ADOLESCENT SUICIDE AND SELF-DESTRUCTIVE BEHAVIOR

青少年自杀和自毁行为

• 批准号: 2248515
• 负责人: ROBERT A KING
• 金额: $ 8.2万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-01-01 至 1994-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2248515
• 关键词: adolescence (12-20); child mental disorders; child psychology; data collection methodology /evaluation; family structure /dynamics; health behavior; high risk behavior /lifestyle; human subject; insulin dependent diabetes mellitus; mental disorder diagnosis; pediatrics; personality tests; questionnaires; self care; self destructive behavior; social psychology; suicide; therapy compliance

The purpose of the present study is to examine the psychosocial determinants of two of the most serious forms of adolescent self-destructive behavior encountered in the hospital setting: suicidal ideation and/or behavior and non-adherence with medical treatment. The study will assess two clinical samples of 13-17 y.o. adolescent inpatients admitted for a) psychiatric assessment (100 subjects) or b) diabetic regulation (60 subjects). Data from these two clinical samples will be used to examine the relationship of suicidality and diabetic non-adherence to 1) psychiatric diagnosis and symptoms and personality and family variables and 2) self-care attitudes and behaviors. The hypothesis will be tested that self-care attitudes and behaviors add to the power of demographic, psychopathologic, and family variables to predict suicidality or diabetic non-adherence in the respective clinical groups. An underlying perspective of the study is that failure to develop the capacity for autonomous bodily self-care in adolescence is an important element in various forms of adolescent self-destructive behavior (including suicide attempts and medical non-adherence). A written Self-Care Attitudes and Behaviors Questionnaire (SCAQ) will be used to assess subjects' positive preventive health and hygiene practices, risk behaviors, and perceived parental attitudes towards the physical care of the child. In order to refine the construct of self-care attitudes and behaviors and its measurement, the study will evaluate the internal consistency of the SCAQ and its convergent and discriminant validity with respect to measures of specific psychopathology and other health-behavior related variables. Comparison data on the SCAQ will be obtained from a community sample of adolescents recruited from an ongoing epidemiologic study. Concurrent psychosocial data, including psychiatric symptoms and diagnoses will also be available for these community subjects.

本研究的目的是探讨心理社会 两种最严重的青少年形式的决定因素 在医院环境中遇到的自我毁灭行为：自杀 想法和/或行为以及不坚持医学治疗。 的 研究将评估两个13-17岁的临床样本。青少年 住院患者入院接受a）精神病评估（100例受试者）或B） 糖尿病调节（60例受试者）。 这两个临床样本的数据 将被用来研究自杀与糖尿病的关系 不遵守1）精神病诊断和症状和个性 和家庭变量; 2）自我照顾态度和行为。 的 假设将被测试，自我照顾的态度和行为增加， 人口统计学、精神病理学和家庭变量对 预测自杀或糖尿病不遵守在各自的临床 组 这项研究的一个基本观点是， 青少年的自主身体自我照顾能力是一个重要的 各种形式的青少年自毁行为中的元素 （包括自杀企图和医疗不依从）。 书面 将使用自理态度和行为问卷（SCAQ）， 评估受试者的积极预防性健康和卫生习惯，风险 行为和感知的父母对身体护理的态度， 那个孩子 为了完善自我照顾态度的结构， 行为及其测量，研究将评估内部 SCAQ的一致性及其收敛效度和判别效度， 尊重特定精神病理学和其他健康行为的测量 相关变量。 SCAQ的比较数据将从 从一个正在进行的流行病学调查中招募的青少年社区样本 study. 并发心理社会数据，包括精神症状和 这些社区受试者也将获得诊断。