Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea.
Department of Biostatistics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea.
Ann Allergy Asthma Immunol. 2020 Jul;125(1):55-64. doi: 10.1016/j.anai.2020.03.023. Epub 2020 Mar 30.
Atopic dermatitis (AD) is known to negatively influence the mental health of patients. However, only a few studies have explored the influencing factors for psychiatric problems among adolescents with AD.
To assess the association of AD and suicidal behaviors among adolescents by analyzing data from the 3rd through the 13th annual Korean Youth Risk Behavior Web-based Surveys (completed from 2007 to 2017).
Survey data were obtained from a stratified, multistage, clustered sample. Students self-reported AD if they had received a diagnosis of AD by a physician. Influencing factors for suicidal behaviors were tested by logistic regression models.
A total of 788,411 adolescents completed the survey. The proportion of participants with AD was 22.2%. Those reporting suicide ideation and suicide attempts were 19.0%, and 4.5%, respectively. Compared with adolescents without AD, those with AD were more likely to be female, to skip breakfast less frequently, to exercise less frequently, to drink less alcohol, and to not be current smokers and were statistically significantly more likely to have negative mental health states. In the multivariable model, perceived unhappiness and suicidal ideation were the strongest influencing factors for suicidal ideation (adjusted odds ratio, 4.90; 95% CI, 4.31-5.57) and for suicidal attempts (adjusted odds ratio, 48.01; 95% CI, 42.69-53.09), respectively.
Adolescents with AD had a meaningful prevalence of suicidal behaviors. Although further research is needed to clarify this association, adolescents with AD with influencing factors for negative mental health state may need intervention from practitioners who use a multidisciplinary team approach to prevent suicide.
特应性皮炎（AD）已知会对患者的心理健康产生负面影响。然而，只有少数研究探讨了 AD 青少年精神问题的影响因素。
通过分析 2007 年至 2017 年第 3 次至第 13 次韩国青少年风险行为网络调查（完成）的数据，评估 AD 与青少年自杀行为之间的关联。
调查数据来自分层、多阶段、聚类样本。如果学生经医生诊断患有 AD，则自行报告患有 AD。通过逻辑回归模型测试自杀行为的影响因素。
共有 788411 名青少年完成了调查。患有 AD 的参与者比例为 22.2%。报告有自杀意念和自杀企图的比例分别为 19.0%和 4.5%。与无 AD 的青少年相比，AD 患者更有可能是女性，不太可能经常不吃早餐，不太可能经常锻炼，不太可能经常饮酒，不太可能是当前吸烟者，并且心理健康状态明显更差。在多变量模型中，感到不快乐和自杀意念是自杀意念（调整后的优势比，4.90；95%CI，4.31-5.57）和自杀企图（调整后的优势比，48.01；95%CI，42.69-53.09）的最强影响因素。
患有 AD 的青少年有相当比例的自杀行为。尽管需要进一步研究来阐明这种关联，但患有 AD 且具有负面心理健康状态影响因素的青少年可能需要从业者通过多学科团队方法进行干预，以预防自杀。
