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Rethinking Lethality in Youth Suicide Attempts: First Suicide Attempt Outcomes in Youth Ages 10 to 24.重新思考青少年自杀未遂的致命性:10 至 24 岁青少年首次自杀未遂的结果。
J Am Acad Child Adolesc Psychiatry. 2018 Oct;57(10):786-791. doi: 10.1016/j.jaac.2018.04.021. Epub 2018 Aug 22.
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Vital Signs: Trends in State Suicide Rates - United States, 1999-2016 and Circumstances Contributing to Suicide - 27 States, 2015.生命体征:1999-2016 年美国各州自杀率趋势及 2015 年 27 个州导致自杀的情况。
MMWR Morb Mortal Wkly Rep. 2018 Jun 8;67(22):617-624. doi: 10.15585/mmwr.mm6722a1.
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The longitudinal association between cognitive control capacities, suicidality, and depression during late adolescence and young adulthood.青少年晚期和成年早期认知控制能力、自杀意念和抑郁之间的纵向关联。
J Adolesc. 2018 Jun;65:167-176. doi: 10.1016/j.adolescence.2018.03.009. Epub 2018 Mar 27.
5
Testing Syndromes of Psychopathology in Parent and Youth Ratings Across Societies.跨社会在家长和青少年评定中测试精神病理学综合征。
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Sleep Characteristics and Behavioral Problems Among Children of Alcoholics and Controls.酗酒者子女的睡眠特征和行为问题。
Alcohol Clin Exp Res. 2018 Mar;42(3):603-612. doi: 10.1111/acer.13585. Epub 2018 Feb 2.
7
Comprehensive, integrated approaches to suicide prevention: practical guidance.综合性、整体性预防自杀方法:实用指南。
Inj Prev. 2018 Jun;24(Suppl 1):i38-i45. doi: 10.1136/injuryprev-2017-042366. Epub 2017 Dec 20.
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Assessing for suicidal behavior in youth using the Achenbach System of Empirically Based Assessment.使用基于经验的评估的阿亨巴赫系统评估青少年的自杀行为。
Eur Child Adolesc Psychiatry. 2018 Feb;27(2):159-169. doi: 10.1007/s00787-017-1030-y. Epub 2017 Jul 26.
9
Altered brain processing of decision-making in healthy first-degree biological relatives of suicide completers.自杀既遂者健康一级生物学亲属的决策大脑处理过程改变。
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10
Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research.自杀意念和行为的风险因素:50 年研究的荟萃分析。
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前瞻性调查社会问题与神经心理学特征相互作用对自杀意念发展的影响。

Prospective Investigation of the Interaction Between Social Problems and Neuropsychological Characteristics on the Development of Suicide Ideation.

机构信息

Department of Psychology, Idaho State University, Pocatello, ID, USA.

出版信息

Suicide Life Threat Behav. 2020 Apr;50(2):545-557. doi: 10.1111/sltb.12608. Epub 2019 Dec 4.

DOI:10.1111/sltb.12608
PMID:31799701
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7426060/
Abstract

OBJECTIVE

Negative social interactions are known to contribute to the development of suicide ideation. However, it is unclear how this risk factor interacts with other predisposing risk factors. The purpose of this study was to determine how social and neuropsychological factors interact as a prospective predictor of the emergence of suicide ideation in adolescents.

METHOD

Data were collected from adolescents (M age = 13.12, SD = 1.48) over 3 years as part of a larger study. Participants completed the MINI-Kid and Youth Self-Report, which were used to assess for suicidality. Negative social interactions were operationalized as the Social Problems scale of the YSR. Additionally, adolescents completed a neuropsychological battery at each wave of data collection.

RESULTS

Logistic moderation analyses demonstrated a significant interaction between task switching and endorsement of negative social interactions in the prediction of suicide ideation one year later, Wald χ (1) = 4.94, OR = 0.90, p < .05. Distractibility was a significant predictor, Wald χ (1) = 5.52, OR = 3.45, p < .05, but it did not demonstrate an interaction effect. Perseveration failed to reach statistical significance independently and in the interaction.

CONCLUSIONS

The results indicate that certain neuropsychological characteristics can aid in predicting which adolescents will develop suicide ideation in the presence of negative social interactions, which may have significant clinical implications.

摘要

目的

已知负面的社会交往会导致自杀意念的发展。然而,目前尚不清楚这种风险因素如何与其他易患风险因素相互作用。本研究的目的是确定社会和神经心理学因素如何作为青少年自杀意念出现的前瞻性预测因素相互作用。

方法

本研究的数据是作为一项更大研究的一部分,在 3 年内从青少年(M 年龄=13.12,SD=1.48)中收集的。参与者完成了 MINI-Kid 和青少年自我报告,用于评估自杀倾向。负面的社会交往被定义为 YSR 的社会问题量表。此外,青少年在每次数据收集时都完成了神经心理学测试。

结果

逻辑调节分析表明,在预测一年后自杀意念时,任务转换和负面社会交往的认可之间存在显著的交互作用,Wald χ(1)=4.94,OR=0.90,p<0.05。注意力分散是一个显著的预测因素,Wald χ(1)=5.52,OR=3.45,p<0.05,但它没有表现出交互作用。坚持力独立和交互作用均未达到统计学意义。

结论

研究结果表明,某些神经心理学特征可以帮助预测在存在负面社会交往的情况下哪些青少年会出现自杀意念,这可能具有重要的临床意义。