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母亲的亲身经历:一项关于青少年因自杀未遂或其他原因接受精神科住院治疗后的影响及适应情况的纵向研究。

Lived experiences of mothers: A longitudinal study of impacts and adjustment following adolescent psychiatric hospitalization for suicide attempts or other reasons.

作者信息

Goldston David B, Daniel Stephanie S, Curry John F, Wells Karen C, Doyle Otima, Weller Bridget E, Erkanli Alaattin, Breland-Noble Alfiee M, Heilbron Nicole C, Inscoe Adrienne B

机构信息

Duke University School of Medicine, Durham, North Carolina, USA.

Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.

出版信息

Suicide Life Threat Behav. 2025 Apr;55(2):e13145. doi: 10.1111/sltb.13145. Epub 2024 Dec 2.

Abstract

INTRODUCTION

Parents play crucial roles in monitoring and supporting youth who have been hospitalized after suicide attempts, but their adjustment in the period following hospitalization has been understudied. This study assessed the adjustment and impacts on mothers during the year following hospitalization.

METHOD

Participants included 135 mothers of suicidal adolescents and 117 mothers of adolescents hospitalized for other reasons. The Structured Clinical Interview for DSM (SCID) and the Child and Adolescent Impact Assessment were used to assess psychiatric diagnoses of Major Depressive Disorder [MDD], Generalized Anxiety Disorder [GAD], and Post-Traumatic Stress Disorder [PTSD], and impacts on caregivers at one, three, six, and 12 months after hospitalization.

RESULTS

Higher rates of MDD, GAD, and PTSD, and greater impacts were evidenced closer in time to the hospitalization. There were few overall differences between mothers of youth with and without suicidal behavior. However, family history of suicidal behavior was related to higher rates of MDD and PTSD, and greater severity of youth suicidal thoughts and behavior over the follow-up was related to greater impact upon mothers of suicidal youth.

CONCLUSIONS

This study highlights the mental health struggles of mothers of suicidal and other hospitalized youth and underscores the importance of support for caregivers.

摘要

引言

父母在监测和支持自杀未遂后住院的青少年方面发挥着关键作用,但他们在住院后的调整情况尚未得到充分研究。本研究评估了住院后一年内母亲的调整情况及其受到的影响。

方法

参与者包括135名自杀未遂青少年的母亲和117名因其他原因住院青少年的母亲。使用《精神疾病诊断与统计手册》结构化临床访谈(SCID)和儿童及青少年影响评估来评估重度抑郁症(MDD)、广泛性焦虑症(GAD)和创伤后应激障碍(PTSD)的精神疾病诊断,以及住院后1个月、3个月、6个月和12个月对照顾者的影响。

结果

在更接近住院时间时,重度抑郁症、广泛性焦虑症和创伤后应激障碍的发病率更高,影响也更大。有自杀行为和无自杀行为青少年的母亲总体上差异不大。然而,自杀行为家族史与重度抑郁症和创伤后应激障碍的较高发病率相关,随访期间青少年自杀念头和行为的更严重程度与对自杀未遂青少年母亲的更大影响相关。

结论

本研究突出了自杀未遂和其他住院青少年母亲的心理健康问题,并强调了对照顾者提供支持的重要性。

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本文引用的文献

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Developmental Trajectories of Suicidal Thoughts and Behaviors From Adolescence Through Adulthood.从青春期到成年期自杀念头和行为的发展轨迹
J Am Acad Child Adolesc Psychiatry. 2016 May;55(5):400-407.e1. doi: 10.1016/j.jaac.2016.02.010. Epub 2016 Mar 3.
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How Parental Reactions Change in Response to Adolescent Suicide Attempt.父母的反应如何因青少年自杀未遂而改变。
Arch Suicide Res. 2015;19(4):414-21. doi: 10.1080/13811118.2015.1094367. Epub 2015 Oct 9.
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