Prevalence and correlates of suicidal ideation and suicide attempts in preadolescent children: A US population-based study.
Prevalence and correlates of suicidal ideation and suicide attempts in preadolescent children: A US population-based study.
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DOI：
10.1038/s41398-021-01593-3
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发表时间：
2021-09-22
影响因子：
6.8
通讯作者：
Liu RT
中科院分区：
文献类型：
--
作者：
Lawrence HR;Burke TA;Sheehan AE;Pastro B;Levin RY;Walsh RFL;Bettis AH;Liu RT
本研究评估了参加青少年大脑认知发展研究的全国代表性的青春期前青年样本中自杀意念和自杀企图的社会人口学和诊断预测因素。自杀青年的精神病治疗使用率和预测因子也被调查了。11,875名居住在美国的9岁和10岁儿童接受了评估。儿童及其父母/监护人提供了儿童一生中自杀念头、自杀企图和精神障碍的报告。家长还报告了社会人口学特征和精神卫生服务利用情况。多因素Logistic回归分析用于评估自杀意念、有自杀意念的青年中的自杀企图以及有自杀意念和自杀企图的青年中的治疗利用的社会人口学和诊断学相关因素。自杀意念的终生患病率为14.33%，自杀企图的终生患病率为1.26%。认同为男性、性少数群体或多种族的青年有更大的自杀意念，而性少数族裔青年和家庭收入低的青年有更大的自杀企图。同时患有精神病的患者产生自杀念头和自杀企图的几率更高。青年中有自杀意念者占34.59%，自杀未遂者占54.82%。在那些认为是女性、黑人和西班牙裔的自杀青年中，治疗利用率较低。青春期前儿童的自杀想法和企图高得令人担忧，需要有针对性的评估和预防努力，特别是针对男性、种族、族裔和性少数群体青年以及患有合并症的青年。
The present study evaluated sociodemographic and diagnostic predictors of suicidal ideation and attempts in a nationally representative sample of preadolescent youth enrolled in the Adolescent Brain Cognitive Development Study. Rates and predictors of psychiatric treatment utilization among suicidal youth also were examined. Eleven thousand eight hundred and seventy-five 9- and 10-year-old children residing in the United States were assessed. Children and their parents/guardians provided reports of children’s lifetime history of suicidal ideation, suicide attempts, and psychiatric disorders. Parents also reported on sociodemographic characteristics and mental health service utilization. Multivariate logistic regression analyses were employed to evaluate sociodemographic and diagnostic correlates of suicidal ideation, suicide attempts among youth with suicidal ideation, and treatment utilization among youth with suicidal ideation and suicide attempts. Lifetime prevalence rates were 14.33% for suicidal ideation and 1.26% for suicide attempts. Youth who identified as male, a sexual minority, or multiracial had greater odds of suicidal ideation, and sexual minority youth and youth with a low family income had greater odds of suicide attempts. Comorbid psychopathology was associated with higher odds of both suicidal ideation and suicide attempts. In youth, 34.59% who have suicidal ideation and 54.82% who had attempted suicide received psychiatric treatment. Treatment utilization among suicidal youth was lower among those who identified as female, Black, and Hispanic. Suicidal ideation and attempts among preadolescent children are concerningly high and targeted assessment and preventative efforts are needed, especially for males, racial, ethnic, and sexual minority youth, and those youth experiencing comorbidity.
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影响因子：
12.8
作者：
CuddyCasey, M;Orvaschel, H
通讯作者：
Orvaschel, H
影响因子：
--
作者：
Copeland, William E.;Keeler, Gordon;Costello, E. Jane
通讯作者：
Costello, E. Jane
影响因子：
64.3
作者：
Janiri, Delfina;Doucet, Gaelle E.;Frangou, Sophia
通讯作者：
Frangou, Sophia
影响因子：
4.7
作者：
Barch DM;Albaugh MD;Avenevoli S;Chang L;Clark DB;Glantz MD;Hudziak JJ;Jernigan TL;Tapert SF;Yurgelun-Todd D;Alia-Klein N;Potter AS;Paulus MP;Prouty D;Zucker RA;Sher KJ
通讯作者：
Sher KJ
DOI：
10.1016/j.jaac.2017.08.015
发表时间：
2017-11-01
影响因子：
13.3
作者：
Copeland, William E.;Goldston, David B.;Costello, E. Jane
通讯作者：
Costello, E. Jane