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青少年自杀意念——实际风险的一个指标?

Suicidal ideation in adolescence--an indicator of actual risk?

作者信息

Groleger Urban, Tomori Martina, Kocmur Marga

机构信息

University Psychiatric Hospital, Studenec 48, 1000 Ljubljana, Slovenia.

出版信息

Isr J Psychiatry Relat Sci. 2003;40(3):202-8.

Abstract

BACKGROUND

The aim of the study was to assess both the frequency of suicidal ideation and also its link to other risk factors for suicidal behavior in the community population of adolescents.

METHOD

In the study, we have used a structured questionnaire for assessing the risk factors for suicidal behavior, and self-assessment scales for measuring depression and self-esteem. The research included 4,692 adolescents aged from 14 to 19 years. The sample is representative of the population of Slovene high school students.

RESULTS

The prevalence of suicidal ideation was 44% at anytime in respondent's life, and 10.3% during the recent month, and statistically significantly more frequent in girls than in boys. Suicidal ideation proved to be linked to high level of depression and low self-esteem, and also to the important psychosocial risk factors for suicidal behavior, such as: tendency to react on stress by consuming alcohol, alcohol and substance abuse, frequent conflicts with parents and frequently running away from home, pessimism about the future and self estimation of high probability of suicide in the future.

CONCLUSIONS

Suicidal ideation is an important suicide risk factor in adolescence, and requires adequate attention among all other relevant risk factors.

摘要

背景

本研究旨在评估青少年社区人群中自杀意念的发生率及其与自杀行为其他风险因素的关联。

方法

在本研究中,我们使用了一份结构化问卷来评估自杀行为的风险因素,以及用于测量抑郁和自尊的自我评估量表。该研究纳入了4692名年龄在14至19岁之间的青少年。该样本代表了斯洛文尼亚高中生群体。

结果

自杀意念在受访者一生中的任何时候发生率为44%,在最近一个月内为10.3%,且在女孩中比在男孩中在统计学上显著更频繁。自杀意念被证明与高水平的抑郁和低自尊有关,也与自杀行为的重要心理社会风险因素有关,例如:通过饮酒应对压力的倾向、酒精和药物滥用、与父母频繁冲突以及频繁离家出走、对未来的悲观态度以及对未来自杀可能性的高自我估计。

结论

自杀意念是青少年自杀的一个重要风险因素,在所有其他相关风险因素中需要给予充分关注。

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