Time to hospitalization for suicide attempt by the timing of parental suicide during offspring early development.
Time to hospitalization for suicide attempt by the timing of parental suicide during offspring early development.
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DOI：
10.1001/jamapsychiatry.2013.274
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发表时间：
2013-02
期刊：
影响因子：
25.8
通讯作者：
Wilcox, Holly C.
中科院分区：
文献类型：
--
作者：
Kuramoto, S. Janet;Runeson, Bo;Stuart, Elizabeth A.;Lichtenstein, Paul;Wilcox, Holly C.
先前的研究表明，在较早年龄经历父母自杀的儿童未来因自杀未遂住院的风险更高。然而，在父母自杀时，风险轨迹如何随后代年龄的不同而不同，目前尚不清楚。研究在父母自杀或意外死亡后，子女因自杀未遂而住院的风险时间，并按父母死亡时子女的发育时期划分。以人群为基础的回顾性队列研究瑞典，从1973年至2003年，26,096名经历过父母自杀的后代和32,395名25岁前事故死者的后代。因自杀未遂住院采用参数生存分析对儿童早期（0-5岁）、童年后期（6-12岁）、青春期（13-17岁）和青年期（18-24岁）失去父母的子女因自杀未遂而住院的时间进行建模。在童年早期或晚期失去父母的后代的风险在大约5年后超过了其他两个年龄组的风险，对最年轻的一组来说，在几十年的时间里继续上升。在青春期或青年时期失去父母的后代在父母自杀后的1到2年内风险最大，风险随着时间的推移而下降。在经历过父母致命事故的儿童中，住院风险的形状相似。当两组在每个发育阶段因自杀未遂住院治疗的形式固定为相同时，父母一方因自杀死亡的后代比父母一方因事故死亡的后代更早因自杀未遂住院治疗的风险。在童年时期失去父母的子女自杀未遂的住院风险与在青春期或青年期失去父母的子女不同。结果表明，对自杀企图风险进行仔细监测和干预的关键窗口期，特别是在父母死亡后的1-2年，以及父母死亡后的童年幸存者的数十年。
Previous studies have suggested that children who experience parental suicide at earlier ages are at higher risk of future hospitalization for suicide attempt. However, how the trajectories of risk differ by offspring age at the time of parental suicide is currently unknown. To study time at risk to hospitalization for suicide attempt among offspring after experiencing parental suicide or accidental death by offspring developmental period at the time of parental death. Population-based retrospective cohort study Sweden 26,096 offspring who experienced parental suicide and 32,395 offspring of accident decedents prior to age 25 from 1973-2003. Hospitalization for suicide attempt. Parametric survival analysis was used to model the time to hospitalization for suicide attempt across offspring who lost a parent during early childhood (0-5 years old), later childhood (6-12), adolescence (13-17) and young adulthood (18-24). The risk in offspring who lost a parent during early or late childhood surpassed the other two age groups’ hazards approximately 5 years after the origin and, for the youngest group, continued to rise over the course of decades. Offspring who lost a parent during adolescence or young adulthood were at greatest risk within 1 to 2 years after parental suicide, and risk declined over time. The shape of hospitalization risk was similar among those who experienced parental fatal accident. When the shape of hospitalization for suicide attempt at each developmental period was fixed to be the same between the two groups, offspring who lost a parent to suicide had earlier risk to hospitalization for suicide attempt hospitalization than offspring who lost a parent to an accident. The hospitalization risk for suicide attempt in offspring who lost a parent during their childhood is different from those who lost a parent during adolescence or young adulthood. The results suggest critical windows for careful monitoring and intervention for suicide attempt risk, especially 1-2 years after parental death for the older age groups and over decades for childhood survivors of parental death.
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影响因子：
17.7
作者：
Beautrais, AL
通讯作者：
Beautrais, AL
影响因子：
3.3
作者：
BOWLBY, J
通讯作者：
BOWLBY, J
影响因子：
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作者：
Kuramoto, S. Janet;Brent, David A.;Wilcox, Holly C.
通讯作者：
Wilcox, Holly C.
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6.8
作者：
AKAIKE, H
通讯作者：
AKAIKE, H
影响因子：
8
作者：
Kuramoto SJ;Stuart EA;Runeson B;Lichtenstein P;Långström N;Wilcox HC
通讯作者：
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