Objective:Non-suicidal self-directed violence (NSSDV) is a significant and growing youth public health crisis. Girls with ADHD are at increased risk of engaging in NSSDV, yet qualitative studies with this population—to better understand manifestations, motivations, and developmental course—are lacking.Method:We conducted semi-structured, qualitative interviews with a sub-sample of 57 young women (32 with childhood ADHD, 25 neurotypical comparisons; mean age of 27 years, part of a larger prospective longitudinal study) regarding histories and manifestations of NSSDV.Results:Inductive and deductive analysis revealed several key themes, including self-perceived reasons for engaging in NSSDV (affect regulation, attention seeking, self-punishment, asserting control), impulsivity, secretiveness, and in some cases motivations for desistance.Conclusion:Findings underscore the importance of early education and screening, especially among high-risk clinical populations. Increased resources and supports for professionals, parents, and peers are indicated, along with countering the persistent stigma associated with ADHD and NSSDV.

中文翻译：

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对患有和没有童年多动症的年轻女性进行前瞻性纵向研究，对自我暴力的观点进行定性分析

目标：非自杀性自我导向暴力（NSSDV）是一场严重且日益严重的青少年公共卫生危机。患有 ADHD 的女孩患 NSSDV 的风险增加，但缺乏针对这一人群的定性研究，以更好地了解表现、动机和发展过程。方法：我们对 57 名子样本进行了半结构化、定性访谈年轻女性（32 名患有儿童 ADHD，25 名神经典型比较；平均年龄 27 岁，更大的前瞻性纵向研究的一部分）了解 NSSDV 的历史和表现。结果：归纳和演绎分析揭示了几个关键主题，包括自我感知的原因参与 NSSDV（影响调节、寻求关注、自我惩罚、主张控制）、冲动、隐秘，在某些情况下还有停止的动机。结论：研究结果强调了早期教育和筛查的重要性，特别是在高危临床人群中。为专业人士、家长和同龄人提供了更多的资源和支持，同时消除了与 ADHD 和 NSSDV 相关的持续耻辱。