Hardan A, Sahl R
John Merck Program for Developmental Disorders, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, USA. hardan+@pitt.edu
Res Dev Disabil. 1999 Jul-Aug;20(4):287-96. doi: 10.1016/s0891-4222(99)00010-4.
Children and adolescents with developmental disorders exhibit a wide range of self-destructive behaviors. Interestingly, suicidal ideation and gestures have been underreported in this population. This study was designed to examine suicidality in a clinically referred sample. The medical records of all individuals assessed in a specialized program during a 1-year period were reviewed looking at the incidence, the type and the clinical characteristics of any suicidal behavior. Forty-seven patients (20%) experienced either suicidal ideation, threats, or attempts with hanging being the most frequent method considered. Suicidality was more often encountered in individuals diagnosed with oppositional defiant disorder, depressive disorders, and post traumatic stress disorder, and less often in the autistic and the severely/profoundly mentally retarded groups. Suicidal behaviors were frequently encountered in children and adolescents with developmental disabilities. Prospective studies should be conducted to examine rigorously the variables associated with suicidality in this population.
患有发育障碍的儿童和青少年表现出各种各样的自我毁灭行为。有趣的是，该人群中自杀意念和自杀姿态的报告一直较少。本研究旨在调查临床转诊样本中的自杀倾向。回顾了在一个专门项目中接受评估的所有个体在1年期间的病历，以查看任何自杀行为的发生率、类型和临床特征。47名患者（20%）经历过自杀意念、自杀威胁或自杀未遂，其中上吊是最常被考虑的自杀方式。在被诊断为对立违抗障碍、抑郁症和创伤后应激障碍的个体中，自杀倾向更为常见，而在自闭症和重度/极重度智力障碍群体中则较少见。发育障碍的儿童和青少年中经常出现自杀行为。应开展前瞻性研究，以严格检查该人群中与自杀倾向相关的变量。
