Tuisku Virpi, Pelkonen Mirjami, Kiviruusu Olli, Karlsson Linnea, Ruuttu Titta, Marttunen Mauri
National Public Health Institute, Department of Mental Health and Alcohol Research, Mannerheimintie 166, FIN-00300 Helsinki,
J Adolesc. 2009 Oct;32(5):1125-36. doi: 10.1016/j.adolescence.2009.03.001.
This study examined whether depressed adolescent outpatients with deliberate self-harm behaviour (DSH) differed from non-suicidal depressed adolescent outpatients in depressive and anxiety symptoms, alcohol use, perceived social support and number of negative life-events. Depressed adolescent outpatients (n=155) aged 13-19 years were interviewed using K-SADS-PL for DSM-IV Axis I diagnoses and completed self-report questionnaires. Suicidal behaviour was assessed by K-SADS-PL suicidality items. Depressed adolescents with DSH were younger, perceived less support from the family, had more severe depressive symptoms and used more alcohol than non-suicidal depressed adolescents. Adolescents with DSH and suicidal ideation or suicide attempts had more depressive and anxiety symptoms than adolescents with DSH only. Adolescents with severe internalizing distress symptoms are at risk not only for DSH, but also additional suicidal behaviour. Family interventions may be needed in the treatment of depressed adolescents with DSH.
本研究调查了有蓄意自伤行为（DSH）的抑郁青少年门诊患者与无自杀行为的抑郁青少年门诊患者在抑郁和焦虑症状、酒精使用、感知到的社会支持以及负面生活事件数量方面是否存在差异。对13至19岁的抑郁青少年门诊患者（n = 155）使用K-SADS-PL进行DSM-IV轴I诊断访谈，并完成自我报告问卷。通过K-SADS-PL自杀相关条目评估自杀行为。与无自杀行为的抑郁青少年相比，有DSH的抑郁青少年年龄更小，感受到的家庭支持更少，抑郁症状更严重，且饮酒更多。有DSH且有自杀意念或自杀未遂的青少年比仅有DSH的青少年有更多的抑郁和焦虑症状。有严重内化困扰症状的青少年不仅有DSH风险，还有额外的自杀行为风险。治疗有DSH的抑郁青少年可能需要家庭干预。
