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内化和外化症状在青少年自杀行为中的作用是什么?

What is the Role of Internalizing and Externalizing Symptoms in Adolescent Suicide Behaviors?

机构信息

Miguel Hernandez University of Elche, 03202 Alicante, Spain.

出版信息

Int J Environ Res Public Health. 2019 Jul 14;16(14):2511. doi: 10.3390/ijerph16142511.

DOI:10.3390/ijerph16142511
PMID:31337102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6679016/
Abstract

Suicide is the second leading cause of death in adolescents and young adults aged 15 to 29 years. Specifically, the presence of internalizing and externalizing symptomatology is related to increased risk for suicide at these ages. Few studies have analyzed the relations between these symptoms and their role as mediators in predicting suicide behavior. This study aimed to examine the relation between internalizing and externalizing symptomatology and suicide behaviors through a longitudinal study. The sample consisted of 238 adolescents aged 12 to 18 years. The data were analyzed via the PROCESS Statistical Package. The main results showed that previous depression symptoms had a significant indirect effect, through previous suicide behaviors and current depression symptoms, on current suicide behaviors, accounting for 61% of the total variance explained. Additionally, being a girl increased this risk. Therefore, the implementation of early identification and intervention programs to address youth symptoms of depression and suicidal behaviors could significantly reduce the risk for future suicidal behaviors in adolescence.

摘要

自杀是 15 至 29 岁青少年和年轻人的第二大死亡原因。具体而言,内化和外化症状的存在与这些年龄段自杀风险的增加有关。很少有研究分析这些症状之间的关系及其作为预测自杀行为的中介的作用。本研究旨在通过纵向研究检验内化和外化症状与自杀行为之间的关系。该样本由 238 名 12 至 18 岁的青少年组成。数据分析通过 PROCESS 统计软件包进行。主要结果表明,先前的抑郁症状通过先前的自杀行为和当前的抑郁症状对当前的自杀行为有显著的间接影响,解释了 61%的总方差。此外,女孩的风险更高。因此,实施早期识别和干预计划,以解决青少年的抑郁和自杀行为症状,可以显著降低青少年未来自杀行为的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b180/6679016/13ce0927e018/ijerph-16-02511-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b180/6679016/c7795f09bc08/ijerph-16-02511-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b180/6679016/dc4d53e572f6/ijerph-16-02511-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b180/6679016/fbbe1017118f/ijerph-16-02511-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b180/6679016/13ce0927e018/ijerph-16-02511-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b180/6679016/c7795f09bc08/ijerph-16-02511-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b180/6679016/dc4d53e572f6/ijerph-16-02511-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b180/6679016/fbbe1017118f/ijerph-16-02511-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b180/6679016/13ce0927e018/ijerph-16-02511-g004.jpg

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