Affective, behavioral, and cognitive functioning in adolescents with multiple suicide attempts
Affective, behavioral, and cognitive functioning in adolescents with multiple suicide attempts
复制标题
DOI：
10.1521/suli.33.4.389.25231
复制
发表时间：
2003-12-01
影响因子：
3.2
通讯作者：
Donaldson, D
中科院分区：
文献类型：
--
作者：
Esposito, C;Spirito, A;Donaldson, D
本研究的目的是检查多次自杀未遂青少年的情感、行为和认知功能。对 47 名有多次自杀企图 (MA) 历史的青少年与 74 名单次自杀企图 (SA) 的精神病诊断、抑郁症状、情感调节、自残、酗酒和绝望进行了比较。结果显示，与 SA 组相比，MA 组更有可能被诊断出患有情绪障碍，并报告出更严重的抑郁症状和愤怒。在行为上，MA组比SA组有更高的破坏性行为障碍发生率、更高水平的情感失调和严重自残。此外，MA 组的绝望程度高于 SA 组。在控制情绪障碍诊断后，只有愤怒、情感失调和严重自残方面的差异仍然显着。总体而言，结果表明，对青少年自杀未遂者的治疗可能专门针对愤怒并影响失调，以降低未来自杀行为的风险。
The purpose of this study was to examine affective, behavioral, and cognitive functioning in adolescents with multiple suicide attempts. Forty-seven adolescents with a history of multiple suicide attempts (MA) were compared to 74 single suicide attempters (SA) on psychiatric diagnosis, depressive symptoms, affect regulation, self-mutilation, alcohol use, and hopelessness. Results revealed that the MA group was more likely to be diagnosed with a mood disorder, and reported more severe depressive symptoms and anger, in comparison to the SA group. Behaviorally, the MA group had higher rates of disruptive behavior disorders and higher levels of affect dysregulation and serious self-mutilation than the SA group. Further, greater levels of hopelessness were reported by the MA than the SA group. After controlling for a mood disorder diagnosis, only differences in anger, affect dysregulation, and serious self-mutilation remained significant. Overall, results suggest that treatment with adolescent suicide attempters might specifically target anger and affect dysregulation to reduce risk for future suicidal behavior.