RISK-FACTORS FOR ADOLESCENT SUICIDE - A COMPARISON OF ADOLESCENT SUICIDE VICTIMS WITH SUICIDAL INPATIENTS
RISK-FACTORS FOR ADOLESCENT SUICIDE - A COMPARISON OF ADOLESCENT SUICIDE VICTIMS WITH SUICIDAL INPATIENTS
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DOI：
10.1001/archpsyc.1988.01800300079011
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发表时间：
1988-06-01
影响因子：
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通讯作者：
ZELENAK, JP
中科院分区：
文献类型：
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作者：
BRENT, DA;PERPER, JA;ZELENAK, JP
青少年自杀受害者（n = 27）的特点进行了比较，在自杀和自杀精神病住院患者（n = 56）的高风险组，谁认真考虑（n = 18）或实际企图（n = 38）自杀。自杀受害者和自杀住院患者的情感性精神障碍和情感性精神障碍、反社会精神障碍和自杀的家族史的发生率相似，这表明青少年中存在从自杀意念到自杀完成的连续性。然而，四个假定的风险因素在自杀受害者中更为普遍：双相情感障碍的诊断;情感障碍伴合并症;缺乏先前的心理健康治疗;以及家中枪支的可用性，这些因素加在一起准确地分类了81.9%的病例。此外，自杀完成者比自杀未遂者表现出更高的自杀意图。这些研究结果表明，精神病患者自杀的高风险，和适当的识别和治疗这些患者可能会防止自杀的高风险临床人群。
The characteristics of adolescent suicide victims (n = 27) were compared with those of a group at high risk for suicide and suicidal psychiatric inpatients (n = 56) who had either seriously considered (n = 18) or actually attempted (n = 38) suicide. The suicide victims and suicidal inpatients showed similarly high rates of affective disorder and family histories of affective disorder, antisocial disorder, and suicide, suggesting that among adolescents there is a continuum of suicidality from ideation to completion. However, four putative risk factors were more prevalent among the suicide victims: diagnosis of bipolar disorder; affective disorder with comorbidity; lack of previous mental health treatment; and availability of firearms in the homes, which taken together accurately classified 81.9% of cases. In addition, suicide completers showed higher suicidal intent than did suicide attempters. These findings suggest a profile of psychiatric patients at high risk for suicide, and the proper identification and treatment of such patients may prevent suicide in high-risk clinical populations.