van Vuuren Cornelia Leontine, van der Wal Marcel Franciscus, Cuijpers Pim, Chinapaw Mai Jeanette Maidy
Department of Epidemiology, Health Promotion and Healthcare Innovation, Public Health Service (GGD) Amsterdam, The Netherlands.
Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, The Netherlands.
Crisis. 2021 Jan;42(1):78-81. doi: 10.1027/0227-5910/a000680. Epub 2020 Mar 31.
The incidence of first suicidal thoughts and behaviors (STBs) peaks during early adolescence. After experiencing their first STBs, adolescents differ greatly in the extent to which they continue to have STBs. We determined the course of STBs in Dutch students at two ages: 13-14 years (1) and 15-16 years (2). Longitudinal data on STBs and sociodemographic factors were collected by self-report ( = 8,499). Associations between having STBs at 1 and 2 were determined with multinomial logistic regression analysis. Students who reported suicidal thoughts at baseline ( = 1,077; 13%) reported suicidal thoughts ( = 6.60; 95% CI [5.52, 7.88]) and suicidal attempts ( = 6.97; 95% CI [4.20, 11.54]) at 2 more often than students with no STBs at 1. Students who reported a suicidal attempt at baseline ( = 144; 2%) also reported suicidal thoughts and suicidal attempts more often at 2 ( = 5.98; 95% CI [3.89, 9.21]; = 30.00; 95% CI [15.84, 56.82], respectively). The use of confidential self-reported data and the loss of cases after merging could have biased the results. For a subgroup of adolescents, STBs persisted and worsened over the 2 years. This demonstrates the importance of accurate identification of those at increased risk of suicide, in combination with personalized care.
首次出现自杀念头和行为（STB）的发生率在青春期早期达到峰值。在经历首次STB后，青少年在继续产生STB的程度上差异很大。我们确定了荷兰学生在两个年龄段（13 - 14岁（1）和15 - 16岁（2））的STB发展过程。通过自我报告收集了关于STB和社会人口学因素的纵向数据（n = 8499）。使用多项逻辑回归分析确定1期和2期出现STB之间的关联。在基线时报告有自杀念头的学生（n = 1077；13%）在2期报告有自杀念头（OR = 6.60；95% CI [5.52, 7.88]）和自杀未遂（OR = 6.97；95% CI [4.20, 11.54]）的频率高于在1期没有STB的学生。在基线时报告有自杀未遂的学生（n = 144；2%）在2期也更频繁地报告有自杀念头和自杀未遂（分别为OR = 5.98；95% CI [3.89, 9.21]；OR = 30.00；95% CI [15.84, 56.82]）。使用保密的自我报告数据以及合并后病例的丢失可能使结果产生偏差。对于一部分青少年来说，STB在两年内持续存在且有所恶化。这表明准确识别自杀风险增加的人群并结合个性化护理的重要性。
