Annual Research Review: Suicide among youth - epidemiology, (potential) etiology, and treatment.
Annual Research Review: Suicide among youth - epidemiology, (potential) etiology, and treatment.
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DOI：
10.1111/jcpp.12831
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发表时间：
2018-04
期刊：
影响因子：
--
通讯作者：
Nock MK
中科院分区：
文献类型：
--
作者：
Cha CB;Franz PJ;M Guzmán E;Glenn CR;Kleiman EM;Nock MK
自杀是导致死亡的主要原因，也是一种复杂的临床结局。在这里，我们总结了有关青年自杀想法和行为的研究现状。我们回顾他们的定义/测量和现象学，流行病学，潜在的病因机制，心理治疗和预防工作。我们确定了知识的关键模式和差距，应该指导未来的工作。在流行病学方面，青年自杀念头和行为的流行率因国家和社会人口而异。尽管如此，研究很少进行跨国和不统一占高风险人群。关于病因学，大多数风险因素已在环境和心理因素（特别是负面影响相关过程）范围内确定，最常见的是使用自我报告措施。很少有研究跨越其他分析单元，包括行为，生理学，分子，细胞和基因。最后，有越来越多的证据支持选择性心理治疗和预防战略，并有初步证据支持基于技术的干预措施。为了更好地了解青少年的自杀想法和行为，还有很多工作要做。我们强烈鼓励未来的研究：（1）继续改善自杀想法和行为的概念化和操作化;（2）通过关注个体，（最好是可塑性）机制;（3）通过整合多个分析单位的发现和开发短期预测模型来提高病因学理解;（4）总体上表现出更高的发育敏感性;（5）通过抽样和报告样本特征来说明不同的高危人群。这些是改善科学方法、知识基础和最终预防青年自杀想法和行为的初步步骤。
Suicide is a leading cause of death and a complex clinical outcome. Here we summarize the current state of research pertaining to suicidal thoughts and behaviours in youth. We review their definitions/measurement and phenomenology, epidemiology, potential etiological mechanisms, and psychological treatment and prevention efforts. We identify key patterns and gaps in knowledge that should guide future work. Regarding epidemiology, the prevalence of suicidal thoughts and behaviours among youth varies across countries and sociodemographic populations. Despite this, studies are rarely conducted cross-nationally and do not uniformly account for high-risk populations. Regarding etiology, the majority of risk factors have been identified within the realm of environmental and psychological factors (notably negative affect-related processes), and most frequently using self-report measures. Little research has spanned across additional units of analyses including behaviour, physiology, molecules, cells, and genes. Finally, there has been growing evidence in support of select psychotherapeutic treatment and prevention strategies, and preliminary evidence for technology-based interventions. There is much work to be done to better understand suicidal thoughts and behaviours among youth. We strongly encourage future research to: (1) continue improving the conceptualization and operationalization of suicidal thoughts and behaviours; (2) improve etiological understanding by focusing on individual (preferably malleable) mechanisms; (3) improve etiological understanding also by integrating findings across multiple units of analyses and developing short-term prediction models; (4) demonstrate greater developmental sensitivity overall; and (5) account for diverse high-risk populations via sampling and reporting of sample characteristics. These serve as initial steps to improve the scientific approach, knowledge base, and ultimately prevention of suicidal thoughts and behaviours among youth.
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影响因子：
25.8
作者：
Brent, David A.;Melhem, Nadine M.;Oquendo, Maria;Burke, Ainsley;Birmaher, Boris;Stanley, Barbara;Biernesser, Candice;Keilp, John;Kolko, David;Ellis, Steve;Porta, Giovanna;Zelazny, Jamie;Iyengar, Satish;Mann, John
通讯作者：
Mann, John
影响因子：
17.7
作者：
Beautrais, AL
通讯作者：
Beautrais, AL
DOI：
10.1016/j.jaac.2012.01.002
发表时间：
2012-04
影响因子：
13.3
作者：
Bridge JA;McBee-Strayer SM;Cannon EA;Sheftall AH;Reynolds B;Campo JV;Pajer KA;Barbe RP;Brent DA
通讯作者：
Brent DA
影响因子：
4.9
作者：
Almeida, Joanna;Johnson, Renee M.;Corliss, Heather L.;Molnar, Beth E.;Azrael, Deborah
通讯作者：
Azrael, Deborah
影响因子：
4.5
作者：
Bhui, Kamaldeep;McKenzie, Kwame;Rasul, Farhat
通讯作者：
Rasul, Farhat