The familial aggregation of adolescent suicide attempts
The familial aggregation of adolescent suicide attempts
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DOI：
10.1111/j.1600-0447.1998.tb09957.x
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发表时间：
1998-01-01
影响因子：
6.7
通讯作者：
Connolly, J
中科院分区：
文献类型：
--
作者：
Johnson, BA;Brent, DA;Connolly, J
本研究的目的是确定自杀行为的家族聚集是否可以用人格障碍和攻击行为的家族聚集来解释。研究人员将 52 名临床转介的青少年自杀企图者的亲属与 70 名从未自杀过的精神病对照者进行了比较。自杀未遂者的一级亲属的自杀企图/自杀完成率高于精神病学对照组，在控制先证者和亲属的轴 I 和 II 差异后，该比率仍然显着较高，但家族人格障碍与先证者的自杀风险显着相关。在青少年企图自杀者中，攻击行为得分高与家族自杀企图/完成率显着较高相关。我们的结果支持这样的假设：自杀行为可能作为独立于轴一和轴二精神病理学的特征而传播，但此外，人格障碍在自杀行为的传播中也发挥着作用。注意到先证者攻击性与自杀倾向家族聚集之间的相互关系。
The objective of this study was to determine whether the familial aggregation of suicidal behaviour is explained by the familial aggregation of personality disorder and aggression. The relatives of 52 clinically referred adolescent suicide attempters were compared with 70 never-suicidal psychiatric controls. The first-degree relatives of the suicide attempters had a higher rate of suicide attempts/completion than those of the psychiatric controls, This rate remained significantly higher after controlling for Axis I and II differences in the probands and the relatives, but familial personality disorder was significantly associated with suicidal risk in probands. Among the adolescent attempters, high scores on a measure of assaultiveness were associated with significantly higher familial rates of suicide attempts/completion. Our results support the hypothesis that suicidal behaviour may be transmitted as a trait independent of Axis I and II psychopathology but that, in addition, personality disorder has a role in the transmission of suicidal behaviour. An interrelationship between proband assaultiveness and the familial aggregation of suicidality was noted.