Rotheram-Borus M J
Division of Child Psychiatry, Columbia University, New York, NY 10032.
Am J Psychiatry. 1993 Jan;150(1):103-7. doi: 10.1176/ajp.150.1.103.
The goal of this study was to describe suicide attempts and risk factors among runaway adolescents.
A structured interview format was used to assess suicidal behavior and suicide-related risk factors among a consecutive series of 576 predominantly black or Hispanic runaway adolescents at intake into four publicly funded runaway programs in New York City over a 2-year period. There were no significant differences in age, gender, race/ethnicity, education, or socioeconomic status among the adolescents at the four runaway program sites.
Thirty-seven percent of the youths had previously attempted suicide, and 44% of the attempters had made an attempt within the previous month. Females were significantly more likely than males to have attempted suicide and to be depressed. Male runaways were far more likely to have attempted suicide than nonrunaway male adolescents described in previously published reports. Runaways with histories of attempting suicide were significantly more likely to be currently suicidal and depressed.
This study indicates the need for systematic screening of runaway adolescents for suicidal ideation at residential shelters for youths.
本研究的目的是描述离家出走青少年的自杀未遂情况及风险因素。
采用结构化访谈形式,对纽约市四个由公共资金资助的离家出走青少年项目在两年期间连续收纳的576名主要为黑人或西班牙裔的离家出走青少年进行自杀行为及自杀相关风险因素评估。这四个离家出走青少年项目地点的青少年在年龄、性别、种族/民族、教育程度或社会经济地位方面没有显著差异。
37%的青少年曾有过自杀未遂经历,其中44%的未遂者在过去一个月内有过自杀企图。女性比男性更有可能自杀未遂且患有抑郁症。与先前发表报告中描述的非离家出走男性青少年相比,离家出走的男性自杀未遂的可能性要高得多。有自杀未遂史的离家出走青少年目前更有可能有自杀念头且患有抑郁症。
本研究表明,有必要在青少年住宿庇护所对离家出走青少年进行自杀意念的系统筛查。