Suicide attempts among depressed adolescents in primary care
Suicide attempts among depressed adolescents in primary care
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DOI：
10.1080/15374410701444355
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发表时间：
2007-07-01
影响因子：
4.2
通讯作者：
Reise, Steven P.
中科院分区：
文献类型：
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作者：
Fordwood, Samantha R.;Asarnow, Joan R.;Reise, Steven P.
虽然抑郁症与自杀企图和自杀死亡密切相关，但大多数抑郁青年不会尝试自杀，这表明需要确定其他风险因素。我们研究了451名13至21岁的抑郁症初级保健患者的自杀企图。在双变量分析中，被归类为自杀倾向的青年表现出较高的精神病理学水平，特别是抑郁症状、外化行为、焦虑、物质使用、躁狂和创伤后应激障碍症状。在多变量分析中，外化行为和抑郁严重程度对自杀企图的预测有独特的贡献。高水平的环境压力以及一些关键的压力事件与自杀企图有关;最近的浪漫分手或被殴打增加了自杀企图的风险，超出了精神病理学的影响。初级保健预防服务和自杀未遂预防的结果的影响进行了讨论。
Although depression is strongly associated with suicide attempts and suicide deaths, most depressed youth do not make an attempt, indicating the need to identify additional risk factors. We examined suicide attempts among 451 depressed primary care patients, 13 to 21 years of age. In bivariate analyses, youth classified as suicide attempters showed elevated levels of psychopathology, specifically depressive symptoms, externalizing behaviors, anxiety, substance use, mania, and posttraumatic stress disorder symptoms. Externalizing behaviors and depression severity uniquely contributed to the prediction of suicide attempts in multivariate analyses. High levels of environmental stress as well as a few key stressful events were associated with suicide attempts; a recent romantic breakup or being assaulted added to suicide attempt risk, beyond the effects of psychopathology. Implications of results for primary care preventive services and suicide attempt prevention are discussed.