Receipt of psychological or emotional counseling by suicidal adolescents
Receipt of psychological or emotional counseling by suicidal adolescents
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DOI：
10.1542/peds.111.4.e388
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发表时间：
2003-04-01
期刊：
影响因子：
8
通讯作者：
Patton, GC
中科院分区：
文献类型：
--
作者：
Pirkis, JE;Irwin, CE;Patton, GC
Objective.本研究旨在探讨自杀青少年对心理或情感咨询的利用情况，以回答有关卫生服务在多大程度上有助于预防青少年自杀的问题。该研究使用了国家青少年健康纵向研究第一波的数据，其中包括对7至12年级的15483名青少年的全国代表性样本进行的以家庭为基础的访谈。其中，2482名青少年被归类为有自杀倾向，如对“在过去12个月内，你是否认真想过自杀？“对于这一组，研究提出了以下问题：1）接受心理或情感咨询的比例是多少？2)这种咨询的来源是什么？3)哪些因素与接受此类咨询有关？结果不到三分之一（28%）的自杀青少年接受了心理或情感咨询。最常见的护理来源是私人医生诊所（37%）和学校（34%）。过去12个月内接受心理咨询的相关因素包括年龄、种族、自杀倾向程度、抑郁状态和同期体检情况。只有三分之一的人报告自杀想法和行为接受心理或情感咨询。尽管并非所有这些年轻人都认为需要咨询，但这一发现仍然表明，许多有伤害自己风险的人没有得到专业帮助。然而，从积极的一面来看，那些确实使用咨询服务的人往往是基于他们最需要的，而不是他们父母支付服务的能力。咨询服务在预防自杀方面发挥着重要作用，需要提供各种护理来源。虽然咨询服务是至关重要的，一系列其他战略是必要的，以减少青年自杀率。
Objective. This study examined utilization of psychological or emotional counseling by suicidal adolescents to answer questions about the extent to which health services can contribute to the prevention of adolescent suicide.Method. The study used data from Wave 1 of the National Longitudinal Study of Adolescent Health, which involved a household-based interview with a nationally representative sample of 15 483 adolescents from grades 7 to 12. Of these, 2482 adolescents were classified as suicidal, as indicated by an affirmative response to the question "During the past 12 months, did you ever seriously think about committing suicide?" For this group, the study asked the following questions: 1) What proportion receives psychological or emotional counseling? 2) What are the sources of this counseling? 3) What factors are associated with receipt of such counseling?Results. Less than one third (28%) of suicidal adolescents received psychological or emotional counseling. The most common sources of care were private doctors' offices (37%) and schools (34%). Factors associated with receipt of counseling in the past 12 months included age, race, degree of suicidality, depression status, and having had a physical examination during the same period.Conclusions. Only one third of those who report suicidal ideation and behavior receive psychological or emotional counseling. Although not all of these young people may identify a need for counseling, this finding still suggests that many of those at risk of harming themselves do not receive professional help. However, on the positive side, those who do use counseling services tend to do so on the basis of their being in the greatest need, rather than their parents' capacity to pay for services. Counseling services have an important role to play in suicide prevention, and a variety of sources of care need to be available. Although counseling services are vital, a range of other strategies is necessary to reduce the youth suicide rate.