Childhood Bullying Behaviors as a Risk for Suicide Attempts and Completed Suicides: A Population-Based Birth Cohort Study
Childhood Bullying Behaviors as a Risk for Suicide Attempts and Completed Suicides: A Population-Based Birth Cohort Study
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DOI：
10.1097/chi.0b013e318196b91f
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发表时间：
2009-03-01
影响因子：
13.3
通讯作者：
Gould, Madelyn S.
中科院分区：
文献类型：
--
作者：
Klomek, Anat Brunstein;Sourander, Andre;Gould, Madelyn S.
目的：以前没有关于儿童期欺凌行为与后来自杀企图和自杀未遂之间关系的研究。研究的目的是在一个大型的代表性人口出生队列中，研究8岁时儿童欺凌行为与25岁以下自杀未遂和自杀未遂之间的关联。方法：样本包括1981年出生的5，302名芬兰儿童。有关欺凌的信息是在8岁时从自我报告以及家长和老师的报告中收集的。从三个不同的芬兰登记处收集了关于需要住院的自杀企图和自杀完成的信息，直到研究参与者年满25岁。进行回归分析，以确定经历童年欺凌行为的儿童在控制基线行为和抑郁症状后，是否有后来自杀企图和自杀完成的风险。结果：8岁时的欺凌行为与后来的自杀企图和自杀完成之间的关联因性别而异。在男孩中，频繁的欺凌和受害与后来的自杀企图和自杀未遂有关，但在控制了行为和抑郁症状后，则不相关;女孩中频繁的受害与后来的自杀企图和自杀未遂有关，即使在控制了行为和抑郁症状后也是如此。结论：当研究童年欺凌行为作为后来自杀企图和自杀完成的风险因素时，每个性别都有不同的风险特征。J. Am. Acad.儿童青少年。精神病学，2009;48（3）：254-261.
Objective: There are no previous studies about the association of childhood bullying behavior with later suicide attempts and completed suicides among both sexes. The aim was to study associations between childhood bullying behaviors at age 8 years and suicide attempts and completed suicides up to age 25 years in a large representative population-based birth cohort. Method: The sample includes 5,302 Finnish children born in 1981. Information about bullying was gathered at age 8 years from self-report, as well as parent and teacher reports. Information about suicide attempts requiring hospital admission and completed suicides was gathered from three different Finnish registries until the study participants were 25 years old. Regression analyses were conducted to determine whether children who experience childhood bullying behaviors are at risk for later suicide attempts and completed suicides after controlling for baseline conduct and depression symptoms. Results: The association between bullying behavior at age 8 years and later suicide attempts and completed suicides varies by sex. Among boys, frequent bullying and victimization are associated with later suicide attempts and completed suicides but not after controlling for conduct and depression symptoms; frequent victimization among girls is associated with later suicide attempts and completed suicides, even after controlling for conduct and depression symptoms. Conclusions: When examining childhood bullying behavior as a risk factor for later suicide attempts and completed suicides, each sex has a different risk profile. J. Am. Acad. Child Adolesc. Psychiatry, 2009;48(3):254-261.