Fuller-Thomson Esme, Hamelin Gail P, Granger Stephen J R
Factor-Inwentash Faculty of Social Work and Department of Family and Community Medicine, University of Toronto, 246 Bloor Street West, Toronto, ON, Canada M5S 1A1.
Kinark Child and Family Services, 34 Simcoe Street, Suite 301, Barrie, ON, Canada L4N 6T4.
ISRN Family Med. 2013 Jan 30;2013:282378. doi: 10.5402/2013/282378. eCollection 2013.
Introduction. This study investigated the relationship between suicidal ideation and demographic characteristics, health conditions, depression, and health care utilization patterns among adolescents. Methods. Secondary analysis of the regionally representative Canadian Community Health Survey conducted in 2000/2001 (response rate 85%). Adolescents aged 15 to 19 who reported suicidal ideation in the previous year (n = 260) were compared with their peers who did not (n = 5528). The association between suicidal ideation and socio-demographic and health characteristics were investigated. Findings. Almost three-quarters (73%) of suicidal adolescents had not spoken with any health professional about mental health issues in the preceding year. Despite the fact that 80% of suicidal adolescents had regular contact with their family doctor, only 5% had consulted with them about mental health issues. In addition to the well-known risk factors of depression and stress, suicidal ideation was highly elevated in adolescents with two or more chronic health conditions, self-reported poor health, migraines, and back pain and those whose activities were prevented by pain (P < .05). Other characteristics significantly correlated with suicidal ideation included smoking, living in single parent families, and having lower levels of social support. Conclusions. Family physicians should regularly screen for suicidal thoughts in their adolescent patients with these characteristics.
引言。本研究调查了青少年自杀意念与人口统计学特征、健康状况、抑郁及医疗保健利用模式之间的关系。方法。对2000/2001年进行的具有地区代表性的加拿大社区健康调查进行二次分析（应答率85%）。将前一年报告有自杀意念的15至19岁青少年（n = 260）与其没有自杀意念的同龄人（n = 5528）进行比较。研究了自杀意念与社会人口统计学和健康特征之间的关联。结果。近四分之三（73%）有自杀意念的青少年在前一年没有与任何健康专业人员谈论过心理健康问题。尽管80%有自杀意念的青少年与他们的家庭医生有定期联系，但只有5%就心理健康问题咨询过家庭医生。除了众所周知的抑郁和压力等风险因素外，患有两种或更多慢性健康状况、自我报告健康状况不佳、偏头痛和背痛以及活动因疼痛而受限的青少年自杀意念显著升高（P < .05）。与自杀意念显著相关的其他特征包括吸烟、生活在单亲家庭以及社会支持水平较低。结论。家庭医生应定期对具有这些特征的青少年患者进行自杀念头筛查。
