Comorbidity patterns in adolescents and young adults with suicide attempts
Comorbidity patterns in adolescents and young adults with suicide attempts
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有自杀企图的青少年和年轻人的合并症模式
DOI：
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发表时间：
1998
影响因子：
4.7
通讯作者：
H. Wittchen
中科院分区：
文献类型：
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作者：
U. Wunderlich;T. Bronisch;H. Wittchen
在随机抽取的3021名14-24岁的年轻人中，研究了合并症作为自杀企图风险的作用。M-CIDI是复合国际诊断访谈的完全标准化和修改版本，用于评估各种DSM-IV终身和12个月的诊断以及自杀意念和自杀企图。在所有自杀者中，91%的人至少有一种精神障碍，79%的人分别患有共病或多病，45%的人有四种或四种以上的诊断（总样本中只有5%达到如此高的共病水平）。有三个以上诊断的自杀未遂者企图自杀的可能性是没有诊断的受试者的18倍（OR = 18.4）。关于具体的诊断，多变量共病分析表明，自杀企图的风险最高的焦虑症（OR = 4.3），特别是创伤后应激障碍，其次是物质障碍（OR = 2.2）和抑郁症（OR = 2.1）。合并症，特别是当涉及焦虑症时，自杀企图的风险比任何其他个人DSM-IV诊断都要高得多。
The role of comorbidity as a risk for suicide attempts is investigated in a random sample of 3021 young adults aged 14–24 years. The M-CIDI, a fully standardized and modified version of the Composite International Diagnostic Interview, was used for the assessment of various DSM-IV lifetime and 12-month diagnoses as well as suicidal ideation and suicide attempts. Of all suicide attempters, 91% had at least one mental disorder, 79% were comorbid or multimorbid respectively and 45% had four or more diagnoses (only 5% in the total sample reached such high levels of comorbidity). Suicide attempters with more than three diagnoses were 18 times more likely (OR = 18.4) to attempt suicide than subjects with no diagnosis. Regarding specific diagnoses, multivariate comorbidity analyses indicated the highest risk for suicide attempt in those suffering from anxiety disorder (OR = 4.3), particularly posttraumatic stress disorder followed by substance disorder (OR = 2.2) and depressive disorder (OR = 2.1). Comorbidity, especially when anxiety disorders are involved, increases the risk for suicide attempts considerably more than any other individual DSM-IV diagnoses.
恐慌症、合并症和自杀企图。
影响因子：
--
作者：
Johnson,J;Weissman,MM;Klerman,GL
通讯作者：
Klerman,GL