Aral Armağan, Say Gökçe Nur, Gerdan Gizem, Usta Miraç Barış, Aral Ayşe ErgÜner
Samsun Mental Health and Diseases Hospital, Child and Adolescent Mental Health and Diseases Department, Samsun, Turkey.
Ondokuz Mayıs University School of Medicine, Child and Adolescent Mental Health and Diseases Department, Samsun, Turkey.
Noro Psikiyatr Ars. 2020 Sep 21;57(4):312-317. doi: 10.29399/npa.24776. eCollection 2020 Dec.
In this study, we aimed to evaluate the relationship between sociodemographic, clinical and neuropsychological variables and suicide attempts by comparing adolescents with Major Depressive Disorder (MDD) with and without suicide attempt.
30 adolescents with and without suicide attempt were included in this study. Sociodemographic and Clinical Data Form, Schedule for Affective Disorders and Schizophrenia for School-Age Children--Present and Lifetime Version (K-SADS-PL), The Children Depression Inventory (CDI), Beck Hopelessness Scale (BHS), Barratt Impulsivity Scale (BIS) and neuropsychological tests (Go/NoGo test, Stroop test Wisconsin Card Sorting Test) was applied to participants.
Depressed adolescents with suicide attempt compared to adolescents without suicide attempt; motor and total impulsivity scores in BIS-11, commission errors in Go/NoGo test which measure motor inhibition, completion time and errors in Stroop 5 which measure interference inhibition and scores of perseveration in Winsconsin Card Sorting Test (WCST) which measure cognitive inhibition were found to be higher. Family history of suicide attempt (OR: 5.87), commission errors (OR: 1.37), perseverative errors (OR: 1.09) ve total impulsivity (OR: 1.05) were remained in the logistic regression model.
Results of this study suggested that family history of suicide attempt was the most important factor predicting suicide attempt in adolescents with depression. Other factors predicting suicide attempt were executive dysfunction and impulsivity.
在本研究中,我们旨在通过比较有自杀未遂和无自杀未遂的重度抑郁症(MDD)青少年,评估社会人口统计学、临床和神经心理学变量与自杀未遂之间的关系。
本研究纳入了30名有或无自杀未遂的青少年。对参与者应用了社会人口统计学和临床数据表格、学龄儿童情感障碍和精神分裂症量表——目前及终生版(K-SADS-PL)、儿童抑郁量表(CDI)、贝克绝望量表(BHS)、巴拉特冲动性量表(BIS)以及神经心理学测试(停止信号任务测试、斯特鲁普测试、威斯康星卡片分类测试)。
与无自杀未遂的青少年相比,有自杀未遂的抑郁青少年;在BIS-11中的运动和总冲动性得分、测量运动抑制的停止信号任务测试中的执行错误、测量干扰抑制的斯特鲁普5测试中的完成时间和错误以及测量认知抑制的威斯康星卡片分类测试(WCST)中的持续错误得分更高。自杀未遂家族史(比值比:5.87)、执行错误(比值比:1.37)、持续错误(比值比:1.09)和总冲动性(比值比:1.05)保留在逻辑回归模型中。
本研究结果表明,自杀未遂家族史是预测抑郁青少年自杀未遂的最重要因素。预测自杀未遂的其他因素是执行功能障碍和冲动性。