Psychotic-like experiences are associated with suicidal feelings and deliberate self-harm behaviors in adolescents aged 12-15 years
Psychotic-like experiences are associated with suicidal feelings and deliberate self-harm behaviors in adolescents aged 12-15 years
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DOI：
10.1111/j.1600-0447.2009.01439.x
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发表时间：
2010-04-01
影响因子：
6.7
通讯作者：
Okazaki, Y.
中科院分区：
文献类型：
--
作者：
Nishida, A.;Sasaki, T.;Okazaki, Y.
目的：精神障碍是自杀的重要危险因素，尤其是在年轻人中。一般人群的类精神病经历（ple）可能与精神障碍有共同的病因背景。因此，本研究在社区青少年样本中调查了ple与自杀风险之间的关系。方法：采用自述问卷对5073名日本青少年进行类精神病经历、自杀感受和自残行为的研究。采用12项一般健康问卷（GHQ）对抑郁和焦虑进行评估。结果：在控制了年龄、性别、GHQ-12评分、受害情况和物质使用的影响后，双性恋的存在与自杀情绪（OR = 3.1, 95% CI = 2.2-4.5）和故意自残行为（OR = 3.1, 95% CI = 2.0-4.8）显著相关。自杀的感觉和行为在ple数量较多的受试者中更为普遍。结论：类似精神病的经历可能会增加青少年自杀问题的风险。
Objective:Psychotic disorders are a significant risk factor for suicide, especially among young people. Psychotic-like experiences (PLEs) in the general population may share an etiological background with psychotic disorders. Therefore, the present study examined the association between PLEs and risk of suicide in a community sample of adolescents.Method:Psychotic-like experiences, suicidal feelings, and self-harm behaviors were studied using a self-report questionnaire administered to 5073 Japanese adolescents. Depression and anxiety were evaluated using the 12-item General Health Questionnaire (GHQ).Results:The presence of PLEs was significantly associated with suicidal feelings (OR = 3.1, 95% CI = 2.2-4.5) and deliberate self-harm behaviors (OR = 3.1, 95% CI = 2.0-4.8) after controlling for the effects of age, gender, GHQ-12 score, victimization, and substance use. Suicidal feelings and behaviors were more prevalent in subjects with a greater number of PLEs.Conclusion:Psychotic-like experiences may increase the risk of suicidal problems among adolescents.