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青少年和青年中自杀未遂、暴力生活事件、抑郁症状与心理韧性之间的关联。

Associations between attempted suicide, violent life events, depressive symptoms, and resilience in adolescents and young adults.

作者信息

Nrugham Latha, Holen Are, Sund Anne Mari

机构信息

National Centre for Suicide Research and Prevention, Department of Psychiatry, University of Oslo, 0372 Oslo, Norway.

出版信息

J Nerv Ment Dis. 2010 Feb;198(2):131-6. doi: 10.1097/NMD.0b013e3181cc43a2.

Abstract

Were violent/nonviolent traumatic life events and victimization by/witnessing violence associates of attempted suicide among depressed adolescents who were also less resilient at early adulthood? The present study examined a subset of mainly depressed, age- and gender-matched, adolescents derived from a representative sample of 2464 students (T1, mean age = 13.7 years) followed up after 1 year (T2Q) and reassessed 5 years later (T3, n = 252, mean age = 20.0 years, 73% participation), with a questionnaire, including the Connor-Davidson Resilience Scale and The Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime version psychiatric interviews, which also tapped traumatic life events. Logistic regression analyses revealed that attempters were victims, not witnesses of violence, more depressed, and less resilient than nonattempters, and that resilience was a moderator of lifetime violent events and attempted suicide, even in the presence of antecedent depression.

摘要

在成年早期复原力较低的抑郁青少年中,暴力/非暴力创伤性生活事件以及遭受暴力/目睹暴力是否与自杀未遂相关?本研究对2464名学生(T1,平均年龄 = 13.7岁)的代表性样本中主要为抑郁、年龄和性别匹配的青少年子集进行了研究,在1年后(T2Q)进行随访,并在5年后(T3,n = 252,平均年龄 = 20.0岁,参与率73%)重新评估,使用了一份问卷,包括康纳-戴维森复原力量表以及情感障碍和精神分裂症儿童版-目前和终生版精神病访谈,该访谈也涉及创伤性生活事件。逻辑回归分析显示,自杀未遂者是暴力的受害者,而非目击者,比未自杀未遂者更抑郁,且复原力更低,并且即使存在先前的抑郁,复原力也是终生暴力事件和自杀未遂的调节因素。

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