Reasons for adolescent suicide attempts: Associations with psychological functioning
Reasons for adolescent suicide attempts: Associations with psychological functioning
复制标题
DOI：
10.1097/00004583-199812000-00012
复制
发表时间：
1998-12-01
影响因子：
13.3
通讯作者：
Donaldson, D
中科院分区：
文献类型：
--
作者：
Boergers, J;Spirito, A;Donaldson, D
目的：确定青少年自杀企图的原因，并研究这些原因与心理功能之间的关系。方法：自我报告的自杀企图和心理功能的原因进行了检查，在120名青少年自杀未遂者谁提出的儿科综合医院。结果：与先前的研究一致，最常认可的自残动机是死亡，逃跑和获得救济。更多的操纵过量的原因（如让人们感到抱歉）被认可的频率较低。以死亡为自杀原因的青少年报告了更多的绝望，社会规定的完美主义，抑郁和愤怒的表达。判别函数分析表明，高水平的抑郁和愤怒的表达预测自我报告的死亡愿望，高水平的抑郁和社会规定的完美主义预测死亡的主要原因报告的自杀企图。结论：对自杀企图原因的系统评估是临床医生确定后续治疗建议的有用工具。
Objective: To determine reasons for suicide attempts in adolescents and to examine the relationship between these reasons and psychological functioning. Method: Self-reported reasons for suicide attempts and psychological functioning were examined in 120 adolescent suicide attempters who presented to a pediatric general hospital. Results: Consistent with prior research, the most frequently endorsed motives for self-harm were to die, to escape, and to obtain relief. More manipulative reasons for overdose (such as making people sorry) were endorsed less frequently. Adolescents who cited death as a reason for their suicide attempt reported more hopelessness, socially prescribed perfectionism, depression, and anger expression. Discriminant function analyses indicated that high levels of depression and anger expression predicted a self-reported wish to die, and high levels of depression and socially prescribed perfectionism predicted death as the primary reason reported for the suicide attempt. Conclusions: Systematic assessment of the reasons for a suicide attempt is a useful tool for clinicians in determining recommendations for follow-up treatment.