Ligier Fabienne, Body Lawson Festus, Lamourette Marilou, Giguère Charles-Edouard, Lesage Alain, Séguin Monique
McGill Group on Suicide Studies, Montréal, QC, Canada.
Psychiatry Department, Montréal University, Montréal, QC, Canada.
Front Psychiatry. 2022 Jun 3;13:756306. doi: 10.3389/fpsyt.2022.756306. eCollection 2022.
Across the globe more than 35,000 children a year are adopted by non-relatives, and some studies suggest that adopted individuals may be more vulnerable to developing mental disorders. To map the differences in suicide risk factors in adopted and non-adopted individuals, this study will compare the development of mental disorders as well as life events occurring before the age of 18 for both adopted and non-adopted individuals deceased by suicide.
This study included 13 adopted and 26 non-adopted individuals deceased by suicide as well as 26 non-adopted living control individuals. Cases were taken from a data bank created over the last decade by researchers of [our institution] comprising a mixture of 700 suicide cases and living control individuals aged from 14 to 84. Adopted and non-adopted individuals deceased by suicide; adopted individuals deceased by suicide and non-adopted living control individuals were each compared on Axis I and II disorders, early life events, and burdens of adversity.
Results show significant differences, with a higher rate of Attention Deficit Hyperactivity Disorder, mental health comorbidity and Cluster C personality disorders among adopted individuals. Furthermore, adopted individuals have higher adversity scores prior to the age of 15.
This study underlines the fact that adoptive families need to be supported throughout adoption. Health care professionals need specialized training on this matter, and the psychological challenges adopted individuals face need to be treated at the earliest juncture.
全球每年有超过35000名儿童被非亲属收养，一些研究表明，被收养者可能更容易患上精神障碍。为了明确被收养者和非被收养者自杀风险因素的差异，本研究将比较因自杀死亡的被收养者和非被收养者在18岁之前发生的精神障碍发展情况以及生活事件。
本研究纳入了13名因自杀死亡的被收养者、26名因自杀死亡的非被收养者以及26名非被收养的对照生者。病例来自[我们机构]的研究人员在过去十年创建的一个数据库，该数据库包含700例自杀病例和年龄在14至84岁之间的对照生者。分别比较因自杀死亡的被收养者和非被收养者；因自杀死亡的被收养者和非被收养的对照生者在轴I和轴II障碍、早期生活事件以及逆境负担方面的情况。
结果显示存在显著差异，被收养者中注意力缺陷多动障碍、心理健康合并症和C类人格障碍的发生率更高。此外，被收养者在15岁之前的逆境得分更高。
本研究强调了在整个收养过程中需要为收养家庭提供支持这一事实。医疗保健专业人员需要在这方面接受专门培训，并且需要尽早处理被收养者面临的心理挑战。
