Estimating risk for suicide attempt: are we asking the right questions? Passive suicidal ideation as a marker for suicidal behavior.
Estimating risk for suicide attempt: are we asking the right questions? Passive suicidal ideation as a marker for suicidal behavior.
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DOI：
10.1016/j.jad.2011.06.026
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发表时间：
2011-11
影响因子：
6.6
通讯作者：
Blanco C
中科院分区：
文献类型：
--
作者：
Baca-Garcia E;Perez-Rodriguez MM;Oquendo MA;Keyes KM;Hasin DS;Grant BF;Blanco C
对死亡的渴望通常不被认为是更严重自杀行为的预兆，也不被常规地包括在自杀研究和评估访谈中。我们的目的是比较死亡欲望和自杀意念作为自杀企图的临床标志。利用两项具有全国代表性的调查（n=42,862和n=43,093）的数据，我们研究了死亡欲望是否能预测自杀企图。我们比较了那些有死亡欲望但没有自杀意念的人的终生自杀企图的比值比（OR）和“一个额外的人受到伤害所需暴露的数量”[NNEH]；有自杀意念但没有死亡欲望的人，以及既有死亡欲望又有自杀意念的人，与既没有死亡欲望也没有自杀意念的人相比。终生有死亡欲望但无自杀意念者与终生有自杀意念但无死亡欲望者的终生自杀企图风险相似。一生都有死亡欲望和自杀意念的受访者一生都有自杀企图的风险最高。横断面设计;自我报告的自杀意念/企图。询问个人对死亡的渴望与评估自杀意念以检查自杀企图的风险具有相同的价值。对死亡的渴望和自杀意念的结合是自杀企图的最佳预测因素。这具有很高的临床相关性，因为我们建议在临床评估中应将死亡欲望作为自杀的潜在临床标志。
Desire for death is not generally considered a harbinger of more severe suicidal behavior and is not routinely included in suicide research and assessment interviews. We aimed to compare desire for death and suicidal ideation as clinical markers for suicide attempts. Using data from two nationally representative surveys (n=42,862 and n=43,093 respectively), we examined whether desire for death predicts suicide attempts. We compared the odds ratio (OR) and “Number Needed to be Exposed for one additional person to be Harmed” [NNEH] for lifetime suicide attempts among those with desire for death but no suicidal ideation; those with suicidal ideation but no desire for death, and those with both desire for death and suicidal ideation, compared to those with neither desire for death nor suicidal ideation. The risk for lifetime suicide attempt was similar among those with lifetime desire for death with no suicidal ideation and those with lifetime suicidal ideation with no desire for death. Respondents with both lifetime desire for death and suicidal ideation had the highest risk for lifetime suicide attempts. Cross-sectional design; self-reported suicidal ideation/attempts. Querying individuals on desire for death has the same value as assessing suicidal ideation to examine risk for suicide attempt. A combination of desire for death and suicidal ideation is the best predictor for suicide attempts. This is of high clinical relevance since we suggest that desire for death should be included as a potential clinical marker of suicidality in clinical assessments.
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影响因子：
5.3
作者：
Baca-García, E;Diaz-Sastre, C;de Leon, J
通讯作者：
de Leon, J
影响因子：
5.4
作者：
Galfalvy, Hanga;Oquendo, Maria A.;Mann, J. John
通讯作者：
Mann, J. John
影响因子：
120.7
作者：
Kessler, RC;Berglund, P;Wang, PS
通讯作者：
Wang, PS
影响因子：
11
作者：
Baca-Garcia, E.;Perez-Rodriguez, M. M.;Keyes, K. M.;Oquendo, M. A.;Hasin, D. S.;Grant, B. F.;Blanco, C.
通讯作者：
Blanco, C.
影响因子：
--
作者：
Grant, BF;Stinson, FS;Anderson, K
通讯作者：
Anderson, K