A 2-4 year follow up of depressive symptoms, suicidal ideation, and suicide attempts among adolescent psychiatric inpatients
A 2-4 year follow up of depressive symptoms, suicidal ideation, and suicide attempts among adolescent psychiatric inpatients
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DOI：
10.1007/s007870050053
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发表时间：
1998-06-01
影响因子：
6.4
通讯作者：
Gillberg, C
中科院分区：
文献类型：
--
作者：
Ivarsson, T;Larsson, B;Gillberg, C
在乌普萨拉和哥德堡市儿童和青少年精神病诊所急诊室收治的191名青少年住院患者中，有111名（58%）参加了2-4年的随访评估。研究了青少年中抑郁症状、自杀意念和自杀企图的患病率、发生率和稳定性，以及随访功能的预测因素。虽然大多数患者在2-4年期间的抑郁症状大幅减少，但较小的一组（13%），主要是女孩（94%），在随访时继续报告高症状水平，五分之一的青少年有中度至重度自杀意念。住院前不久和随访期间患者自杀企图的累积频率为59%，包括两名自杀的患者。随访时抑郁症状严重程度的重要预测因素是抑郁症状评分和住院评估时的V诊断。住院前的自杀企图，高水平的自我报告的抑郁症状和不完整的家庭状况在住院评估预测在随访期间的自杀企图。自杀未遂和自杀完成的高患病率在这个临床组强调了发展有效的治疗自杀青少年的重要性。
One hundred eleven (58%) of 191 adolescent inpatients previously admitted to the emergency wards at the Child and Adolescent Psychiatric Clinics in the cities of Uppsala and Goteborg participated in a 2-4 year follow-up evaluation. The prevalence, incidence, and stability of depressive symptoms, suicidal ideation, and suicide attempts among the adolescents, and predictors of follow-up functioning were examined. Although a majority of the patients substantially reduced their depressive symptoms over the 2-4 year period, a smaller group (13%), mainly girls (94%), continued reporting high symptom levels at follow-up, and one out of five adolescents had moderate-severe levels of suicidal ideation. The accumulated frequency of suicide attempts among the patients shortly prior to hospitalization and during the follow-up was 59% including two patients who committed suicide. Significant predictors of depressive symptom severity at follow-up were depressive symptom scores and V-diagnoses at inpatient assessment. Previous suicide attempts before hospitalization, high levels of self-reported depressive symptoms and nonintact family status at inpatient assessment predicted suicide attempts during the follow-up period. The high prevalence of attempted and completed suicide in this clinical group underscores the importance of developing effective treatments for suicidal adolescents.