AN OUTBREAK OF SUICIDE AND SUICIDAL-BEHAVIOR IN A HIGH-SCHOOL
AN OUTBREAK OF SUICIDE AND SUICIDAL-BEHAVIOR IN A HIGH-SCHOOL
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DOI：
10.1097/00004583-198911000-00017
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发表时间：
1989-11-01
影响因子：
13.3
通讯作者：
ALLAN, MJ
中科院分区：
文献类型：
--
作者：
BRENT, DA;KERR, MM;ALLAN, MJ
在一所拥有1,496名学生的高中，4天内有两名学生自杀。在包括两起自杀事件在内的18天期间，有7名学生企图自杀，另有23名学生表现出自杀意念。与预期比率相比，自杀完成率和自杀未遂率均显着升高。75%的集群成员在暴露之前至少有一种主要的精神疾病。110名被认为有高风险的学生在现场接受了精神病筛查。在这个群体中，暴露后自杀的学生比他们的非自杀同龄人更有可能目前抑郁，并且过去有抑郁和自杀倾向。受害者的亲密朋友表现出自杀倾向在较低的精神病理学阈值比那些谁是不太接近受害者。学生谁是受害者的朋友或谁有情感障碍和/或以前的自杀史应筛选自杀暴露后。
In a high school of 1,496 students, two students committed suicide within 4 days. During an 18-day period that included the two suicides, seven students attempted suicide and an additional 23 manifested suicidal ideation. Compared to expected rates, the rates of both completed and attempted suicide were markedly elevated. Seventy-five percent of the members of the cluster had at least one major psychiatric disorder antedating their exposure. One hundred ten students thought to be at high risk were psychiatrically screened on site. Within this group, students who became suicidal after exposure were more likely than their nonsuicidal counterparts to be currently depressed and to have had past episodes of depression and suicidality. Close friends of the victims manifested suicidality at a lower psychopathological threshold than those who were less close to the victims. Students who are friends of a victim or who have a history of affective disorder and/or previous suicidality should be screened for suicidality after exposure.