Pfeffer C R, Klerman G L, Hurt S W, Lesser M, Peskin J R, Siefker C A
Cornell University Medical College, New York.
J Am Acad Child Adolesc Psychiatry. 1991 Jul;30(4):609-16. doi: 10.1097/00004583-199107000-00013.
This longitudinal study reports rates and demographic and clinical risk factors for adolescent suicide attempts during a 6- to 8-year follow-up period of an initial sample of 106 preadolescent and young adolescent psychiatric inpatients and 101 preadolescent and young adolescent nonpatients. Survival analysis was used to evaluate risk for a first suicide attempt in the follow-up period for 133 subjects who were interviewed. No deaths occurred. Suicidal inpatients, compared with nonpatients, had earlier first suicide attempts in the follow-up period. Adolescents who attempted suicide in the follow-up period were seven times more likely to have a mood disorder during the follow-up period than those who did not attempt suicide. Implications for clinical practice and research are discussed.
这项纵向研究报告了在对106名青春期前和青少年早期精神科住院患者及101名青春期前和青少年早期非住院患者的初始样本进行6至8年随访期间，青少年自杀未遂的发生率以及人口统计学和临床风险因素。采用生存分析评估了133名接受访谈的受试者在随访期间首次自杀未遂的风险。未发生死亡事件。与非住院患者相比，有自杀行为的住院患者在随访期间首次自杀未遂的时间更早。在随访期间自杀未遂的青少年在随访期间患情绪障碍的可能性是未自杀未遂青少年的7倍。文中还讨论了对临床实践和研究的启示。
