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儿童和青少年蓄意身体自杀尝试的心理社会方面。

Psychosocial Aspects of Deliberate Physical Suicide Attempts by Children and Adolescents.

机构信息

Clinic of Children's Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Clinic of Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

出版信息

Clin Pediatr (Phila). 2023 Sep;62(8):885-893. doi: 10.1177/00099228221145106. Epub 2023 Jan 30.

DOI:10.1177/00099228221145106
PMID:36717972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10411028/
Abstract

Suicide is the second most common cause of death among young people in Lithuania. This study aimed to evaluate circumstance, and conditions possibly related to suicide attempt in adolescents. Study was performed at the tertiary Children's Hospital. Medical documentation of the suicide attempts from January 2011 to April 2018 was analyzed. There were 102 cases included in the study: 83.8% female and 16.2% male patients (average age of 15.02 ± 1.9); 40.6% of patients lived in divorced families, 17.7% in orphanages, 4.2% in foster care; 36.4% suffered from parental alcoholism, and 17.2% experienced suicide in close surroundings; 54.1% experienced bullying or violence (26.0%), and 85.4% showed signs of other types of self-harm, girls more often ( < .001). In 52.8% of cases, the attempt was spontaneous, and 34% relapsed. In summary female gender, living in orphanages, and signs of other self-harm were significantly related to suicide attempt.

摘要

自杀是立陶宛年轻人中第二大常见死因。本研究旨在评估青少年自杀未遂相关的情况和条件。该研究在三级儿童医院进行。分析了 2011 年 1 月至 2018 年 4 月期间的自杀未遂医疗记录。研究共纳入 102 例患者:83.8%为女性,16.2%为男性(平均年龄 15.02 ± 1.9);40.6%的患者生活在离异家庭,17.7%生活在孤儿院,4.2%生活在寄养家庭;36.4%遭受父母酗酒,17.2%在亲近的环境中经历过自杀;54.1%遭受欺凌或暴力(26.0%),85.4%有其他类型的自残迹象,女孩更常见(<0.001)。在 52.8%的情况下,尝试是自发的,34%的患者复发。总的来说,女性性别、生活在孤儿院和其他自残迹象与自杀未遂显著相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a3f/10411028/0133b525dead/10.1177_00099228221145106-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a3f/10411028/e6c4fd09c2b8/10.1177_00099228221145106-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a3f/10411028/0133b525dead/10.1177_00099228221145106-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a3f/10411028/e6c4fd09c2b8/10.1177_00099228221145106-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a3f/10411028/0133b525dead/10.1177_00099228221145106-fig2.jpg

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本文引用的文献

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A 25-Year Review of Pediatric Suicides: Distinguishing Features and Risk Factors.一项针对儿童自杀的25年回顾:显著特征与风险因素
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Factors associated with suicide completion: A comparison between suicide attempters and completers.与自杀既遂相关的因素:自杀未遂者与自杀既遂者的比较。
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