本研究旨在探索青少年自我傷害動機、心理分離個體化、情緒調節與自我傷害行為之關係，調查臺灣青少年自我傷害行為的現況，瞭解自我傷害動機與自我傷害行為的關連，探討情緒調節、心理分離個體化對自我傷害的影響，並探討情緒調節在心理分離個體化、自我傷害行為之間的中介情形。研究採問卷調查的方式，研究對象為779位公立高中職學生，男性435人（55.8％）、女性344人（44.2％）。本研究主要結果如下：青少年過去一年內至少有過一次自我傷害行為的比例為39.8％，最常使用的自我傷害行為類型為用拳頭捶打牆壁、割傷自己、咬自己到皮膚受傷、用拳頭打自己以及頭撞牆壁。其中，自我傷害頻率與衝動失控有關。不同自我傷害動機在心理分離個體化、情緒調節會呈現不同樣貌。同時各種自我傷害行為類型也會受到心理分離個體化、情緒調節與自我傷害動機不同程度的影響。而透過心理分離個體化、情緒調節可以有效解釋自我傷害行為的有無。最後，情緒調節為心理分離個體化、自我傷害行為的部分中介變項。研究者根據本研究結果進行討論，並對青少年輔導與後續研究方向提出建議以供參考。

This study aimed to explore the relation of adolescent’s self-harm motivation, separation-individuation, emotion regulation and self-harm behavior. Investigate the status of Taiwan adolescent self-harm behavior. Understand the correlation between self-harm motivation and self-harm behaviors. Explore the impact of self-harm behavior among emotional regulation and individual-separation. Explore the mediating effect of emotion regulation on the association between separation-individuation and self- harm behavior. The study was based on questionnaires, and participants were 779 students from public high school, including 435 of male and 344of female.The main results were as follows : There are 39.8％ of adolescent have attempted self-harm behavior once or more times within the past year, and the most commonly used type of self-harm behavior is banging the fist against the wall, self-cutting , self-biting, self-hitting and banging the head against the wall. Moreover, impulse of the emotion dysregulation correlated to self-harm behavior’s frequency. There were various representations of separation-individuation and emotion regulation depends on different self-harm motivations. Furthermore, there were various representations of separation-individuation, emotion regulation, and self-harm motivations depend on different type of self-harm behavior. Finally, separation-individuation and emotion regulation could successfully distinguish adolescent with self-harm from adolescent with no history of self-harm in the past 1 year, emotion regulation partially mediates the relationship between separation-individuation and self- harm behavior. Lastly, based on the results of this research, the researcher discussed the implications for counseling adolescents and suggested possible research directions for future reference.

中文部分
王美文（2007）。國中生自我傷害行為及相關影響因素之研究。國立彰化師範大學輔導與諮商學系所碩士論文。
王浩威（2009）。我的青春施工中。台北：心靈工坊。
王愛麗（2007）。自我傷害青少年復原力之研究。國立高雄師範大學輔導與諮商研究所碩士論文。
吳明隆、張毓仁（2010）。結構方程模式─實務應用秘笈。台北：五南。
呂孟真（2007）。自我傷害動機、負向情緒、經驗迴避、情緒調節與青少年自我傷害行為之關係探索。國立政治大學心理學研究所碩士論文。
李明瑄（2010）。高中、職學生自傷行為與其家庭界限、親子三角關係之相關研究。 臺北市立教育大學心理與諮商學系碩士論文。
邱皓政（2006）。量化研究與統計分析：SPSS中文視窗版資料分析範例解析。台北：五南。
教育部（2007）。校園自我傷害防治手冊。教育部。
教育部（2014）。102學年度高級中等校校別概況。取自教育部統計處網站：http://www.edu.tw/pages/detail.aspx?Node=3752&Page=22203&Index=7&WID=31d75a44-efff-4c44-a075-15a9eb7aecdf，2014年4月2日。
莊懿楨（2009）。青少年親子衝突、因應策略、因應效能與自我傷害之相關研究-以高雄市為例。國立彰化師範大學輔導與諮商學系碩士論文。
許至揚（2004）。青少年自傷行為發生前後家庭系統運作情形之研究。國立彰化師範大學輔導與諮商學系碩士論文。
陳思帆（2007）。大學生依附關係、拒絕敏感度與曖昧訊息處理之關係研究。國立臺灣師範大學教育心理與輔導所碩士論文。
陳盈辰（2007）。國中生自傷行為之盛行率與心理因素之相關研究。國立臺灣大學心理學研究所碩士論文。
陳紫瑀（2009）。青少年完美主義、心理分離-個體化與自傷行為之相關研究。國立高雄師範大學輔導與諮商研究所碩士論文。
陳毓文（2006）。一般在學青少年自殘行為之相關環境因素初探。中華心理衛生學刊，19（2），95-124。
黃雅羚（2003）。青少年自傷經驗之分析研究。國立高雄師範大學輔導研究所碩士論文。
黃雅羚、林妙容（2005），青少年自傷經驗發展歷程之分析研究—以五個個案為例。諮商輔導學報－高師輔導所刊，12，101-126。
 
西文部分
Brown, S. A., Williams, K., & Collins, A. (2007). Past and recent deliberate self-harm: Emotion and coping strategy differences. Journal Of Clinical Psychology, 63(9), 791-803.
Brown, T. B., & Kimball, T. (2013). Cutting to live: A phenomenology of self-harm. Journal of marital and family therapy, 39(2), 195-208.
Favazza, A. R. (1989). Why patients mutilate themselves. Hospital and Community Psychiatry, 40(2), 137-145.
Favazza, A. R. (1992). Repetitive self-mutilation. Psychiatric Annals, 22(2), 60-63.
Froeschle, J., & Moyer, M. (2004). Just cut it out: Legal and ethical challenges in counseling students who self-mutilate. Professional School Counseling, 7(4), 231-235.
Gratz, K. L. (2003). Risk factors for and functions of deliberate self-harm: An empirical and conceptual review. Clinical Psychology: Science and Practice, 10(2), 192-205.
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotionregulation and dysregulation: Development, factor structure, andinitial validation of the difficulties in emotion regulation scale.Journal of Psychopathology & Behavioral Assessment, 26(1), 41-54.
Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39(3), 281-291.
Hamilton, N. G., (2013). 人我之間－客體關係理論與實務（楊添圍、周仁宇譯）。台北：心靈工坊（原著出版年於1990）。
Hollander, M.(2010). 協助自傷青少年－了解與治療自傷（邱珍琬譯）。台北：五南（原著出版年於2010）。
Kins, E., Beyers, w., & Soenens, B. (2012). When the separation-individuation process goes awry: Distinguishing between dysfunctional dependence and dysfunctional independence. International Journal of Behavioral Development 37(1), 1-12.
Koole, S. L. (2009). The psychology of emotion regulation: An integrative review. Cognition & Emotion, 23(1), 4-41.
Lapsley, D. K., Aalsma, M. C., & Varshney, N. M.(2001). A factor analytic and psychometric examination of pathology of separation-individuation. Journal of Clinical Psychology, 57(7), 915-932.
Laye-Gindhu, A., & Schonert-Reichl, K. A. (2005). Nonsuicidal self-harm among community adolescents: Understanding the “whats” and “whys” of self-harm. Journal of Youth and Adolescence, 34(5), 447-457.
Matthew, D. S.(2010). Helping Self-Harming Students. Educational Leadership, 67(4), 48-53.
Michael, M., & Kaye, W. N.(2007). Investigating and understanding self-mutilation：The student voice. Professional School Counseling, 11(1), 42-48.
Mikolajczak, M., Perides, K. V., & Hurry, J. (2009). Adolescents choosing self-harm as an emotion regulation strategy: The protective role of trait emotional intelligence. British, Clinical psychology, 48, 181-193.
Nock, M. K. & Prinstein, M. J. (2005). Contextual features and behavioral functions of self-mutilation among adolescents. Journal of Abnormal Psychology, 114, 140-146.
Osuch, E. A., Noll, J. G., & Putnam, F. W. (1999). The motivations for self-injury in psychiatric inpatients. Psychiatry, 62(4), 334-346.
Ougrin, D., Trannah, T., Leigh, E., Taylor, L., & Asarnow, J. R., (2012). Practitioner review: Self-harm in adolescents. Journal of child psychiatry, 53(4), 337-350.
Ross, S., & Heath, N., (2002). A study of the frequency of self-mutilation in a community sample of adolescents. Journal of Youth and Adolescence, 31(1), 67-77.
Sim, L., Adrian, M., Zeman, J., Cassano, M., & Friedrich, W. N. (2009). Adolescent deliberate self-harm: linkages to emotion regulation and family emotional climate. Journal of Research on adolescence, 19(1) , 75-91
Simeon, D., & Hollander, E.(2002）.自我傷害的評估與治療（唐子俊、郭敏慧譯）。台北：五南（原著出版年於2001）。
Slee, N., Spinhoven, P., Garnefski, N., & Arensman, E. (2008). Emotion regulation as mediator of treatment outcome in therapy for deliberate self-harm. Clinical Psychology & Psychotherapy, 15(4), 205-216.
Steven, L.(2004). 割腕的誘惑─停止自我傷害（李俊毅譯）。台北：心靈工坊（原著出版年於1998）。
Suyemoto, K. L. (1998). The functions of self- mutilation. Clinical Psychology Review, 18(5), 531–554.
You, J., Lin, M. P., & Leung, F. (2013)Functions of nonsuicidal self-injury among Chinese community adolescents. Journal of Adolescence, 36, 737-745.