、學校因素及社會支持等要素與自我傷害行為的關係時，可以發現憂鬱情緒、求樂衝動、家人自我傷害行為、父母間的衝突及同儕自我傷害行為對青少年自我傷害行為的發生，扮演著重要角色。

The purpose of this study was to find out the development of adolescent self-harm behavior. Independent variables in this study were divided by three different levels: personal level, family level, and school level. The impact of social support was also included in the model. The sample was collected by stratified-cluster random. In this study, subjects consisted of 549 junior high students at Tainan city. Nested regression model was used to analyze the collected data. The findings included that (1) depression emotion, low self-esteem, hedonistic impulsivity, emotional impulse, sensation seeking were related to adolescent self-harm behavior; (2) negative relation with parent had mediator effects between conflict from consuming and self-harm behavior; (3) depression emotion, hedonistic impulsivity, siblings and peers having self-harm behavior, parent conflict still played an important role in the explanation of adolescent self-harm behavior, after controlling the impact of personal, family, and school factors and social support.