Spirito A, Overholser J, Stark L J
Rhode Island Hospital, Brown University Program in Medicine, Providence 02903.
J Abnorm Child Psychol. 1989 Apr;17(2):213-21. doi: 10.1007/BF00913795.
This study investigated the most common precipitants of adolescent suicide attempts and the strategies used to cope with such problems. Adolescent suicide attempters were compared with both distressed and nondistressed nonsuicidal adolescents on problems reported and coping strategies utilized. All three groups reported four problems as occurring most frequently: school, parents, friends, or boyfriend/girlfriend. The suicide attempters and distressed controls reported problems with parents more frequently than did nondistressed controls, while this latter group reported problems at school more frequently than did suicide attempters or distressed controls. Suicide attempters used social withdrawal, problem solving, and emotional regulation more than did nondistressed controls, but not more frequently than distressed controls. Distressed controls used wishful thinking and resignation more than did suicide atempters. Results are discussed in terms of the similarities between suicide attempters and nonsuicidal distressed adolescents and the need to more closely investigate specific subgroups of suicide attempters.
本研究调查了青少年自杀未遂最常见的诱发因素以及用于应对此类问题的策略。将青少年自杀未遂者与痛苦的和无痛苦的非自杀青少年在报告的问题和所采用的应对策略方面进行了比较。所有三组都报告了四种最常出现的问题：学校、父母、朋友或男朋友/女朋友。自杀未遂者和痛苦的对照组比无痛苦的对照组更频繁地报告与父母有关的问题，而后者比自杀未遂者或痛苦的对照组更频繁地报告学校问题。自杀未遂者比无痛苦的对照组更多地使用社交退缩、解决问题和情绪调节，但不比痛苦的对照组更频繁。痛苦的对照组比自杀未遂者更多地使用一厢情愿的想法和听天由命。根据自杀未遂者与非自杀痛苦青少年之间的相似性以及更密切调查自杀未遂者特定亚组的必要性对结果进行了讨论。
