Externalizing Psychopathology and Risk for Suicide Attempt Cross-Sectional and Longitudinal Findings From the Baltimore Epidemiologic Catchment Area Study
Externalizing Psychopathology and Risk for Suicide Attempt Cross-Sectional and Longitudinal Findings From the Baltimore Epidemiologic Catchment Area Study
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DOI：
10.1097/nmd.0b013e3181a206e0
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发表时间：
2009-05-01
影响因子：
1.9
通讯作者：
Sareen, Jitender
中科院分区：
文献类型：
--
作者：
Hills, Amber L.;Afrfi, Tracie O.;Sareen, Jitender
外化精神病理学(即酒精依赖、药物依赖和反社会人格障碍的诊断)与自杀企图之间的独特联系一直未得到充分研究。我们试图研究外化障碍是否是新的自杀企图以后发展的危险因素。这项研究考察了1920年至4034名成年受访者从巴尔的摩流行病学集水区调查现场收集的横断面和纵向数据。在横断面分析中，外在化精神病理学与自杀企图显著相关，即使在调整了社会人口统计学和内在化障碍之后也是如此。在控制了人口统计学和内化性障碍后，在1年的随访中(n=3163)，基线外化精神病理学与新发生的自杀有关；在13年的随访中(n=1920)，基线外化精神病理学与新的自杀企图无关。外化精神病理似乎是自杀行为的独立短期危险因素(优势比[OR]=3.00；95%可信区间[CI]=1.07-8.43)，但对长期自杀风险的预测作用较弱(OR=0.90；95%CI=0.25-3.18)。这些发现强调了评估外化障碍患者自杀倾向的重要性。
The unique association between externalizing psychopathology (i.e., diagnoses of alcohol dependence, drug dependence, and antisocial personality disorder) and suicide attempts has been understudied. We sought to examine whether externalizing disorders were risk factors for later development of new onset suicide attempts. This study examined cross-sectional and longitudinal data gathered from 1920 to 4034 adult respondents from the Baltimore site of the Epidemiologic Catchment Area Survey. In cross-sectional analyses, externalizing psychopathology was significantly associated with suicide attempts, even after adjusting for sociodemographics and internalizing disorders. After controlling for demographics and internalizing disorders, at 1-year follow-up (n = 3163) baseline externalizing psychopathology was associated with new onset suicides; at 13-year follow-up (n = 1920) baseline extemalizing psychopathology was not associated with new onset suicide attempts. Externalizing psychopathology appears to be an independent short-term risk factor for suicidal behavior (odds ratio [OR] = 3.00; 95% confidence interval [CI] = 1.07-8.43), but appears less powerful in predicting long-tens suicide risk (OR = 0.90; 95% CI = 0.25-3.18). These findings underline the importance of assessment of suicidality among individuals presenting with externalizing disorders.