Parents' awareness of children's suicide attempts.
Parents' awareness of children's suicide attempts.
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父母对儿童自杀企图的认识。
DOI：
10.1176/ajp.147.10.1364
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
Weissman,MM
中科院分区：
文献类型：
--
作者：
Walker,M;Moreau,D;Weissman,MM
方法本研究中的儿童是一个子集的220名儿童在高或低风险的精神疾病凭借的存在或不存在的主要抑郁症在他们的父母。关于孩子的信息来自dimect对孩子母亲的采访和对孩子的直接采访，这些孩子中有175人，81名男孩和94名女孩，他们组成了本报告的研究小组。这些儿童在初次面谈时年龄在6至23岁之间。该方法的细节在其他地方介绍（3）。每名儿童的评估工具包括儿童总体评估量表（4）和学龄儿童情感障碍和精神分裂症量表-流行病学版（KIDDIE-SADS-E）（5）。儿童全面评估量表是对成人全面评估量表的改编，是一个单维评级量表，用于评估特定时期的社会和心理功能，评分范围为1至100。得分高于70表示功能良好。KIDDIESADS-E探测当前和过去是否存在自杀行为和/或意念。故意性以4分制评分，范围从1（低意图）到4（严重意图）。孩子和孩子的母亲分别接受了KIDDIE-SADS-E的采访。一位儿童精神病学家，对父母的诊断一无所知，利用所有可用的信息对孩子的DSM-III诊断做出最佳估计（6）。卡帕系数，一个指数，
METHODThe children in this study were a subset of 220 children at high on low risk for psychiatric disorder by virtue of the presence on absence of major depression in their parents. Information about the child from dimect interviews with the mother about the child and interviews with the child directly were available for 175 of these children, 81 boys and 94 girls, who make up the study group for this report. The children were 6 to 23 years old at initial interview. Details of the method are presented elsewhere(3). The assessment instruments for each child included the Children’s Global Assessment Scale (4) and the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Epidemiology Version(KIDDIE-SADS-E)(5). The Children’s Global Assessment Scale, an adaptation of the Global Assessment Scale for adults, is a unidimensional rating scale for evaluating social and psychological functioning during a specific time period on a scale from 1 to 100. Scores above 70 indicate good functioning. The KIDDIESADS-E probes for the presence or absence of suicidal behavior and/or ideation, both currently and in the past. Intentionality is scored on a 4-point scale ranging from 1 (low intent) to 4 (serious intent). The child and the child’s mother were interviewed separately with the KIDDIE-SADS-E. A child psychiatnist, blind to parental diagnosis, used all available information to make a best estimate DSM-III diagnosis of the child(6). The kappa coefficient, an index of