Means, Intent, Lethality, Behaviors, and Psychiatric Diagnosis in Latina Adolescent Suicide Attempters
Means, Intent, Lethality, Behaviors, and Psychiatric Diagnosis in Latina Adolescent Suicide Attempters
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DOI：
10.1037/a0026258
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发表时间：
2012-06-01
影响因子：
1.5
通讯作者：
Cintron, Stephanie L.
中科院分区：
文献类型：
--
作者：
Hausmann-Stabile, Carolina;Kuhlberg, Jill A.;Cintron, Stephanie L.
这篇文章描述了拉丁裔青少年自杀企图者的手段、意图、致命性、行为特征和精神诊断。从一个研究拉丁裔自杀企图的社会文化过程的大型混合方法项目中，我们为本报告选择了76名参与者。除了定量研究数据外，还提供了所有76名参与者的医疗记录，以及其中34人的深度访谈所得的定性数据。本研究运用定性与定量研究资料，探讨青少年自杀倾向与行为特征。医疗记录提供了更多的信息，说明青少年在自杀过程中使用的手段，以及他们的精神诊断。自杀企图致死率采用自杀企图致死率评定量表（LSARS）和自杀企图致死率评定量表-更新版（LSARS- ii）进行编码。调查结果表明，拉丁美洲。青少年自杀企图的致死率很低。与文献一致，大多数青少年报告说，他们使用家中可用的手段进行自杀（割伤和过量用药是主要方法）。当比较青少年自我报告的行为特征和临床医生的精神病诊断时，有趣的差异出现了。本报告对住院和门诊服务提供者的诊断和治疗方法具有启示意义。
This article describes the means, intent, lethality, behavioral profiles, and psychiatric diagnoses of adolescent Latina suicide attempters. From a large, mixed-method project studying the sociocultural processes of Latina suicide attempts, we selected 76 participants for this report. In addition to quantitative research data, medical records were available for all 76 participants, as was qualitative data from in-depth interviews for 34 of them. Using the qualitative and quantitative research data, we explored intent and behavioral profiles of the suicidal adolescents. Medical records provided additional information about the means the adolescents used in their attempts, and about their psychiatric diagnoses. The lethality of suicide attempts was coded using the Lethality of Suicide Attempt Rating Scale (LSARS) and the Lethality of Suicide Attempt Rating Scale-Updated (LSARS-II). Findings showed that Latina. adolescent suicide attempts are low in lethality. Consistent with the literature, most adolescents reported that they attempted by using means available in their homes (cutting and overdosing with medications were the predominant methods). Interesting discrepancies emerged when comparing adolescents' self-reported behavioral profiles with clinicians' psychiatric diagnoses. This report has implications for diagnosis and treatment approaches for both inpatient and outpatient service providers.