CHILDHOOD CIRCUMSTANCES, ADOLESCENT ADJUSTMENT, AND SUICIDE ATTEMPTS IN A NEW-ZEALAND BIRTH COHORT
CHILDHOOD CIRCUMSTANCES, ADOLESCENT ADJUSTMENT, AND SUICIDE ATTEMPTS IN A NEW-ZEALAND BIRTH COHORT
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DOI：
10.1097/00004583-199505000-00013
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发表时间：
1995-05-01
影响因子：
13.3
通讯作者：
LYNSKEY, MT
中科院分区：
文献类型：
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作者：
FERGUSSON, DM;LYNSKEY, MT
目的：评估新西兰 16 岁出生队列儿童中青春期自杀未遂的患病率，并研究青少年适应问题、精神病理学、童年环境和青少年自杀未遂风险之间的关系。方法：对 954 名新西兰儿童出生队列进行纵向研究，对自杀未遂、青少年适应问题、精神病理学和童年环境进行评估，每年对 16 岁儿童进行研究。结果：到 16 岁时，3.0% 的样本（4.2% 女孩和 1.9% 男孩）报告曾尝试自杀。自杀未遂与青少年问题行为或精神病理学发生率之间存在密切关联；患有适应问题或精神疾病的青少年尝试自杀的可能性高出 22 倍。来自弱势或功能失调家庭背景的儿童尝试自杀的风险也较高。适合自杀未遂、青少年精神病理学、适应问题和童年环境的对数线性模型表明存在因果链过程，其中童年问题显着（p
Objective: To estimate the prevalence of attempted suicide during adolescence in a birth cohort of New Zealand children studied to the age of 16 years and to examine the relationships among adolescent problems of adjustment, psychopathology, childhood circumstances, and risks of adolescent suicide attempts. Method: Attempted suicide, adolescent problems of adjustment, psychopathology, and childhood circumstances were assessed as part of a longitudinal study of a birth cohort of 954 New Zealand children studied at annual intervals to the age of 16 years. Results: By 16 years, 3.0% of the sample (4.2% of girls and 1.9% of boys) reported having made a suicide attempt. There were strong associations between attempted suicide and rates of adolescent problem behaviors or psychopathology; teenagers having problems of adjustment or psychiatric disorders were up to 22 times more likely to attempt suicide. Risks of attempted suicide were also higher among children from disadvantaged or dysfunctional family backgrounds. A loglinear model fitted to the measures of attempted suicide, adolescent psychopathology, problems of adjustment, and childhood circumstances suggested the presence of a causal chain process in which childhood problems were significantly (p