O'Leary Catherine C, Frank Deborah A, Grant-Knight Wanda, Beeghly Marjorie, Augustyn Marilyn, Rose-Jacobs Ruth, Cabral Howard J, Gannon Katherine
Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA.
J Dev Behav Pediatr. 2006 Feb;27(1):33-9. doi: 10.1097/00004703-200602000-00005.
Little is known about rates and correlates of suicidal ideation among nonclinical samples of preadolescents from low-income urban backgrounds. Using the Children's Depression Inventory, we measured suicidal ideation in 131 preadolescent urban children (49% female, 90% African American/Caribbean) participating in an ongoing prospective longitudinal study of prenatal cocaine exposure and children's outcome. Suicidal ideation was reported by 14.5% of the children in this sample at 9 to 10 years of age. Children's reports of depressive symptoms, exposure to violence, and distress symptoms in response to witnessing violence were associated with suicidal ideation, but prenatal cocaine exposure, parent-rated child behavior, and caregivers' psychological distress symptoms were not. Suicidal ideation may be more prevalent among preadolescents from urban, low-income backgrounds than clinicians suspect, particularly among children exposed to violence.
对于来自低收入城市背景的青春期前非临床样本中自杀意念的发生率及其相关因素，人们了解甚少。我们使用儿童抑郁量表，对131名参与一项正在进行的关于产前可卡因暴露与儿童结局的前瞻性纵向研究的城市青春期前儿童（49%为女性，90%为非裔美国人/加勒比人）进行了自杀意念测量。在这个样本中，14.5%的儿童在9至10岁时报告有自杀意念。儿童报告的抑郁症状、接触暴力以及目睹暴力后的痛苦症状与自杀意念相关，但产前可卡因暴露、家长评定的儿童行为以及照顾者的心理痛苦症状则与之无关。来自城市低收入背景的青春期前儿童中的自杀意念可能比临床医生所怀疑的更为普遍，尤其是在接触过暴力的儿童中。
