King C A, Segal H, Kaminski K, Naylor M W, Ghaziuddin N, Radpour L
Department of Psychiatry, University of Michigan.
Suicide Life Threat Behav. 1995 Fall;25(3):327-38.
Identification of factors associated with adolescent suicidal behavior following psychiatric hospitalization would facilitate development of effective aftercare interventions. This prospective study identified specific predictors of suicidal behavior in 100 adolescents during a 6-month follow-up period. Standardized baseline assessments and structured follow-up telephone interviews were conducted with adolescents and their guardians. Eighteen percent of adolescents reported suicidal behavior during the follow-up period, primarily of low medical lethality and minimal or ambivalent suicidal intent. This behavior was associated with suicidal thoughts, family dysfunction, and dysthymia. It was not associated with initial posthospitalization treatment compliance. Implications of these findings are discussed.
确定与青少年精神病住院后自杀行为相关的因素将有助于制定有效的后续护理干预措施。这项前瞻性研究确定了100名青少年在6个月随访期内自杀行为的具体预测因素。对青少年及其监护人进行了标准化的基线评估和结构化的随访电话访谈。18%的青少年在随访期间报告有自杀行为，主要是医疗致死率低且自杀意图极小或矛盾。这种行为与自杀念头、家庭功能障碍和心境恶劣有关。它与住院后的初始治疗依从性无关。讨论了这些发现的意义。
