Department of Psychology, Temple University, Philadelphia, PA 19122, USA.
Suicide Life Threat Behav. 2012 Jun;42(3):305-17. doi: 10.1111/j.1943-278X.2012.00091.x. Epub 2012 Apr 17.
Evidence is mixed regarding an independent association between anxiety and suicidality in youth. Study 1 examined suicidal ideation in treatment-referred, anxiety-disordered youth (N = 312, aged 7-17). Forty-one percent of anxiety-disordered youth endorsed suicidal ideation. Anxiety disorder severity, global impairment, and current depressive symptoms predicted suicidal ideation in a multivariate model. Study 2 compared youth (N = 216, aged 7-14) with and without anxiety disorders. Higher rates of suicidal ideation were associated with anxiety diagnosis, and levels of anxiety predicted suicidal ideation after controlling for comorbid depressive disorders, current depressive symptoms, and global impairment. Results support an association between anxiety disorders and suicidal ideation in treatment-referred youth and recommend routine screening for suicidal ideation in this population.
关于焦虑和青少年自杀之间是否存在独立关联,证据不一。研究 1 考察了接受治疗的、患有焦虑障碍的青少年(N=312,年龄 7-17 岁)的自杀意念。41%的焦虑障碍青少年表示有自杀意念。在多变量模型中,焦虑障碍严重程度、整体功能障碍和当前抑郁症状预测了自杀意念。研究 2 将患有和不患有焦虑障碍的青少年(N=216,年龄 7-14 岁)进行了比较。较高的自杀意念发生率与焦虑诊断相关,且在控制了共病性抑郁障碍、当前抑郁症状和整体功能障碍后,焦虑水平预测了自杀意念。结果支持了在接受治疗的青少年中,焦虑障碍与自杀意念之间存在关联,并建议对该人群进行自杀意念的常规筛查。