Impulsivity and Suicidality in Adolescent Inpatients.
Impulsivity and Suicidality in Adolescent Inpatients.
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DOI：
10.1007/s10802-016-0146-8
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发表时间：
2017-01
影响因子：
3.6
通讯作者：
Johnson, Sheri L.
中科院分区：
文献类型：
--
作者：
Auerbach, Randy P.;Stewart, Jeremy G.;Johnson, Sheri L.
自杀是青少年死亡的第二大原因，冲动性已经成为一个有希望的风险标志。本研究测试了不同的冲动域是否与自杀意念，计划和企图有差异。青少年（n = 381;男孩= 106，女孩= 275），年龄13-19岁（M = 15.62，SD = 1.41）从急性，住院治疗计划招募。在入院后48小时内，参与者进行了结构化的临床访谈，评估心理健康障碍和自杀倾向。在这些访谈之后，参与者完成了评估症状严重程度和冲动性的自我报告问卷。与过去的研究一致，我们的90项冲动性工具的探索性因素分析导致了三个因素的解决方案：普遍影响的感觉，感觉触发行动，缺乏后续行动。对这些因素的同步分析证实了过去一个月自杀意念和企图的独特关联的假设。具体而言，尽管情感的普遍影响（即，情绪倾向于塑造关于自我和未来的想法）与更大的自杀意念，情感触发行动（即，对情绪的冲动行为反应）与自杀企图的发生唯一相关，即使在控制了当前的精神病诊断和症状之后。探索性性别分析显示，这些影响是显着的女性，但不是男性青少年。这些发现提供了关于冲动性的特定领域如何不同地增加自杀意念和企图的风险的新见解。早期识别和预防青少年自杀的影响进行了讨论。
Suicide is the second leading cause of death among adolescents, and impulsivity has emerged as a promising marker of risk. The present study tested whether distinct domains of impulsivity are differentially associated with suicide ideation, plans, and attempts. Adolescents (n = 381; boys = 106, girls = 275) aged 13–19 years (M = 15.62, SD = 1.41) were recruited from an acute, residential treatment program. Within 48 h of admission to the hospital, participants were administered structured clinical interviews assessing mental health disorders and suicidality. Following these interviews, participants completed self-report questionnaires assessing symptom severity and impulsivity. Consistent with past research, an exploratory factor analysis of our 90-item impulsivity instrument resulted in a three-factor solution: Pervasive Influence of Feelings, Feelings Trigger Action, and Lack of Follow-Through. Concurrent analysis of these factors confirmed hypotheses of unique associations with suicide ideation and attempts in the past month. Specifically, whereas Pervasive Influence of Feelings (i.e., tendency for emotions to shape thoughts about the self and the future) is uniquely associated with greater suicidal ideation, Feelings Trigger Action (i.e., impulsive behavioral reactivity to emotions) is uniquely associated with the occurrence of suicide attempts, even after controlling for current psychiatric diagnoses and symptoms. Exploratory gender analyses revealed that these effects were significant in female but not male adolescents. These findings provide new insight about how specific domains of impulsivity differentially increase risk for suicide ideation and attempts. Implications for early identification and prevention of youth suicide are discussed.
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影响因子：
3.4
作者：
Dick DM;Smith G;Olausson P;Mitchell SH;Leeman RF;O'Malley SS;Sher K
通讯作者：
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影响因子：
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作者：
Beautrais, AL
通讯作者：
Beautrais, AL
影响因子：
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作者：
Auerbach, Randy P.;Kim, Judy C.;Chango, Joanna M.;Spiro, Westley J.;Cha, Christine;Gold, Joseph;Esterman, Michael;Nock, Matthew K.
通讯作者：
Nock, Matthew K.
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11.3
作者：
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通讯作者：
Nouvion, Sylvain O.
影响因子：
22.4
作者：
Cyders, Melissa A.;Smith, Gregory T.
通讯作者：
Smith, Gregory T.