Borst S R, Noam G G
Acta Paedopsychiatr. 1989;52(3):165-75.
The present study presents the incidence of suicidality in a group of hospitalized children and adolescents and the relationship between suicidality, forms of psychopathology, and a variety of demographic and family variables. Specific attention is paid to age and gender differences. More than two-thirds of the sample (70%) showed evidence of suicide attempts, threats or ideation. One third attempted suicide at least once prior to or during their admission, and twice as many girls attempted suicide as boys. The majority of suicide attempters were 12 years or older at the time of their first attempt. Drug overdose was the method most frequently used. The suicide attempters and patients without a history of attempts did not differ on demographic and family psychopathology variables. Interestingly, no diagnostic differences were found between suicide attempters and non-suicidal patients. The majority of suicide attempters were diagnosed conduct disorder. Only a third of the attempters were diagnosed as suffering from an affective disorder. We therefore conclude that factors such as impulsivity and anger may contribute significantly to suicidal behavior in children and adolescents.
本研究呈现了一组住院儿童和青少年的自杀倾向发生率，以及自杀倾向、精神病理学形式与各种人口统计学和家庭变量之间的关系。特别关注了年龄和性别差异。超过三分之二的样本（70%）有自杀未遂、自杀威胁或自杀意念的证据。三分之一的人在入院前或入院期间至少有过一次自杀未遂，自杀未遂的女孩人数是男孩的两倍。大多数自杀未遂者首次尝试时年龄在12岁及以上。药物过量是最常用的方法。自杀未遂者和没有自杀未遂史的患者在人口统计学和家庭精神病理学变量上没有差异。有趣的是，自杀未遂者和非自杀患者之间没有发现诊断差异。大多数自杀未遂者被诊断为品行障碍。只有三分之一的未遂者被诊断患有情感障碍。因此，我们得出结论，冲动和愤怒等因素可能对儿童和青少年的自杀行为有显著影响。
