Psychotic Like Experiences are Associated with Suicide Ideation and Behavior in 9 to 10 Year Old Children in the United States.

Psychotic Like Experiences are Associated with Suicide Ideation and Behavior in 9 to 10 Year Old Children in the United States.
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DOI:
10.1007/s10802-020-00721-9
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发表时间:
2021-03
影响因子:
2.5
通讯作者:
Niendam TA
Niendam TA
中科院分区:
心理学2区
文献类型:
--
作者:
Grattan RE;Karcher NR;Maguire AM;Hatch B;Barch DM;Niendam TA

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那些经历类似精神病的经历(PLE)的人有更高的自杀意念和行为风险。然而,目前尚不清楚PLES是否与儿童的自杀意念和行为有关,以及冲动或情绪失调等其他因素是否可能缓和这种关系。我们假设,在童年中期,PLE与自杀意念和行为有关,冲动和情绪失调调节了这种关系。作为青少年大脑认知发展℠研究的一部分,对10,624名9至10.9岁的儿童(女性47.8%,少数民族34.4%,西班牙裔20.0%)进行了PLES病史、自杀意念和行为、抑郁、情绪失调和冲动的评估。采用分层线性模型对变量间关联性的假设进行评估。即使控制了抑郁症的严重程度,PLE也与自杀意念和自杀行为有关。情绪失调和冲动也与自杀意念有关,并缓和了PLES和自杀意念之间的关系。由于冲动和情绪失调导致的自杀意念的变化在人们经历低水平甚至没有PLE时似乎最强烈。只有冲动和PLE与自杀行为有关。抑郁与自杀意念有关,但与自杀行为无关。PLES可能是9至10岁儿童自杀意念和行为的重要危险因素,与成人和青少年人口相当。在考虑自杀的预防时,这些数据表明,考虑PLES、冲动和情绪失调之间的关系可能是重要的。
Those experiencing psychotic like experiences (PLEs) are at higher risk for suicide ideation and behavior. However, it is unclear if PLEs are related to suicide ideation and behavior in children, and whether other factors such as impulsivity or emotion dysregulation might moderate the relationship. We hypothesize that PLEs are associated with suicide ideation and behavior, with impulsivity and emotion dysregulation moderating this relationship, in middle childhood. History of PLEs, suicide ideation and behavior, depression, emotion dysregulation, and impulsivity were assessed for 10,624 children aged 9 to 10.9 years (47.8% female, 34.4% minority race, 20.0% Hispanic) as part of the Adolescent Brain Cognitive Development℠ study. Hypotheses about associations between variables were assessed using hierarchical linear modeling. PLEs were associated with suicide ideation and suicide behavior even when controlling for depression severity. Emotion dysregulation and impulsivity were also associated with suicide ideation and moderated the relationship between PLEs and suicide ideation. Variation in suicide ideation due to impulsivity and emotion dysregulation appears to be strongest when people are experiencing low levels to no PLEs. Only impulsivity and PLEs were associated with suicide behavior. Depression was associated with suicide ideation, but not suicide behavior. PLEs may be an important risk factor for suicide ideation and behavior in 9 to 10-year-old children, comparable to adult and adolescent populations. When considering prevention of suicidality, these data suggest that considering the relations between PLEs, impulsivity and emotion dysregulation may be important.
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