Vulnerability and resiliency to suicidal behaviours in young people
Vulnerability and resiliency to suicidal behaviours in young people
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DOI：
10.1017/s0033291702006748
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发表时间：
2003-01-01
影响因子：
6.9
通讯作者：
Horwood, LJ
中科院分区：
文献类型：
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作者：
Fergusson, DM;Beautrais, AL;Horwood, LJ
背景我们的目的是研究影响抑郁青年自杀意念和自杀倾向的脆弱性/弹性的因素。数据是在一项为期21年的纵向研究中收集的，该研究对1265名新西兰年轻人进行了出生队列研究。测量内容包括：自杀未遂、自杀意念、重性抑郁、儿童、家庭、个人和同伴因素。发生抑郁症的年轻人自杀意念（OR=5.4; 95%CI 4.5-6.6）和自杀企图（OR=12.1; 95%CI 7.9-18.5）的发生率增加。然而，大多数抑郁的年轻人没有发展自杀意念或自杀企图，这表明其他因素影响自杀反应的脆弱性或弹性。影响自杀反应弹性/脆弱性的因素包括：自杀家族史;儿童期性虐待;神经质;寻求新奇;自尊;同伴关系;和学校成绩。这些因素以同样的方式影响那些抑郁和那些没有抑郁的脆弱性/弹性。抑郁症患者（和非抑郁症患者）对自杀反应的脆弱性/弹性受到多种因素的影响，包括：自杀家族史，儿童期性虐待，个性因素，同伴关系和学校成功。这些因素的积极配置会增强复原力，而消极配置则会增加脆弱性。
Background. We aimed to examine factors that influence vulnerability/resiliency of depressed young people to suicidal ideation and suicide attempt.Method. Data were gathered during a 21-year longitudinal study of a birth cohort of 1265 New Zealand young people. Measures included: suicide attempt; suicidal ideation; major depression; childhood, family, individual and peer factors.Results. Young people who developed major depression had increased rates of suicidal ideation (OR=5.4; 95% CI 4.5-6.6) and suicide attempt (OR=12.1; 95% CI 7.9-18.5). However, the majority of depressed young people did not develop suicidal ideation or make suicide attempts, suggesting that additional factors influence vulnerability or resiliency to suicidal responses. Factors influencing resiliency/vulnerability to suicidal responses included: family history of suicide; childhood sexual abuse; neuroticism; novelty seeking; self-esteem; peer affiliations; and school achievement. These factors operated in the same way to influence vulnerability/resiliency among those depressed and those not depressed.Conclusions. Vulnerability/resiliency to suicidal responses among those depressed (and those not depressed) is influenced by an accumulation of factors including: family history of suicide, childhood sexual abuse, personality factors, peer affiliations and school success. Positive configurations of these factors confer increased resiliency, whereas negative configurations increase vulnerability.