SUICIDE ATTEMPTS AND SUICIDAL IDEATION IN A BIRTH COHORT OF 16-YEAR-OLD NEW-ZEALANDERS
SUICIDE ATTEMPTS AND SUICIDAL IDEATION IN A BIRTH COHORT OF 16-YEAR-OLD NEW-ZEALANDERS
复制标题
DOI：
10.1097/00004583-199510000-00016
复制
发表时间：
1995-10-01
影响因子：
13.3
通讯作者：
LYNSKEY, MT
中科院分区：
文献类型：
--
作者：
FERGUSSON, DM;LYNSKEY, MT
目的：描述新西兰出生队列中16岁以下儿童自杀未遂和自杀意念的患病率;研究自杀未遂和自杀意念的风险随青少年精神病理学水平、适应问题和儿童期不良条件暴露而变化的程度;并研究自杀未遂者与仅报告有自杀意念者的区别程度。方法：收集数据的自杀企图，自杀意念，精神病诊断，调整问题，和童年的因素在一个16年的纵向研究过程中的出生队列的新西兰儿童。结果：该队列中有12%的人在16岁之前报告了自杀意念，3%的人试图自杀。青少年表现出自杀倾向的程度因青少年符合精神障碍标准的程度、适应问题的程度以及青少年暴露于不良家庭环境的程度而异。那些试图自杀的人与那些报告自杀意念的人的区别在于精神病理学的比率显著更高（p <0.05），更高的适应问题比率（p <0.005），以及更多的童年和家庭逆境（p <0.05）。结论：这项分析的结果与自杀行为的维度模型一致，其中试图自杀的人与那些单独报告自杀意念的人有更大的心理社会风险因素负担，包括精神障碍，适应问题和不良的童年环境。
Objective: To describe the prevalence of suicide attempts and suicidal ideation in a birth cohort of New Zealand children studied to the age of 16 years; to examine the extent to which risks of suicide attempts and suicidal ideation varied with levels of adolescent psychopathology, problems of adjustment, and exposure to adverse conditions during childhood; and to examine the extent to which those attempting suicide could be distinguished from those reporting suicidal ideation alone. Method: Data were gathered on suicide attempts, suicidal ideation, psychiatric diagnoses, adjustment problems, and childhood factors during the course of a 16-year longitudinal study of a birth cohort of New Zealand children. Results: Twelve percent of this cohort reported suicidal ideation before the age of 16 years and 3% attempted suicide. The extent to which young people expressed suicidal tendencies varied with the extent to which the young person met criteria for psychiatric disorder, the extent of adjustment problems, and the extent to which the young person had been exposed to adverse family circumstances. Those attempting suicide were distinguished from those reporting suicidal ideation by having significantly higher rates of psychopathology (p < .05), higher rates of adjustment problems (p < .005), and greater exposure to childhood and family adversity (p < .05). Conclusion: The results of this analysis were consistent with a dimensional model of suicidal behaviors in which those attempting suicide are distinguished from those reporting suicidal ideation alone by having a greater burden of psychosocial risk factors including psychiatric disorder, adjustment problems, and adverse childhood circumstances.