Radde S, Gutwinski S, Stuke F, Fuchs A, Schouler-Ocak M, Bermpohl F, Henssler J
St. Hedwig-Krankenhaus, Tagesklinik Wedding, Psychiatrische Universitätsklinik der Charité, Müllerstraße 56-58, 13349, Berlin, Deutschland.
Klinik für Kinder- und Jugendpsychiatrie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
Nervenarzt. 2018 Nov;89(11):1254-1261. doi: 10.1007/s00115-018-0549-6.
Suicide is one of the four most common causes of death in adolescence worldwide. Although it is well known that suicidal people often have insufficient communication strategies, the importance of family communication for adolescent suicidality has not yet been sufficiently explored.
The aim of this study was to provide a systematic review of family communication as a risk factor for adolescent suicidal tendencies and to develop treatment recommendations.
In this study a systematic literature search was conducted in PubMed, Embase, CENTRAL and PsychINFO. The methodological quality of the studies was evaluated and a summary prepared.
A total of 195 studies were extracted and screened for their suitability. Of these studies, 7 which examined a total of 13,107 adolescents aged 11-22 years were included in this review and critically evaluated. Of the studies evaluated six found a correlative relationship between dysfunctional parent-child communication and adolescent suicidality. Communication with the mother appears to be more essential.
The results of this literature search indicate that functional communication with parents seems to be protective for suicidal adolescents. From this, recommendations can be derived for preventive measures in families with adolescents who are otherwise at increased risk of suicide. Longitudinal study designs are needed to conclusively answer the research question.
自杀是全球青少年四大常见死因之一。尽管众所周知，有自杀倾向的人往往沟通策略不足，但家庭沟通对青少年自杀倾向的重要性尚未得到充分探讨。
本研究旨在对家庭沟通作为青少年自杀倾向的危险因素进行系统综述，并提出治疗建议。
本研究在PubMed、Embase、CENTRAL和PsychINFO数据库中进行了系统的文献检索。对研究的方法学质量进行了评估并撰写了总结。
共提取了195项研究并筛选其适用性。其中，7项研究共纳入了13107名11至22岁的青少年，并进行了严格评估。在评估的研究中，6项发现亲子沟通功能障碍与青少年自杀倾向之间存在关联。与母亲的沟通似乎更为重要。
本次文献检索结果表明，与父母进行有效的沟通似乎对有自杀倾向的青少年具有保护作用。据此，可以为那些有自杀风险的青少年家庭制定预防措施提供建议。需要采用纵向研究设计来最终回答该研究问题。
