psychiatryПСИХИАТРИЯPsychiatry (Moscow) (Psikhiatriya)1683-83192618-6667FSBSI “The Mental Health Research Centre”; LLC «Publisher «MIA»10.30629/2618-6667-2026-24-1-24-34psychiatry-1507Research ArticleПСИХОПАТОЛОГИЯ, КЛИНИЧЕСКАЯ И БИОЛОГИЧЕСКАЯ ПСИХИАТРИЯPSYCHOPATHOLOGY, CLINICAL AND BIOLOGICAL PSYCHIATRYКлинико-психологические характеристики девушек-подростков с несуицидальным самоповреждающим поведениемClinical and Psychological Characteristics of Adolescent Girls with Non- Suicidal Self-Injuryhttps://orcid.org/0000-0003-3486-3886ДарьинЕ. В.DarinE. V.

Евгений Владимирович Дарьин, врач-психиатр

пос. Заречный, Выселковский район, Краснодарский край

Evgeny V. Darin, psychiatrist

Zarechniy, Krasnodar Territory

darineugene@gmail.comhttps://orcid.org/0000-0002-3950-2855КорольИ. С.KorolI. S.

Иван Сергеевич Король, кандидат медицинских наук, главный врач

пос. Заречный, Выселковский район, Краснодарский край

Ivan S. Korol, Cand. Sci. (Med.), Chief Physician

Zarechniy, Krasnodar Territory

spnb@miackuban.ruhttps://orcid.org/0000-0002-7692-2410БойкоЕ. О.BoykoE. O.

Елена Олеговна Бойко, доктор медицинских наук, профессор, заведующий кафедрой, кафедра психиатрии

Краснодар

Elena O. Boyko, Dr. Sci. (Med.), Professor, Head of the Department, Department of Psychiatry

Krasnodar

e.o.boyko@yandex.ruhttps://orcid.org/0000-0002-5029-1577ЗайцеваО. Г.ZaitsevaO. G.

Ольга Геннадиевна Зайцева, кандидат медицинских наук, доцент, кафедра психиатрии

Краснодар

Olga G. Zaitseva, Cand. Sci. (Med.), Associate Professor, Department of Psychiatry

Krasnodar

olga_zaitseva@bk.ruГБУЗ «Специализированная психоневрологическая больница» Минздрава Краснодарского края,РоссияSpecialized Psychoneurological Hospital of the Ministry of Health of the Krasnodar TerritoryRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Кубанский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияKuban State Medical University of the Ministry of Health of the Russian FederationRussian Federation2026210320262412434Copyright © Дарьин Е.В., Король И.С., Бойко Е.О., Зайцева О.Г., 20262026Дарьин Е.В., Король И.С., Бойко Е.О., Зайцева О.Г.Darin E.V., Korol I.S., Boyko E.O., Zaitseva O.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.journalpsychiatry.com/jour/article/view/1507

Обоснование: несуицидальное самоповреждающее поведение (НССП) у девушек-подростков рассматривается как клинически значимое проявление эмоциональной дезрегуляции, связанное с тревожностью, депрессией и нарушениями социальной адаптации. Значительные различия в тяжести, функциональной значимости и предикторах таких эпизодов затрудняют единый подход к диагностике и сопровождению подростков с НССП. Цель работы: выделение и описание клинико-социальных характеристик девушек-подростков с НССП и анализ их взаимосвязи с психоэмоциональными показателями. Пациенты и методы: в исследование включены 186 девушек, госпитализированных в возрасте 12–17 лет в «Специализированную психоневрологическую больницу» Краснодарского края в 2022–2024 гг. Наряду с клинической оценкой анамнеза и психического состояния использованы следующие инструментальные методики: опросник детской депрессии М. Ковач (Children's Depression Inventory, CDI), методика многомерной оценки детской тревожности (МОДТ), опросник социально-психологической адаптации К. Роджерса и Р. Даймонда (СПА), шкала причин самоповреждающего поведения (Н.А. Польская), шкала социальной поддержки детей и подростков CASSS (K. Malecki). Для анализа использовали иерархическую кластеризацию, метод «локтя» (Elbow method) и алгоритм K-средних. Статистическая обработка проведена в Python и Statistica. Результаты: выделены три устойчивых кластера: с низкой, умеренной и высокой частотой НССП. Пациенты с высокой интенсивностью НССП наносили тяжелые и множественными самоповреждениями. Психическое состояние этих пациенток характеризовалось высоким уровнем тревожности и депрессии, сниженной адаптацией и низким уровнем социальной поддержки. Кластер с умеренной выраженностью НССП отличали преобладание компульсивных форм НССП и средний уровень психологической уязвимости. Пациенты с низкой выраженностью НССП обнаружили благополучные показатели по всем шкалам. Получены значимые различия между пациентами трех кластеров по шкалам тревожности, депрессии, адаптации и социальной поддержки (p < 0,001). Заключение: кластерный подход позволил сформировать типовые психосоциальные профили девушек с НССП, что имеет практическую значимость для разработки дифференцированных и персонифицированных подходов к профилактике и терапии и программ психосоциальной помощи.

Background: nonsuicidal self-injury (NSSI) behavior in adolescent girls is considered a clinically significant manifestation of emotional dysregulation associated with anxiety, depression, and impaired social adaptation. Considerable differences in the severity, functional significance, and predictors of such episodes make it difficult to develop a unified approach to the diagnosis and management of adolescents with NSSI. The aim was to identify and describe the clinical and social characteristics of adolescent girls with NSSI and to analyze their relationship with psychoemotional indicators. Patients and methods: the study included 186 girls aged 12–17 years, who were hospitalized in the “Specialized Psychoneurological Hospital” of Krasnodar Region in 2022–2024. Along with the clinical assessment of the past medical history and mental state, the following instrumental methods were used: Children's Depression Inventory (CDI) by M. Kovacs, the method of multidimensional assessment of children's anxiety, the questionnaire of social-psychological adaptation (SPA) by K. Rogers and R. Diamond, Reasons for Self-Injury Scale (N.A. Polskaya), Child and Adolescent Social Support Scale (CASSS) by K. Malecki. Hierarchical clustering, elbow method, and K-means algorithm were used for the analysis. Statistical processing was performed in Python and Statistica. Results: three stable clusters were identified as follows: with low, moderate and high severity of NSSI. Patients with high NSSI intensity committed severe and multiple self-harms. The mental state of these patients was characterized by high levels of anxiety and depression, decreased adaptation, and low levels of social support. The cluster with moderate NSSI severity was distinguished by the predominance of compulsive NSSI forms and an average level of psychological vulnerability. Patients with low NSSI severity demonstrated favorable results on all scales. Significant differences were obtained between patients of the three clusters on the scales of anxiety, depression, adaptation, and social support (p < 0.001). Conclusion: the cluster approach allowed us to form typical psychosocial profiles of girls with NSSI, which has practical significance for the development of differentiated and personalized approaches to prevention and therapy and psychosocial assistance programs.

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The authors declare that there are no conflicts of interest present.