Department of Psychiatry, Faculty of Medicine, University of Oslo, N-0316, Oslo, Norway.
Child Adolesc Psychiatry Ment Health. 2012 Sep 12;6(1):30. doi: 10.1186/1753-2000-6-30.
In the present paper, we describe suicide in youths under 16 years of age and compare their risk factors for suicide to those of older adolescents as described in the literature. Furthermore, we evaluate the possible mislabeling of suicides as accidents, and vice versa.
We used the data from a nationwide psychological autopsy of youths 15 years and younger who had committed suicide or died in accidents in Norway from 1993 to 2004 (n = 84). We additionally constructed a suicide index to distinguish between the two causes of death.
The young suicide victims presented, with little gender difference, fewer obvious risk factors and less suicide intent than commonly described for older adolescents. The suicide index distinguished quite well between suicides and accidents, with few cases indicating a possible mislabeling, although some suicide cases could have been labeled as uncertain.
In line with previous research, suicides in 11-15-year-olds have many similarities to suicides in older adolescents in terms of external circumstances, but they present less apparent warning signs. In our total sample of 84 deaths, there were few indications of incorrect labeling.
本文描述了 16 岁以下青少年的自杀情况，并将其自杀风险因素与文献中描述的大龄青少年进行了比较。此外，我们还评估了自杀被错误标记为意外的可能性，反之亦然。
我们使用了来自挪威 1993 年至 2004 年期间 15 岁及以下自杀或因事故死亡的青少年的全国范围心理解剖数据（n=84）。我们还构建了自杀指数，以区分这两种死因。
年轻自杀者几乎没有明显的性别差异，与通常描述的大龄青少年相比，他们的风险因素和自杀意图较少。自杀指数在区分自杀和意外方面表现良好，尽管有些自杀案例可能被标记为不确定，但很少有案例表明可能存在错误标记。
与之前的研究一致，11-15 岁青少年的自杀在外部环境方面与大龄青少年的自杀有许多相似之处，但他们表现出的明显警示迹象较少。在我们的 84 例死亡总样本中，几乎没有错误标记的迹象。
