Child survivors of suicide: Psychosocial characteristics
Child survivors of suicide: Psychosocial characteristics
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DOI：
10.1097/00004583-199701000-00019
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发表时间：
1997-01-01
影响因子：
13.3
通讯作者：
Jiang, H
中科院分区：
文献类型：
--
作者：
Pfeffer, CR;Martins, P;Jiang, H
目的：描述最近经历父母或兄弟姐妹自杀死亡的儿童和青少年的心理社会特征。方法：从社区招募16个有5岁至14岁儿童的家庭，这些家庭在研究评估年度内平均有一位亲属自杀死亡，并使用标准研究工具对儿童精神症状和社会适应水平进行评估。结果：与标准社区样本相比，自杀幸存者儿童有更高的内化症状和更差的学校适应率。25%的家庭有孩子报告有明显的临床抑郁症症状。大约40%的家庭包括报告至少有中度创伤后应激症状的儿童。大约31%的家庭至少有一个孩子报告有自杀意念，但没有孩子报告有自杀企图。儿童的社会心理特征与父母的精神症状和压力生活事件之间存在显著关联。结论：儿童自杀幸存者有精神症状和社会适应不良的风险，需要早期识别和预防干预，以尽量减少更广泛的社会心理疾病的风险。
Objective: To describe psychosocial characteristics of children and young adolescents who experienced the recent suicidal death of a parent or sibling. Method: Sixteen families with children aged 5 years to 14 years and who experienced the suicidal death of a relative on average within the year of research assessment were recruited from the community and evaluated with standard research instruments for levels of children's psychiatric symptoms and social adjustment. Results: Child survivors of suicide had a higher rate of internalizing symptoms and poorer school adjustment than a standard community sample. Twenty-five percent of the families had children who reported clinically significant symptoms of depression. Approximately 40% of the families included children who reported at least moderate symptoms of posttraumatic stress. Approximately 31% of families had at least one child who reported suicidal ideation, but no child reported a suicide attempt. Significant associations were identified between psychosocial features of the children and parental psychiatric symptoms and stressful life events. Conclusion: Child survivors of suicide are at risk for psychiatric symptoms and social maladjustment which require early identification and preventive intervention to minimize risk for more extensive psychosocial morbidity.