Adolescent self-harm and suicidal thoughts in the ALSPAC cohort: a self-report survey in England.
Adolescent self-harm and suicidal thoughts in the ALSPAC cohort: a self-report survey in England.
复制标题
DOI：
10.1186/1471-244x-12-69
复制
发表时间：
2012-06-27
期刊：
影响因子：
4.4
通讯作者：
Gunnell D
中科院分区：
文献类型：
--
作者：
Kidger J;Heron J;Lewis G;Evans J;Gunnell D
相当多的青少年自残，但大多数情况下没有得到医疗服务的关注，因此社区研究至关重要。在这个年龄段自杀想法和计划的流行程度，以及自杀想法，计划和自我伤害之间的相互关系在很大程度上仍未被探索。横断面分析的自我报告的问卷调查数据收集的成员雅芳纵向研究的父母和子女（ALSPAC）出生队列，英格兰。受访者（n = 4810）年龄为16-17岁，并从出生起接受随访。总共有905人（18.8%）曾经自残。女性（25.6%）的终身自我伤害发生率高于男性（9.1%）。最常用的方法是自我切割：73.5%的事件单独使用或联合使用，相比之下，10.0%的事件单独或联合使用过量药物。在报告自残的人中，25.3%的人在最近一次事件中想死。并发抑郁症与自我伤害的风险大大增加相关（OR 5.43）。只有12.4%的参与者在最近一次自残后寻求医疗帮助，尽管这一数字在自残是出于死亡的愿望时更高（30.1%）。在整个样本中，15.8%的人曾经想过自杀，4.3%的人曾经计划过自杀。与从未自残过的人相比，在最近一次事件中自残过但不想死的人有过自杀想法的风险增加（37.6%比7.8%，χ2 =102.3，p < 0.001），曾经制定自杀计划的风险增加（8.7%比0.7%，χ2 =166.9，p < 0.001）。随着自残频率的增加，自杀想法和计划的风险也在增加。自残和自杀想法在16/17奥尔兹的青少年中很常见。虽然大多数自残行为并不伴随着死亡的愿望，但所有自残行为，无论动机如何，都与自杀想法和计划的风险增加有关，特别是当它反复进行时。
Substantial numbers of adolescents self-harm, but the majority of cases do not reach the attention of medical services, making community studies essential. The prevalence of suicidal thoughts and plans at this age, and the inter-relationships between suicidal thoughts, plans and self-harm remain largely unexplored. Cross-sectional analysis of self-reported questionnaire data collected from members of the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort, England. Respondents (n = 4810) were aged 16–17 years old and have been followed up since birth. Altogether 905 (18.8%) respondents had ever self-harmed. The prevalence of lifetime self-harm was higher in females (25.6%) than males (9.1%). The most commonly used method was self-cutting: this was used alone or in combination in 73.5% of episodes, compared to 10.0% who took overdoses alone or in combination with other methods. Of those who reported self-harm, 25.3% wanted to die during the most recent episode. Concurrent depression was associated with a greatly increased risk of self-harm (OR 5.43). Only 12.4% of participants sought medical help following their most recent episode of self-harm, although this figure was higher (30.1%) where self-harm was carried out with desire to die. Of the whole sample, 15.8% had ever thought of killing themselves, and 4.3% had ever made plans to kill themselves. Compared to those who had never self-harmed, those who had self-harmed but not wanted to die during the most recent episode were at increased risk of ever having had suicidal thoughts (37.6% compared to 7.8% χ2 =102.3, p < 0.001) and ever making suicidal plans (8.7% compared to 0.7%, χ2 =166.9, p < 0.001). As the frequency of self-harm increased, so did the risk of suicidal thoughts and plans. Self-harm and suicidal thoughts are common among 16/17 year olds. Although the majority of self-harm behaviour is not accompanied by a desire to die, all self-harm regardless of motivation is associated with increased risk of suicidal thoughts and plans, particularly when it is carried out repeatedly.