Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement.
Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement.
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DOI：
10.1001/2013.jamapsychiatry.55
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发表时间：
2013-03
期刊：
影响因子：
25.8
通讯作者：
Kessler, Ronald C.
中科院分区：
文献类型：
--
作者：
Nock, Matthew K.;Green, Jennifer Greif;Hwang, Irving;McLaughlin, Katie A.;Sampson, Nancy A.;Zaslavsky, Alan M.;Kessler, Ronald C.
虽然自杀是美国青少年死亡的第三大原因，但对其直接前兆青少年自杀行为（即，自杀意念、计划和企图）。估计美国青少年自杀行为的终生患病率以及回顾性报告的时间原发性DSM-IV疾病与随后发生自杀行为的相关性。来自科摩罗全国青少年重复调查补充资料（NCS-A）的双框架全国青少年样本。对青少年进行面对面的家庭访谈，并对父母进行问卷调查。6，483名青少年（13-18岁）和父母。终生自杀意念、计划和企图。NCS-A受访者中自杀意念、计划和企图的估计终生患病率分别为12.1%、4.0%和4.1%。绝大多数有这些行为的青少年符合调查中评估的至少一种DSM-IV精神障碍的终身标准。在双变量模型中，大多数时间原发性（基于回顾性发病年龄报告）恐惧/愤怒、痛苦、破坏性行为和物质障碍显著预测随后自杀行为的几率升高。这些疾病中最重要的联系是与自杀意念有关，尽管一些疾病也预测了自杀者的计划以及计划内和计划外的尝试。大多数有自杀倾向的青少年（>80%）都接受过某种形式的心理健康治疗。在大多数情况下（>55%），治疗在自杀行为发生之前开始，但未能阻止这些行为的发生。自杀行为通常发生在美国青少年中，其发生率接近成年人。绝大多数有自杀行为的青少年都有预先存在的精神障碍。然而，最有力地预测构思的障碍与最有力地预测从构思到计划和尝试的条件转换的障碍是不同的。这些差异表明，不同的预测和预防策略，需要构思，构思者之间的计划，有计划的尝试，和计划外的尝试。
Although suicide is the third leading cause of death among US adolescents, little is known about the prevalence, correlates, or treatment of its immediate precursors, adolescent suicidal behaviors (i.e., suicide ideation, plans, and attempts). To estimate lifetime prevalence of suicidal behaviors among US adolescents and associations of retrospectively-reported temporally primary DSM-IV disorders with the subsequent onset of suicidal behaviors. Dual-frame national sample of adolescents from the National Comorbidity Survey-Replication Adolescent Supplement (NCS-A). Face-to-face household interviews with adolescents and questionnaires with parents. 6,483 adolescents (ages 13–18 years) and parents. Lifetime suicide ideation, plans, and attempts. The estimated lifetime prevalence of suicide ideation, plans, and attempts among NCS-A respondents is 12.1%, 4.0% and 4.1%. The vast majority of adolescents with these behaviors meet lifetime criteria for at least one DSM-IV mental disorder assessed in the survey. Most temporally primary (based on retrospective age-of-onset reports) fear/anger, distress, disruptive behavior, and substance disorders significantly predict elevated odds of subsequent suicidal behaviors in bivariate models. The most consistently significant associations of these disorders are with suicide ideation, although a number of disorders also predict plans and both planned and unplanned attempts among ideators. Most suicidal adolescents (>80%) receive some form of mental health treatment. In most cases (>55%) treatment starts prior to onset of suicidal behaviors but fails to prevent these behaviors from occurring. Suicidal behaviors are commonly occurring among US adolescents, with rates that approach those of adults. The vast majority of youth with suicidal behaviors have pre-existing mental disorders. The disorders most powerfully predicting ideation, though, are different from those most powerfully predicting conditional transitions from ideation to plans and attempts. These differences suggest that distinct prediction and prevention strategies are needed for ideation, plans among ideators, planned attempts, and unplanned attempts.
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影响因子：
17.7
作者：
Beautrais, AL
通讯作者：
Beautrais, AL
影响因子：
120.7
作者：
Kessler, RC;Berglund, P;Wang, PS
通讯作者：
Wang, PS
影响因子：
6.9
作者：
Grills, AE;Ollendick, TH
通讯作者：
Ollendick, TH
影响因子：
--
作者：
Kessler, Ronald C.;Avenevoli, Shelli;Costello, E. Jane;Georgiades, Katholiki;Green, Jennifer Greif;Gruber, Michael J.;He, Jian-ping;Koretz, Doreen;McLaughlin, Katie A.;Petukhova, Maria;Sampson, Nancy A.;Zaslavsky, Alan M.;Merikangas, Kathleen Ries
通讯作者：
Merikangas, Kathleen Ries
影响因子：
3.7
作者：
EFRON, B
通讯作者：
EFRON, B