Perceived abuse and neglect as risk factors for suicidal behavior in adolescent inpatients
Perceived abuse and neglect as risk factors for suicidal behavior in adolescent inpatients
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DOI：
10.1097/00005053-199901000-00006
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发表时间：
1999-01-01
影响因子：
1.9
通讯作者：
Southwick, SM
中科院分区：
文献类型：
--
作者：
Lipschitz, DS;Winegar, RK;Southwick, SM
这项研究的目的是评估精神科住院青少年自杀行为(企图、意念和自残)的不同主题的虐待(性、身体和情感)和忽视(身体和情感)病史的相对风险。71名青少年住院患者(34名男孩，37名女孩)完成了对虐待和忽视、当前自杀意念以及终生自杀和自残企图的自我报告。性虐待和身体虐待的发生率分别为37.5%和43.7%，31.3%和61%的青少年报告情感和身体忽视。51%的年轻人曾试图自杀，39%的年轻人曾自残。自杀未遂者明显更有可能是女性、拉丁裔，报告性虐待、身体虐待和情感虐待，并支持情感忽视。在多变量分析中，女性性别、性虐待和情感忽视仍然是自残和自杀意念的重要预测因素。女性性别和性虐待仍然是自杀企图的重要预测因素。这些发现表明，情感忽视是虐待经历中一个重要而有害的组成部分，与身体虐待、情感虐待和身体忽视相比，情感忽视可能是住院青少年自杀行为的更有效的预测因素。
The aim of this study mas to assess relative risk of histories of different topics of abuse (sexual, physical, and emotional) and neglect (physical and emotional) for suicidal behavior (attempts, ideation, and self-mutilation) in psychiatrically hospitalized adolescents. Seventy-one adolescent inpatients (34 boys, 37 girls) completed self-report measures of abuse and neglect, current suicidal ideation, and lifetime suicide and selfmutilation attempts. The prevalence of sexual and physical abuse was 37.5% and 43.7%, respectively, with 31.3% and 61% of youngsters reporting emotional and physical neglect. Fifty-one percent of youngsters had made suicide attempts, and 39% had self-mutilated. Suicide attempters mere significantly more likely to be female, Latino, to report sexual, physical, and emotional abuse, and to endorse emotional neglect. In multivariate analyses, female gender, sexual abuse, and emotional neglect remained significant predictors of self-mutilation and suicidal ideation. Female gender and sexual abuse remained significant predictors of suicide attempts. These findings suggest that emotional neglect is an important and deleterious component of maltreatment experiences and may be a more powerful predictor of suicidal behavior in hospitalized adolescents than physical abuse, emotional abuse, and physical neglect.