儿童期多动-注意力不集中症状与青少年自杀行为：青年 Gazel 队列研究
Hyperactivity-inattention symptoms in childhood and suicidal behaviors in adolescence: the Youth Gazel Cohort.
作者信息
Galéra C, Bouvard M P, Encrenaz G, Messiah A, Fombonne E
机构信息
Child Psychiatry Department, University Victor Segalen Bordeaux 2, Bordeaux, France.
出版信息
Acta Psychiatr Scand. 2008 Dec;118(6):480-9. doi: 10.1111/j.1600-0447.2008.01262.x. Epub 2008 Sep 2.
OBJECTIVE
Although a link has been suggested between attention deficit/hyperactivity disorder (ADHD) and completed suicide, little is known about the association with suicidal behaviors in community settings. This study addresses the relationship between childhood hyperactivity-inattention symptoms (HI-s) and subsequent suicidal behaviors.
METHOD
Nine hundred sixteen subjects aged 7-18 were recruited from the general population and surveyed in 1991 and 1999. Parent and adolescent self-reports provided psychopathology and suicidal behavior pattern measures. Multivariate modeling was used to evaluate the effects of childhood HI-s and other risk factors on adolescent suicidal behaviors.
RESULTS
In males, HI-s independently accounted for the risk of lifetime suicide plans/attempts (OR=3.25, P = 0.02) and adolescent 12-month prevalence rates of suicide plans/attempts (OR=5.46, P = 0.03). In females, HI-s did not independently heighten the likelihood of suicidal behaviors.
CONCLUSION
This survey suggests a possible specific link between HI-s and suicide plans/attempts in males.
目的
尽管有人提出注意缺陷/多动障碍（ADHD）与自杀身亡之间存在联系，但对于社区环境中与自杀行为的关联却知之甚少。本研究探讨儿童期多动-注意力不集中症状（HI-s）与随后自杀行为之间的关系。
方法
从普通人群中招募了916名7至18岁的受试者，并于1991年和1999年进行了调查。父母和青少年的自我报告提供了精神病理学和自杀行为模式的测量数据。采用多变量模型评估儿童期HI-s和其他风险因素对青少年自杀行为的影响。
结果
在男性中，HI-s独立导致终身自杀计划/企图的风险（OR=3.25，P = 0.02）以及青少年12个月内自杀计划/企图的患病率（OR=5.46，P = 0.03）。在女性中，HI-s并未独立增加自杀行为的可能性。
结论
这项调查表明男性中HI-s与自杀计划/企图之间可能存在特定联系。
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