Neurocognitive and clinical characteristics of elementary school-aged children with a history of suicidal thoughts and behaviors.
Neurocognitive and clinical characteristics of elementary school-aged children with a history of suicidal thoughts and behaviors.
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有自杀想法和行为史的小学学龄儿童的神经认知和临床特征。
DOI：
10.1016/j.jad.2023.07.038
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发表时间：
2023
影响因子：
6.6
通讯作者：
Sheftall,ArielleH
中科院分区：
文献类型：
--
作者：
Chen,Qi;Armstrong,SarahE;Vakil,Fatima;Bridge,JeffreyA;Keilp,JohnG;Sheftall,ArielleH
背景近年来，小学适龄青少年的自杀想法和行为（STB）有所增加。了解与儿童 STB 相关的风险对于预防工作是必要的。方法当前的研究检查了有（STB+）和无（STB-）STB 病史的小学学龄儿童社区样本的临床和神经认知特征。最终样本包括 93 个家庭，其子女平均年龄为 7.8 岁 (SD= 1.3)。该样本中的儿童种族多样，性别各异，而且大多数被认为是非西班牙裔。使用计算机行为测量来评估神经认知功能。使用自我报告措施评估儿童临床特征，并使用半结构化访谈评估 STB 病史。结果 在 93 个家庭中，有 64 名 STB- 儿童和 29 名 STB+ 儿童参与。平均而言，STB+ 儿童年龄较大，抑郁和焦虑症状水平较高，并且更有可能有父母自杀行为史 (PH+)。在神经认知功能方面，STB+ 儿童在 NIH 维度变化卡片分类任务 (NIH-DCCS) 和 NIH 侧翼抑制控制和注意力测试 (NIH-Flanker) 中表现出较低的原始分数。多变量回归分析显示 NIH-DCCS 和 NIH-Flanker 的原始评分、PH+ 状态和儿童年龄与儿童 STB 相关。局限性需要前瞻性数据来确认横断面研究结果。结论较差的神经认知功能和 PH+ 状态可能作为小学学龄儿童 STB 的风险标记。针对这些风险制定针对性的预防规划可能会降低高危小学学龄青少年罹患 STB 的可能性。
BackgroundSuicidal thoughts and behaviors (STBs) in elementary school-aged youth have increased in recent years. Understanding the risks associated with childhood STBs is necessary for prevention efforts.MethodsThe current study examined clinical and neurocognitive characteristics of a community sample of elementary school-aged children with (STB+) and without (STB-) a history of STBs. The final sample included 93 families with children average age of 7.8 years (SD= 1.3). Children in this sample were racially diverse, evenly split by sex, and most identified as non-Hispanic. Neurocognitive functioning was assessed using computerized behavioral measures. Child clinical characteristics were assessed using self-report measures and STB history was assessed using semi-structured interviews.ResultsOf the 93 families, 64 STB- children and 29 STB+ children participated. On average, STB+ children were older, reported higher levels of depressive and anxiety symptoms, and were more likely to have a parental history of suicidal behavior (PH+). Regarding neurocognitive functioning, STB+ children exhibited lower raw scores for both the NIH Dimensional Change Card Sort Task (NIH-DCCS) and NIH Flanker Inhibitory Control and Attention Test (NIH-Flanker). Multivariable regression analyses revealed raw scores for NIH-DCCS and NIH-Flanker, PH+ status, and child age were associated with childhood STBs.LimitationsProspective data is needed to confirm cross-sectional findings.ConclusionsPoorer neurocognitive functioning and PH+ status may serve as risk markers for STBs in elementary school-aged children. Targeting prevention programming for these risks may reduce the likelihood of STBs in at-risk elementary school-aged youth.