Clayton Matthew G, Pollak Olivia H, Owens Sarah A, Miller Adam Bryant, Prinstein Mitchell J
University of North Carolina at Chapel Hill.
J Res Adolesc. 2021 Dec;31(4):1068-1096. doi: 10.1111/jora.12614.
Suicide is the second leading cause of death for adolescents in the United States, yet remarkably little is known regarding risk factors for suicidal thoughts and behaviors (STBs), relatively few federal grants and scientific publications focus on STBs, and few evidence-based approaches to prevent or treat STBs are available. This "decade in review" article discusses five domains of recent empirical findings that span biological, environmental, and contextual systems and can guide future research in this high priority area: (1) the role of the central nervous system; (2) physiological risk factors, including the peripheral nervous system; (3) proximal acute stress responses; (4) novel behavioral and psychological risk factors; and (5) broader societal factors impacting diverse populations and several additional nascent areas worthy of further investigation.
自杀是美国青少年的第二大死因,但对于自杀念头和行为(STB)的风险因素却知之甚少。相对而言,联邦拨款和科学出版物中很少有聚焦于STB的,而且几乎没有基于证据的预防或治疗STB的方法。这篇“十年回顾”文章讨论了近期实证研究结果的五个领域,这些领域涵盖生物、环境和情境系统,可指导这一高度优先领域的未来研究:(1)中枢神经系统的作用;(2)生理风险因素,包括外周神经系统;(3)近端急性应激反应;(4)新出现的行为和心理风险因素;(5)影响不同人群的更广泛社会因素以及其他几个值得进一步研究的新兴领域。