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与自杀未遂的精神性、应对技巧和风险因素相关的性别差异:一项针对法国青少年住院患者的横断面研究。

Gender Differences Related to Spirituality, Coping Skills and Risk Factors of Suicide Attempt: A Cross-Sectional Study of French Adolescent Inpatients.

作者信息

Mirkovic Bojan, Belloncle Vincent, Pellerin Hugues, Guilé Jean-Marc, Gérardin Priscille

机构信息

Department of Child and Adolescent Psychiatry, Nouvel Hopital de Navarre, Normandie Université, Evreux, France.

Équipe INSERM ≪ Psychiatrie du Développement ≫, Centre de Recherche en Épidémiologie et Santé des Populations, UMR 1018, Université Paris-Saclay - UVSQ, Versailles, France.

出版信息

Front Psychiatry. 2021 Jun 25;12:537383. doi: 10.3389/fpsyt.2021.537383. eCollection 2021.

Abstract

Suicide attempts in adolescence represent a major public health concern, since these behaviors are associated with psychosocial burden and an increased risk of suicide. This cross-sectional study aimed to explore possible gender differences related to protective and risk factors in adolescents who have attempted suicide. Participants were French adolescents hospitalized for attempt suicide in five French pediatric departments. The participants were evaluated on 12 instruments measuring individual risk and protective factors. Our sample included 320 adolescents aged 13-17 years (M = 14.43, SD = 1.29), of whom 82% were female and 35% were repeat attempters. Boys had greater difficulties at school and used more lethal means such as strangulation. We failed to find any differences between the two groups as regards the main Axis I psychiatric diagnoses. Boys tend to use more non-productive coping skills such as or and girls use more reference to other strategies such as . Although spirituality scores were low overall sample, they were significantly higher among girls. In the end, we find little difference between the two groups in terms of risk factors. However, we have shown gender differences in spirituality and some coping strategies. These results should be taken into consideration when designing suicide prevention programs.

摘要

青少年自杀未遂是一个重大的公共卫生问题,因为这些行为会带来心理社会负担并增加自杀风险。这项横断面研究旨在探讨自杀未遂青少年中与保护因素和风险因素相关的可能的性别差异。参与者是在法国五个儿科部门因自杀未遂住院的法国青少年。使用12种测量个体风险和保护因素的工具对参与者进行评估。我们的样本包括320名13至17岁的青少年(M = 14.43,SD = 1.29),其中82%为女性,35%为重复自杀未遂者。男孩在学校遇到的困难更大,且使用如勒颈等更致命的手段。在主要的轴I精神疾病诊断方面,我们未发现两组之间存在任何差异。男孩倾向于使用更多无效的应对技巧,如 或 ,而女孩则更多地提及其他策略,如 。尽管总体样本的精神性得分较低,但女孩中的得分显著更高。最后,我们发现两组在风险因素方面差异不大。然而,我们已经表明在精神性和一些应对策略方面存在性别差异。在设计自杀预防项目时应考虑这些结果。

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