Spirito Anthony, Valeri Sylvia, Boergers Julie, Donaldson Deidre
Brown Medical School and Rhode Island Hospital, Providence, Rhode Island, USA.
J Clin Child Adolesc Psychol. 2003 Jun;32(2):284-9. doi: 10.1207/S15374424JCCP3202_14.
Describes adolescents who attempt suicide and their risk for ongoing suicidal behavior. Fifty-eight adolescents (53 female) who attempted suicide received a baseline evaluation that was analyzed to identify factors that were associated with continued suicidal ideation and reattempt. At a 3-month follow-up assessment, 45% reported continued suicidal ideation and 12% reported a repeat attempt. Baseline measures of family functioning, feelings of hopelessness, and abilities to regulate affect were associated with suicidal ideation at follow-up but not as strongly as depressed mood. After controlling for depressive symptoms, the association between family functioning and continued suicidal behavior was no longer significant. Depressed mood at baseline was most strongly associated with both continued suicidal ideation and reattempt.
描述了自杀未遂的青少年及其持续出现自杀行为的风险。58名自杀未遂的青少年（53名女性）接受了基线评估，该评估经过分析以确定与持续自杀意念和再次尝试相关的因素。在3个月的随访评估中，45%的人报告有持续的自杀意念，12%的人报告有再次尝试自杀的行为。家庭功能、绝望感和情绪调节能力的基线测量与随访时的自杀意念相关，但不如抑郁情绪那么强烈。在控制了抑郁症状后，家庭功能与持续自杀行为之间的关联不再显著。基线时的抑郁情绪与持续的自杀意念和再次尝试自杀的行为关联最为密切。
