Waisman Center & Department of Psychology, University of Wisconsin-Madison, 1202 W Johnson St, Madison, 53706, US.
School of Medicine and Public Health, University of Wisconsin-Madison, 750 Highland Ave, Madison, 53726, US.
Res Child Adolesc Psychopathol. 2021 Apr;49(4):533-543. doi: 10.1007/s10802-020-00726-4. Epub 2021 Jan 9.
Clarifying longitudinal, behavioral predictors for adolescent suicidality could enhance prediction and treatment efforts. We examined whether childhood attentional focusing, persistence, and problem-solving behavior are associated with risk for adolescent suicidal ideation. Participants were 116 twins, 40 of whom endorsed active suicidal ideation (i.e., probands), probands' cotwins, and matched controls. Higher scores on a composite measure derived at mean age 7.7 years of (1) effort and work duration during two childhood problem-solving tasks (untangling yarn and attempting to solve an unsolvable puzzle), (2) mother reported attentional focusing, and (3) observer reported persistence predicted decreased risk for suicidal ideation at mean age 14.4 years. This prediction held when comparing probands with controls (B = -1.01, SE = 0.38, p = 0.01, OR = 0.37) and with their cotwins (B = -0.86, SE = 0.38, p = 0.02, OR = 0.42). Our findings indicate that childhood problem-solving behavior relates meaningfully to risk for suicidal thoughts approximately 7 years later, on average. These results underscore how longitudinal behavioral risk factors could enhance prediction and treatment of adolescent suicidal ideation.
阐明青少年自杀意念的纵向、行为预测因素可以增强预测和治疗效果。我们研究了儿童注意力集中、坚持和解决问题行为是否与青少年自杀意念的风险相关。参与者为 116 对双胞胎，其中 40 人有主动自杀意念（即先证者）、先证者的同卵双胞胎和匹配的对照组。在平均年龄为 7.7 岁时，一个综合指标的得分较高，该指标包括（1）在两个儿童解决问题任务（解开纱线和尝试解决一个无法解决的谜题）中努力和工作时间，（2）母亲报告的注意力集中，以及（3）观察者报告的坚持，预测了在平均年龄为 14.4 岁时自杀意念风险降低。当将先证者与对照组（B=-1.01，SE=0.38，p=0.01，OR=0.37）和同卵双胞胎（B=-0.86，SE=0.38，p=0.02，OR=0.42）进行比较时，这种预测仍然成立。我们的研究结果表明，儿童解决问题的行为与大约 7 年后的自杀想法风险有明显的关系。这些结果强调了纵向行为风险因素如何增强对青少年自杀意念的预测和治疗。
