Clinical Child Psychology Program, University of Kansas, Lawrence, KS, USA.
Child Psychiatry Hum Dev. 2020 Feb;51(1):2-12. doi: 10.1007/s10578-019-00905-5.
The current study examines associations between reactive and proactive aggression and suicidal thoughts and behaviors among youth (N = 115, 62% male), ranging from 6 to 12 years, seeking services in an outpatient psychological clinic. Symptoms of hyperactivity/impulsivity and inattention were evaluated as potential moderators of this link. Children and a caregiver completed self- and parent-report questionnaires on aggression, suicidal behaviors, depressive symptoms, and ADHD-related behaviors during intake. Reactive aggression was more strongly linked to suicidal thoughts and behaviors than proactive aggression. Further, hyperactivity/impulsivity, but not inattention, moderated the association between reactive aggression and suicidal thoughts and behaviors, such that reactive aggression was only associated with suicidal behaviors at high levels of hyperactivity/impulsivity. These findings were evident for reactive, not proactive, aggression and when accounting for the variance associated with depressive symptoms, age, and gender. Hyperactivity/impulsivity is discussed as a potentially important target among reactively aggressive youth for prevention of suicidal behaviors.
本研究考察了青少年（N=115，62%为男性）中反应性和主动性攻击与自杀想法和行为之间的关联，这些青少年在一家门诊心理诊所寻求服务，年龄在 6 至 12 岁之间。研究还评估了多动/冲动和注意力不集中的症状，作为该关联的潜在调节因素。在入组时，儿童及其照顾者完成了关于攻击行为、自杀行为、抑郁症状和 ADHD 相关行为的自我报告和家长报告问卷。研究发现，反应性攻击与自杀想法和行为的关联强于主动性攻击，进一步的，多动/冲动而非注意力不集中，调节了反应性攻击与自杀想法和行为之间的关联，即只有在多动/冲动水平较高时，反应性攻击才与自杀行为相关。这些发现对于反应性而非主动性攻击，以及在考虑到与抑郁症状、年龄和性别相关的变异时，都是明显的。研究讨论了多动/冲动作为反应性攻击青少年预防自杀行为的一个潜在重要目标。
