Age- and sex-related risk factors for adolescent suicide
Age- and sex-related risk factors for adolescent suicide
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DOI：
10.1097/00004583-199912000-00010
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发表时间：
1999-12-01
影响因子：
13.3
通讯作者：
Chiappetta, L
中科院分区：
文献类型：
--
作者：
Brent, DA;Baugher, M;Chiappetta, L
目的：探讨年龄和性别对青少年自杀风险的影响。方法：采用标准的心理尸检方案，对140名自杀者和131名社区对照者进行比较。比较了老年人（大于或等于16岁）和年轻人以及男性和女性自杀的风险因素。结果如下：情绪障碍、父母精神病理学、终生虐待史、枪支可用性和既往自杀企图在所有4个人口统计学组中传达了显著的自杀风险。精神病理学，特别是物质滥用（单独或与情绪障碍共病），在老年青少年中更常见，自杀风险比年轻青少年高得多。年轻的自杀者自杀意图较低。男性选择了更多不可逆的方法，行为障碍在男性中更普遍，也是一个更重要的风险因素。结论：与年轻青少年相比，老年青少年的自杀率增加，部分原因是精神病理学（即药物滥用）的患病率更高，老年人的自杀意图更强。男性发病率的增加不太容易解释，但这可能源于方法的选择以及男性行为障碍的更大流行率和风险。
Objective: To examine the impact of age and sex on adolescent suicide risk. Method: A standard psychological autopsy protocol was used to compare 140 suicide victims with 131 community controls. The risk factors for older (greater than or equal to 16 years) and younger, and for male and female suicide were compared. Results: Mood disorders, parental psychopathology, lifetime history of abuse, availability of a gun, and past suicide attempt conveyed significant risk for suicide across all 4 demographic groups. Psychopathology, particularly substance abuse (alone and comorbid with mood disorder), was more common and conveyed a much higher risk for suicide in the older versus younger adolescents. Younger suicide victims showed lower suicidal intent. Males chose more irreversible methods, and conduct disorder was both more prevalent and a more significant risk factor in males. Conclusions: The increased rate of suicide in older versus younger adolescents is due in part to greater prevalence of psychopathology, namely substance abuse, and greater suicidal intent in the older population. The increased rate in males is less easily explained, but it may stem from method choice and the greater prevalence of and risk conveyed by conduct disorder in males.