Ann Vander Stoep, Department of Psychiatry and Behavioral Sciences, Department of Epidemiology, University of Washington, Seattle, USA.
Suicide Life Threat Behav. 2011 Jun;41(3):316-29. doi: 10.1111/j.1943-278X.2011.00031.x. Epub 2011 Apr 4.
This study investigates the early manifestation of co-occurring depression and conduct problems as a predictor of heightened risk for later suicidal ideation and behavior in a community sample of 521 adolescents. Self-reported symptoms of depression and conduct problems were evaluated in early 6th grade. Suicidal thoughts and behaviors were tracked through multiple assessments carried out over the middle school years. Compared to adolescents with depression symptoms only, conduct problem symptoms only, or low psychopathology, those with co-occurring depression and conduct problem symptoms had the highest risk for subsequent suicidal ideation, recurrent suicidal behaviors, and suicide attempts.
本研究调查了共同出现的抑郁和行为问题的早期表现，以预测社区样本中 521 名青少年后来出现自杀意念和行为的风险增加。在六年级早期评估了抑郁和行为问题的自我报告症状。通过在中学期间进行的多次评估跟踪自杀想法和行为。与仅出现抑郁症状、仅出现行为问题症状或低精神病理的青少年相比，同时出现抑郁和行为问题症状的青少年随后出现自杀意念、反复自杀行为和自杀企图的风险最高。
