Suicide and serious suicide attempts in youth: A multiple-group comparison study

Suicide and serious suicide attempts in youth: A multiple-group comparison study
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DOI:
10.1176/appi.ajp.160.6.1093
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发表时间:
2003-06-01
影响因子:
17.7
通讯作者:
Beautrais, AL
Beautrais, AL
中科院分区:
医学1区
文献类型:
--
作者:
Beautrais, AL

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目的:本研究比较25岁以下青少年自杀和医学上严重的非致命性自杀企图的危险因素。方法:将自杀者(N = 60)、严重自杀未遂者(N = 125)和非自杀社区对照者(N = 151)分为三组进行调查。在社会人口学、童年、家庭、社会心理和精神因素方面对自杀和非自杀受试者进行比较。结果:男性、学历不足、情绪障碍、精神病史和生活压力事件是自杀的主要特征。除性别外,类似的风险因素与严重的自杀企图有关。自杀和严重的自杀企图受到性别和情绪障碍的歧视。自杀和非致命性自杀企图之间的性别差异可以用方法上的性别差异来解释。结论:相同的危险因素(情绪障碍、精神病史、教育劣势、压力环境)在自杀和严重自杀企图中起着相似的作用。自杀和自杀企图受到情绪障碍和方法上的性别差异的歧视。
Objective: This study compared risk factors for suicide and medically serious nonfatal suicide attempts among youth under 25 years of age.Method: Three groups were examined: individuals who committed suicide (N = 60), individuals who made serious suicide attempts (N = 125), and nonsuicidal community comparison subjects (N = 151). Suicidal and nonsuicidal subjects were compared in terms ofsociodemographic, childhood, family, psychosocial, and psychiatric factors.Results: Suicides were characterized by male gender, lack of educational qualifications, mood disorder, history of mental health care, and stressful life events. Except for gender, similar risk factors were associated with serious suicide attempts. Suicides and serious suicide attempts were discriminated by gender and mood disorder. Gender differences between suicides and nonfatal suicide attempts were explained by gender differences in methods.Conclusions: The same risk factors (mood disorder, history of psychiatric care, educational disadvantage, stressful circumstances) play a similar role in suicide and serious suicide attempts. Suicide and suicide attempts are discriminated by mood disorder and gender differences in methods.