Nrugham Latha, Herrestad Henning, Mehlum Lars
National Centre for Suicide Research and Prevention, Institute of Psychiatry, Faculty of Medicine, University of Oslo, Sognsvannsveien 21, Bygg 12, N-0372 Oslo, Norway.
Nord J Psychiatry. 2010 Oct;64(5):317-26. doi: 10.3109/08039481003628364.
Published research on suicidality among Norwegian youth and publications describing interventions were summarized in order to access the current status of knowledge building via empirical research.
A systematic Medline search identified 29 studies on risk factors on the entire spectrum of suicidal phenomena from self-harm without suicidal ideation to completed suicide with the mean age at/under 25 years. A specialist Norwegian journal, Suicidologi, was searched for additional matter, especially interventions.
Most studies focussed on psychological and psychiatric risk factors of attempted suicide. Other suicidal phenomena, psychosocial and societal risk factors, and impact of interventions were hardly studied. Depression, previous suicidal behaviour, alcohol use and non-intact parental unit were consistent significant risk factors found in suicide and attempted suicide studies.
Supporting non-intact parental units and the maintenance of intact parental units along with early detection and management of suicide attempts, depression and alcohol use should be targeted as suicide prevention interventions among adolescents.
对挪威青少年自杀倾向的已发表研究以及描述干预措施的出版物进行总结,以便通过实证研究了解知识构建的现状。
通过系统的医学文献数据库检索,确定了29项关于自杀现象全谱风险因素的研究,从无自杀意念的自我伤害到平均年龄在25岁及以下的自杀死亡。检索了挪威专业期刊《自杀学》以获取更多内容,特别是干预措施。
大多数研究集中在自杀未遂的心理和精神风险因素上。其他自杀现象、心理社会和社会风险因素以及干预措施的影响几乎未被研究。抑郁、既往自杀行为、饮酒和家庭不完整是自杀和自杀未遂研究中一致的显著风险因素。
应将支持不完整家庭以及维持完整家庭,同时早期发现和处理自杀未遂、抑郁和饮酒问题作为青少年自杀预防干预措施的目标。