Daniel Stephanie S, Goldston David B, Erkanli Alaattin, Heilbron Nicole, Franklin Joseph C
Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Suicide Life Threat Behav. 2017 Aug;47(4):436-449. doi: 10.1111/sltb.12305. Epub 2016 Nov 10.
This prospective, naturalistic study examined the association between major loss life experiences, other psychiatric risk factors (depression, hopelessness, and anxiety), and suicidal thoughts and behaviors (STBs) among adolescents followed through young adulthood for up to 14 years. Major loss life events were related to subsequent increases in STBs. Major loss life events were primarily related to increases in suicide ideation in the presence of lower levels of other risk factors. There was a bidirectional relationship between major losses and other risk factors. Implications for the association between loss experiences, other risk factors, and future STBs are discussed.
这项前瞻性自然主义研究考察了在长达14年的时间里对青少年进行追踪直至成年早期的过程中,重大生活丧失经历、其他精神风险因素(抑郁、绝望和焦虑)与自杀想法和行为(STB)之间的关联。重大生活丧失事件与随后STB的增加有关。重大生活丧失事件主要与在其他风险因素水平较低的情况下自杀意念的增加有关。重大丧失与其他风险因素之间存在双向关系。文中讨论了丧失经历、其他风险因素与未来STB之间关联的意义。