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青少年自杀受害者的朋友和熟人接触自杀事件后的精神影响。

Psychiatric effects of exposure to suicide among the friends and acquaintances of adolescent suicide victims.

作者信息

Brent D A, Perper J, Moritz G, Allman C, Friend A, Schweers J, Roth C, Balach L, Harrington K

机构信息

Western Psychiatric Institute and Clinic, Pittsburgh, PA 15213.

出版信息

J Am Acad Child Adolesc Psychiatry. 1992 Jul;31(4):629-39. doi: 10.1097/00004583-199207000-00009.

DOI:10.1097/00004583-199207000-00009
PMID:1644725
Abstract

The friends and acquaintances (N = 58) of 10 adolescent suicide victims were interviewed 6 months after the death of the victims, and the rates of psychiatric disorders that had onset after the death were compared with the 6-month incidence of psychopathology in 58 demographically and psychiatrically matched unexposed controls. The exposed group showed higher rates of any new onset major depressive disorder, but the rate of incident suicide attempts was the same in both groups. The median onset of incident depression among the exposed group was within the first month after exposure, and the majority of those exposed youth with incident depression were still depressed at interview 6 months after the death. Adolescent friends and acquaintances of suicide victims experience considerable psychiatric morbidity subsequent to exposure to suicide, most consistent with pathological grief.

摘要

对10名青少年自杀受害者的58位朋友和熟人在受害者死亡6个月后进行了访谈,并将死亡后出现的精神障碍发生率与58名在人口统计学和精神状态上匹配的未暴露对照组在6个月内的精神病理学发生率进行了比较。暴露组中任何新发重度抑郁症的发生率较高,但两组的自杀未遂发生率相同。暴露组中发生抑郁症的中位发病时间在暴露后的第一个月内,大多数发生抑郁症的暴露青少年在死亡后6个月接受访谈时仍处于抑郁状态。自杀受害者的青少年朋友和熟人在接触自杀事件后会经历相当程度的精神疾病,最符合病理性哀伤。

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