D'Eramo Kristen Schoff, Prinstein Mitchell J, Freeman Jennifer, Grapentine W L, Spirito Anthony
Brown Medical School, Providence, USA.
Child Psychiatry Hum Dev. 2004 Fall;35(1):21-35. doi: 10.1023/b:chud.0000039318.72868.a2.
This study examined relations between suicidal behavior history (i.e., no suicidality, suicidal ideation, single attempters, and multiple attempters) and psychiatric functioning. Adolescents, aged 12-17, admitted to an inpatient psychiatric unit, were categorized by suicidal behavior history based on self- and clinician-report data. Groups were examined for differences in suicidal ideation and psychiatric diagnosis. Severity of suicidal ideation increased with severity of suicidal behavior history. Females were disproportionately represented among multiple attempters. Multiple attempters were more likely to be diagnosed with at least one externalizing disorder, particularly substance use disorders, and to have more than one comorbid diagnosis than adolescents with no suicidal behavior or a history of ideation only. Clinicians should be alerted to the particularly high-risk nature of adolescents with multiple suicide attempts.
本研究考察了自杀行为史（即无自杀倾向、有自杀意念、单次自杀未遂者和多次自杀未遂者）与精神功能之间的关系。12至17岁入住住院精神科病房的青少年，根据自我报告和临床医生报告的数据，按自杀行为史进行分类。对各组的自杀意念和精神疾病诊断差异进行了检查。自杀意念的严重程度随着自杀行为史的严重程度而增加。多次自杀未遂者中女性比例过高。与无自杀行为或仅有自杀意念史的青少年相比，多次自杀未遂者更有可能被诊断出至少有一种外化性障碍，尤其是物质使用障碍，并且有不止一种共病诊断。临床医生应警惕多次自杀未遂青少年的特别高风险性质。
