Pelkonen M, Marttunen M, Pulkkinen E, Laippala P, Aro H
Tampere School of Public Health, University of Tampere, Finland.
Acta Psychiatr Scand. 1997 Feb;95(2):100-7. doi: 10.1111/j.1600-0447.1997.tb00381.x.
Suicidal adolescent out-patients were compared with non-suicidal subjects with respect to background factors, psychopathology and treatment received. Data for suicidal ideation, suicide attempts, psychiatric diagnoses (DSM-III-R) and other patient-related factors were collected prospectively during treatment of 122 male and 138 female out-patients aged 12-22 years. In total, 42% of subjects displayed suicidal tendencies, and 18% had attempted suicide. According to polychotomous regression, mood disorder, previous psychiatric treatment and low level of psychosocial functioning at treatment entry were associated with suicide attempts and with suicidal ideation for both sexes. Suicidal patients were more often receiving psychotropic medication and had more total appointments (mean number 15 vs. 9) than non-suicidal patients. Suicidal and non-suicidal patients kept their scheduled appointments to the same extent (66% vs. 65%). Treatments which meet the needs of disordered suicidal adolescents need to be developed.
将有自杀倾向的青少年门诊患者与无自杀倾向的受试者在背景因素、精神病理学和接受的治疗方面进行了比较。在对122名年龄在12至22岁的男性门诊患者和138名女性门诊患者进行治疗期间，前瞻性收集了自杀意念、自杀未遂、精神科诊断（DSM-III-R）及其他与患者相关因素的数据。总体而言，42%的受试者表现出自杀倾向，18%的人曾试图自杀。根据多分类回归分析，情绪障碍、既往精神科治疗以及治疗开始时社会心理功能水平较低与两性的自杀未遂和自杀意念均相关。与无自杀倾向的患者相比，有自杀倾向的患者更常接受精神药物治疗，且总预约次数更多（平均次数分别为15次和9次）。有自杀倾向和无自杀倾向的患者遵守预约的程度相同（分别为66%和65%）。需要开发出能够满足患有精神障碍的自杀倾向青少年需求的治疗方法。
