Suicidal ideation in early to middle adolescence: sex-specific trajectories and predictors
Suicidal ideation in early to middle adolescence: sex-specific trajectories and predictors
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DOI：
10.1111/jcpp.12484
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发表时间：
2016-05-01
影响因子：
7.6
通讯作者：
Vander Stoep, Ann
中科院分区：
文献类型：
--
作者：
Adrian, Molly;Miller, Adam Bryant;Vander Stoep, Ann
BackgroundThe本研究采用前瞻性纵向设计，以521名儿童为样本，研究了自杀意念（SI）的发展轨迹和SI早期至中期的预测因素，基线评估包括结构化访谈和家长和家长报告的措施，在11- 12岁进行，随访评估发生在6，12，18，结果基于组的轨迹分析显示三组个体，一组在整个研究时间内保持低意念分数，另一组具有中等意念分数和少数具有波动SI的儿童。SI轨迹的性别差异显示，男孩在12岁时SI分数最高。对于这一组的男孩来说，随着时间的推移，高的构思能力会随着斜率的稳步下降而下降。女孩的SI表现为二次函数，从12岁到13岁增加，从14岁到15岁减少。确定了预测SI组成员资格的因素。抑郁症，外化问题，家庭和朋友的支持歧视SI轨迹的男孩和女孩。自杀企图史与男孩的中度和高度下降的意念组有关，与女孩的中度和高度下降的意念组有关。结论青少年SI的评估应该发生在青少年早期，特别是在学校过渡时期。阅读doi上这篇文章的评论：
BackgroundThe present study examined developmental trajectories of suicidal ideation (SI) and predictors of the course of SI across early to middle adolescence in a sample of 521 children utilizing a prospective longitudinal design.MethodA baseline assessment including structured interviews and parent- and adolescent-reported measures was conducted at age 11-12years, with follow-up assessments occurring 6, 12, 18, and 36months later.ResultsGroup-based trajectory analyses revealed three groups of individuals, one group that remained at low ideation scores throughout the time period examined, another group with moderate ideation scores and a minority of children who had fluctuating SI. Sex differences in SI trajectories were revealed with the highest SI scores at age 12 for boys. For boys in this group, high ideation followed by a steady decline in the slope over time. SI in girls demonstrated a quadratic function increasing from age 12 to 13, and decreasing from age 14 to 15. Factors that predicted SI group membership were identified. Depression, externalizing problems, family and friend support discriminated SI trajectories for both boys and girls. History of a suicide attempt was associated with moderate- and high-declining ideation groups for boys, and moderate and high ideation group for girls.ConclusionsAssessment of SI in adolescents should occur in early adolescents, particularly around the time of school transitions.Read the Commentary on this article at doi: