患有饮食失调症的女孩的自杀行为和自我伤害
Suicidal behavior and self-harm in girls with eating disorders.
作者信息
Koutek Jiri, Kocourkova Jana, Dudova Iva
机构信息
Department of Child Psychiatry, Charles University Second Faculty of Medicine, University Hospital Motol, Prague, Czech Republic.
出版信息
Neuropsychiatr Dis Treat. 2016 Apr 11;12:787-93. doi: 10.2147/NDT.S103015. eCollection 2016.
Abstract
Comorbid psychopathology, including self-harm and suicidal behavior, is often found in patients with eating disorders. To better understand the reasons for high comorbid psychopathology among eating disorders, self-harm, and suicidal behavior, we examined this comorbidity in female patients hospitalized with eating disorders. In a sample of 47 girls admitted for anorexia nervosa, atypical anorexia nervosa, and bulimia nervosa, 72% had depressive symptoms, 11% had obsessive-compulsive symptoms, 9% had anxiety disorder, 23% had substance abuse, and 57% had disharmonious personality development. Suicidal behavior was present in 60% of patients and self-harm in 49%. Association was found between self-harm and suicidality. In all, 68% of girls with eating disorders had a positive score in the Children's Depression Inventory questionnaire and 62% of them in the Child Adolescent Suicidal Potential Index questionnaire. Clinical examination of girls with eating disorders should focus on identifying the risk of suicidal behavior and self-harm.
摘要
共病精神病理学，包括自我伤害和自杀行为，在饮食失调患者中经常出现。为了更好地理解饮食失调、自我伤害和自杀行为中高共病精神病理学的原因，我们对因饮食失调住院的女性患者中的这种共病情况进行了研究。在一个由47名因神经性厌食症、非典型神经性厌食症和神经性贪食症入院的女孩组成的样本中，72%有抑郁症状，11%有强迫症状，9%有焦虑症，23%有药物滥用问题，57%有不和谐的人格发展。60%的患者存在自杀行为，49%存在自我伤害行为。自我伤害和自杀倾向之间存在关联。总体而言，68%的饮食失调女孩在儿童抑郁量表问卷中得分呈阳性，62%在儿童青少年自杀潜能指数问卷中得分呈阳性。对饮食失调女孩的临床检查应侧重于识别自杀行为和自我伤害的风险。
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Gen Hosp Psychiatry. 2014 Jul-Aug;36(4):411-4. doi: 10.1016/j.genhosppsych.2014.04.001. Epub 2014 Apr 18.
2
Correlates of suicide ideation and attempts in children and adolescents with eating disorders.饮食障碍儿童和青少年自杀意念和自杀未遂的相关因素。
Eat Disord. 2014;22(4):352-66. doi: 10.1080/10640266.2014.915694. Epub 2014 May 19.
3
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Gen Hosp Psychiatry. 2014 May-Jun;36(3):355-7. doi: 10.1016/j.genhosppsych.2014.01.002. Epub 2014 Jan 13.
4
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5
Preventing youth suicide: time to ask how.预防青少年自杀：是时候探寻方法了。
J Am Acad Child Adolesc Psychiatry. 2011 Aug;50(8):738-40. doi: 10.1016/j.jaac.2010.09.017.
6
Suicidal behavior and depression in adolescents with eating disorders.饮食失调青少年的自杀行为与抑郁
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7
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8
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9
Selected auxological aspects of anorexia nervosa--relations of body weight to body height and menstrual cycle.神经性厌食症的部分人体测量学特征——体重与身高及月经周期的关系
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10
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Arch Suicide Res. 2007;11(2):129-47. doi: 10.1080/13811110701247602.
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