探讨精神科诊断和共病对青少年自杀未遂的医学致死性的影响。
Examining the impact of psychiatric diagnosis and comorbidity on the medical lethality of adolescent suicide attempts.
机构信息
Center for Alcohol & Addiction Studies, Adjunct Faculty, Brown University, Providence, RI, USA.
出版信息
Suicide Life Threat Behav. 2012 Aug;42(4):437-44. doi: 10.1111/j.1943-278X.2012.00102.x. Epub 2012 May 30.
Abstract
Specific psychiatric diagnoses and comorbidity patterns were examined to determine if they were related to the medical lethality of suicide attempts among adolescents presenting to an urban general hospital (N=375). Bivariate analysis showed that attempters with substance abuse disorders had higher levels of lethality than attempters without substance abuse. Regression results indicated having depression comorbid with any other diagnosis was not associated with medical lethality. However, having a substance abuse disorder was associated with higher suicide attempt lethality, highlighting the importance of substance abuse as a risk factor for lethal suicide attempts in adolescents. This finding stimulates critical thinking around the understanding of suicidal behavior in youth and the development and implementation of treatment strategies for suicidal adolescents with substance abuse disorders.
摘要
本研究旨在探讨特定的精神科诊断和合并症模式是否与青少年在城市综合医院就诊时自杀未遂的医疗致死率相关（N=375）。 单变量分析表明，有物质滥用障碍的企图自杀者的致死率高于没有物质滥用障碍的企图自杀者。 回归结果表明，抑郁与任何其他诊断合并并不与医疗致死率相关。 然而，有物质滥用障碍与更高的自杀企图致死率相关，这突显了物质滥用作为青少年致命性自杀企图的风险因素的重要性。 这一发现激发了对青少年自杀行为的理解以及对有物质滥用障碍的自杀青少年的治疗策略的制定和实施的批判性思考。
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