EPIDEMIOLOGIC SEQUELAE OF SUICIDE IN SCHOOLS

学校自杀的流行病学后遗症

• 批准号: 2460375
• 负责人: MADELYN S GOULD
• 金额: $ 76万
• 依托单位: NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-08-01 至 2000-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2460375
• 关键词: adolescence (12-20); antisocial personality; anxiety disorders; behavior test; behavioral /social science research tag; bereavement; child mental disorders; clinical depression; depression; disease /disorder proneness /risk; friendships; grief; human subject; longitudinal human study; mental disorder diagnosis; mental health epidemiology; peer group; posttraumatic stress disorder; psychological shock; psychological stressor; psychological tests; secondary schools; social support network; stress; substance abuse related disorder; suicide

The increase in adolescent suicides has led to an increase in the development of suicide prevention programs throughout the United States. The most common programs are school-based and are directed to students. There is evidence that many of these programs are initiated after a suicide has occurred in a school or community (postvention). However, a review of the literature indicates that current knowledge about the sequelae of a suicide within a school community is restricted to anecdotal accounts, that there is no empirical basis for traditional postvention programs, and that their efficacy or impact is untested. We propose a program of epidemiologic research in 24 community schools, reaching an estimated 24,000 students, to address these deficiencies. The goal of the project is to identify the prevalence of postulated sequelae (such as, induction of suicidal behavior or ideation; new onset depression; post-traumatic stress responses; and pathological bereavement responses) in a series of schools where a suicide has occurred and use this information to identify the logical components of a postvention program. The exposed group will consist of all children in 12 high schools, within specified geographical limits in three downstate counties in New York State, in which a fellow student has committed suicide within the past month. A two-stage screening procedure will be employed to estimate the range of disorders in those schools. The two-stage screening procedure will also be conducted in a matched comparison group of schools in which no death occurred, in order to determine the extent to which excess morbidity is associated with the occurrence of a suicide. To determine whether distress among the surviving student body is transient or of a more persistent nature, a six month and twelve month follow-up will be conducted. The examination of the duration of clinical distress following a student's death and the identification of pathological sequelae that evolve over time are of particular import. The implications for the need or type of intervention are different if the death of a student generates transient symptoms in the surviving student body in contrast to more enduring disorders. The information yielded by this study will provide the empirical basis upon which to develop a school-based suicide postvention program, rather than merely relying on well-intentioned but not necessarily well-informed efforts. Our ultimate goal is to utilize the information generated from the present study to develop a school based suicide postvention program and to prepare a controlled clinical trial to examine the efficacy of the postvention.

青少年自杀的增加导致 整个美国的自杀计划的制定。 最常见的课程是基于学校的，并针对学生。 有证据表明，其中许多程序是在 自杀发生在学校或社区（弯弯后）。但是， 对文献的评论表明，当前有关 学校社区中自杀的后遗症仅限于轶事 陈述，传统后没有经验基础 程序，并且其功效或影响未经测试。我们提出了一个 24所社区学校的流行病学研究计划，达到 估计有24,000名学生解决这些缺陷。 该项目的目的是确定假定的普遍性 后遗症（例如自杀行为或构想的诱导；新发作 沮丧;创伤后压力反应；和病理丧亲 回答）在发生自杀并使用的一系列学校中 此信息以确定后期逻辑组成部分 程序。暴露的小组将由所有12个高中的儿童组成 在三个县的三个县的指定地理范围内的学校 在纽约州，一名同学自杀 过去一个月。将采用两阶段的筛选程序 估计这些学校的疾病范围。 两个阶段的筛选程序也将在匹配的 没有死亡的比较学校，以便 确定多余的发病率与 自杀的发生。 确定幸存学生的痛苦是否是 瞬态或更持久的性质，六个月零十二个月 将进行后续。检查临床持续时间 学生死后的痛苦和确定 随着时间的流逝而发展的病理性后遗症特别是导入的。这 如果需要或类型的干预措施的影响是不同的 学生的死亡会在幸存的学生中产生短暂的症状 与更多持久的疾病形成鲜明对比的身体。 本研究产生的信息将提供经验基础 在此开发基于学校的自杀后计划，而是 不仅依靠良好的意图，但不一定是信息的 努力。我们的最终目标是利用从 本研究旨在制定基于学校的自杀后计划 并准备对照临床试验来检查 后期。