Luntamo Terhi, Sourander Andre, Gyllenberg David, Sillanmäki Lauri, Aromaa Minna, Tamminen Tuula, Kumpulainen Kirsti, Moilanen Irma, Piha Jorma
Department of Child Psychiatry, University of Turku, Itäinen Pitkäkatu 1/Varia, 20014, Turku, Finland,
Child Psychiatry Hum Dev. 2014 Feb;45(1):110-8. doi: 10.1007/s10578-013-0382-x.
This study investigated associations between pain symptoms in mid-childhood and severe suicidality in adolescence and early adulthood. Severe suicidality was defined as completed suicide or suicidal attempt requiring hospital admission. In a nationwide prospective population-based study (n = 6,017), parents and children were asked about the child's headache and abdominal pain at age eight. The outcome was register-based data on suicide or suicidal attempt requiring hospital treatment by age 24. Family composition, parental educational level, and the child's psychiatric symptoms reported by the child, parents and teacher at baseline were included as covariates in statistical analyses. Boys' abdominal pain reported by the parents was associated with later severe suicidality after adjusting for family composition, parental educational level, and childhood psychiatric symptoms at baseline. In addition, the association between boys' own report of headache and later severe suicidality reached borderline significance in unadjusted analysis. Girls' pain symptoms did not predict later severe suicidality.
本研究调查了童年中期疼痛症状与青少年期及成年早期严重自杀倾向之间的关联。严重自杀倾向定义为自杀身亡或需要住院治疗的自杀未遂。在一项基于全国人口的前瞻性研究（n = 6,017）中，询问了父母和孩子关于孩子8岁时的头痛和腹痛情况。结果是基于登记的24岁前自杀或需要住院治疗的自杀未遂数据。家庭构成、父母教育水平以及基线时孩子、父母和老师报告的孩子精神症状作为协变量纳入统计分析。在调整家庭构成、父母教育水平和基线时的童年精神症状后，父母报告的男孩腹痛与后期严重自杀倾向相关。此外，在未调整分析中，男孩自己报告的头痛与后期严重自杀倾向之间的关联达到临界显著水平。女孩的疼痛症状不能预测后期严重自杀倾向。
