Arch Suicide Res. 2016;20(2):280-9. doi: 10.1080/13811118.2015.1004497. Epub 2015 Jul 20.
Identifying trans-diagnostic risk factors for suicidality may improve assessment and treatment. This study examined the degree to which clinician ratings of adolescent irritability, based on adolescent versus parent report, were associated with adolescent suicidal ideation beyond established risk factors (i.e., female gender, depressive, substance use, oppositional defiant, conduct, and post-traumatic stress disorders).
Hierarchical linear regression was used to analyze 322 adolescent inpatients (40.4% male) and 197 parents.
Adolescent-rated irritability (p<0.001) and depression (p<0.001) were positively associated with adolescent suicidal ideation beyond all other factors. Parent-rated adolescent irritability was unrelated to adolescent suicidal ideation.
Results suggest irritability is an important factor in determining suicide risk, and adolescent report of irritability may be more important in gauging suicide risk than parent report.
确定跨诊断自杀风险因素可能会改善评估和治疗效果。本研究考察了基于青少年和父母报告的青少年易激惹程度评估与青少年自杀意念的关系，该评估超出了既定风险因素（即女性、抑郁、物质使用、对立违抗性、品行和创伤后应激障碍）。
采用分层线性回归分析了 322 名青少年住院患者（40.4%为男性）和 197 名父母的数据。
青少年自评的易激惹（p<0.001）和抑郁（p<0.001）与所有其他因素一起与青少年自杀意念呈正相关。父母对青少年易激惹的评估与青少年自杀意念无关。
结果表明，易激惹是决定自杀风险的一个重要因素，而青少年自评的易激惹可能比父母评估更能反映自杀风险。
