Suicidal Ideation and Self-Harm Behavior in a Community Sample of Preadolescent Youth: A Case-Control Study

Suicidal Ideation and Self-Harm Behavior in a Community Sample of Preadolescent Youth: A Case-Control Study
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DOI:
10.1016/j.jadohealth.2011.09.013
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发表时间:
2012-05-01
影响因子:
7.6
通讯作者:
Hurt, Hallam
Hurt, Hallam
中科院分区:
医学2区
文献类型:
--
作者:
Giannetta, Mariel M.;Betancourt, Laura M.;Hurt, Hallam

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目的:研究的重点是了解与老年人自杀意念和自我伤害行为相关的风险因素,但对青春期前的这些行为知之甚少。我们研究了与自杀意念和自我伤害行为的青少年年龄在10-13 years.Design/Methods:一个社区样本的387名青年参加了一项前瞻性研究,评估危险行为的前兆。23名受试者赞同关于自杀意念或自我伤害行为的项目(Achenbach的青年自我报告)(赞同者)与23名非赞同者相匹配。组进行比较的问题行为,冲动,神经认知功能,风险行为,和其他variables.Results:背书人有较高水平的冲动,更有可能在边缘/临床范围内的8个青年自我报告综合征量表5,并报告更多的冒险。赞同者和非赞同者的神经认知功能相似。更多的非代言人兴奋剂,但组相似的父母的监测和父母的报告的行为/情绪问题,社会经济状况,和marrialstatus.Conclusion:在这项研究中,青春期前的代言人报告的问题行为比非代言人。然而,两组之间的父母监控和父母报告的问题相似。鉴于这些发现,我们认为,在风险青年可能在年轻时被低估。(C)2012年青少年健康和医学协会。All rights reserved.
Objective: Research has focused on understanding risk factors associated with suicidal ideation and self-harm behaviors in older youth, but less is known regarding these behaviors in preadolescents. We examined characteristics associated with suicidal ideation and self-harm behavior in youth aged 10-13 years.Design/Methods: A community sample of 387 youth was enrolled in a prospective study assessing precursors of risk behaviors. Twenty-three subjects endorsing items regarding suicidal ideation or self-harm behaviors (Achenbach's Youth Self-Report) (endorsers) were matched with 23 non-endorsers. Groups were compared on problem behaviors, impulsivity, neurocognitive function, risk behaviors, and other variables.Results: Endorsers had higher levels of impulsivity, were more likely in borderline/clinical range on 5 of 8 Youth Self-Report Syndrome scales, and reported more risk taking. Endorsers and non-endorsers were similar in neurocognitive function. More non-endorsers were on stimulants, but groups were similar in parental monitoring and parental report of behavioral/emotional issues, socioeconomic status, and marital status.Conclusion: In this study, preadolescent endorsers report significantly more problem behaviors than non-endorsers. However, parental monitoring and parent report of problems were similar between groups. Given these findings, we suggest that at-risk youth may be underrecognized at young ages. (C) 2012 Society for Adolescent Health and Medicine. All rights reserved.