Longitudinal risk factors for suicidal thoughts in depressed and non-depressed young adolescents
Longitudinal risk factors for suicidal thoughts in depressed and non-depressed young adolescents
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DOI：
10.1177/0004867417717795
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发表时间：
2017-09-01
影响因子：
4.6
通讯作者：
Wang, Shuu-Jiun
中科院分区：
文献类型：
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作者：
Pan, Yi-Ju;Juang, Kai-Dih;Wang, Shuu-Jiun
目的：缺乏关于青少年自杀意念纵向过程中危险因素作用的证据。我们的目的是评估一系列的危险因素，包括肥胖，学习成绩，儿童与父母的关系，身体虐待，抑郁症状，对青少年自杀ideation.Methods的发展：一个学校队列的七，八年级学生进行了为期1年的研究和抑郁症和非抑郁症青少年之间的危险因素分布的差异。我们进一步研究了新开发的自杀意念和持续自杀意念的青少年组的基础上存在的自杀意念在baseline.Results：共招募了1710名青少年，其中8.2%被归类为具有临床意义的抑郁症的危险因素。对于抑郁的青少年来说，肥胖与自杀意念的风险增加三倍有关。对于非抑郁青少年来说，身体虐待、不被关心的感觉和阈下抑郁症状是危险因素。后两个仍然强大的预测新开发的自杀ideation.Conclusion：目前的研究可能揭示了不同的策略，以解决自杀的想法在抑郁症和非抑郁症的青少年。我们强调识别和管理阈值以下抑郁症状的重要性，以及肥胖、身体虐待和不被关心的感觉与青少年早期自杀预防计划的相关性。
Objective: Evidence regarding the role of risk factors in the longitudinal course of suicidal ideation among young adolescents is lacking. We aimed to assess the effects of a range of risk factors, including obesity, academic performance, child-parent relationship, physical maltreatment, and depressive symptoms, on the development of suicidal ideation in young adolescents.Methods: A school cohort of seventh and eighth graders was followed for 1year and differences in the risk factors distributions were examined between depressed and non-depressed adolescents. We further examined risk factors for newly developed suicidal ideation and persistent suicidal ideation in the groups of adolescents based on the presence of suicidal ideation at baseline.Results: A total of 1710 young adolescents were recruited, among whom 8.2% were categorised as having clinically significant depression. For depressed adolescents, being obese was associated with a three-fold increased risk of having suicidal ideation. For non-depressed adolescents, physical maltreatment, a feeling of not being cared about and sub-threshold depressive symptoms were the risk factors. The latter two remained robust in predicting newly developed suicidal ideation.Conclusion: The current study may shed light on the differential strategies to address suicidal thoughts in depressed and non-depressed adolescents. We emphasise the importance of recognition and management of sub-threshold depressive symptoms and the relevance of obesity, physical maltreatment and a feeling of not being cared about to suicide prevention programmes in early adolescence.