Departments of Psychiatry and Psychology, Institute for Human Adjustment, University of Michigan, Ann Arbor, MI 48109-2700, USA.
J Youth Adolesc. 2010 Mar;39(3):219-32. doi: 10.1007/s10964-009-9480-2. Epub 2009 Dec 6.
This longitudinal study of recently hospitalized suicidal youth examined parental mental health history in addition to several indices of adolescent functioning as risk factors for time-to-suicide attempt over a 1-year period. Participants were 352 adolescents (253 girls, 99 boys; ages 13-17 years) who participated in self-report and interview assessments within 1 week of hospitalization and 6 weeks, 3, 6, and 12 months post-hospitalization. Multivariable proportional hazards regression modeled time-to-suicide attempt. Results indicate that adolescents were almost twice as likely to make a suicide attempt if they had at least one biological parent with mental health problems. Risk was also increased for adolescents with baseline histories of multiple previous suicide attempts, more severe suicidal ideation and more severe functional impairment. Findings suggest the need to consider the family system when intervening with suicidal youth.
这项对近期住院自杀青少年的纵向研究除了对青少年功能的几个指数进行了研究之外，还研究了父母的心理健康史，作为青少年在 1 年内自杀尝试的时间的风险因素。参与者是 352 名青少年（253 名女孩，99 名男孩；年龄 13-17 岁），他们在住院后 1 周内和 6 周、3 个月、6 个月和 12 个月进行了自我报告和访谈评估。多变量比例风险回归模型预测自杀尝试的时间。结果表明，如果青少年至少有一位有心理健康问题的亲生父母，他们自杀的可能性几乎是两倍。基线时之前有多次自杀尝试史、更严重的自杀意念和更严重的功能障碍的青少年风险也会增加。研究结果表明，在对自杀青少年进行干预时，需要考虑家庭系统。
