SUICIDE ATTEMPTS AMONG ADOLESCENT DRUG-USERS
SUICIDE ATTEMPTS AMONG ADOLESCENT DRUG-USERS
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DOI：
10.1001/archpedi.1990.02150270060026
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发表时间：
1990-03-01
影响因子：
--
通讯作者：
SCHWARTZ, RH
中科院分区：
文献类型：
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作者：
BERMAN, AL;SCHWARTZ, RH
物质使用已被确定为青春期非致命性和致命性自杀的一个重要风险因素。在密西西比河以东三个地理区域的340名门诊青少年药物滥用者中，有298人（88%）完成了一份关于酒精和其他药物使用模式、幼儿和核心家庭心理和行为史以及既往自杀企图的综合问卷。一个简短的贝克抑郁量表，以确定当前的抑郁情绪的症状。将承认有自杀企图的青少年（30%）与两个年龄和性别匹配的样本进行比较。药物滥用者自杀企图的可能性是正常人群中年龄和性别匹配的非药物使用者的三倍。33%的尝试发生在高中之前。在开始使用药物后，伤害自己的愿望和实际的自杀企图都显着增加。40%的人在自杀未遂前8小时内使用过毒品，23%的自杀者报告说，他们的家人在自杀未遂后继续在家中拥有枪支弹药。在同一药物治疗机构中，曾企图自杀的青少年药物滥用者比匹配的非药物滥用者更有可能：（1）抱怨通常感到“忧郁”或悲伤（2）识别重要的儿童行为问题，（3）识别长期自我感知受损的自我概念，（4）识别严重的父母问题，如慢性抑郁症或酗酒。自我感知的慢性孤独在童年似乎是一个非常重要的启动器的青少年药物使用和随后的自杀企图之间的药物滥用者。
Substance use has been identified as a significant risk factor in nonfatal and fatal suicides during adolescence. A comprehensive questionnaire on patterns of alcohol and other drug use, early childhood and nuclear family psychological and behavioral history, and previous suicidal attempts was completed by 298 (88%) of 340 outpatient adolescent substance abusers in three geographic regions east of the Mississippi River. An abbreviated Beck Depression Inventory was included to ascertain current symptoms of depressed mood. Adolescents admitting to a previous suicide attempt (30%) were compared with two age- and sex-matched samples. Substance abusers were three times as likely as a normative population of non-drug-using age- and sex-matched peers to make a suicide attempt. Thirty-three percent of attempts reported occurred prior to high school. Both the wish to hurt oneself and actual suicide attempts were found to increase significantly after the initiation of substance use. Forty percent used drugs within 8 hours before the suicide attempt, and 23% of attempters reported that their families continued to have a firearm with ammunition in the home following the suicide attempt. Adolescent substance abusers who had attempted suicide were significantly more likely than a matched group of nonattempters in the same drug treatment facility to: (1) complain of usually feeling "blue" or sad (depressed affect) during early childhood, (2) identify important childhood behavioral problems, (3) identify long-standing self-perceived impaired self-concept, and (4) identify serious parental problems, such as chronic depression or alcoholism. Self-perceived chronic loneliness in childhood appears to be a singularly important initiator of adolescent drug use and subsequent suicide attempts among drug abusers.