SUCIDIAL YOUTH FOUR YEARS AFTER PREVENTIVE SCREENING

描述（改编自申请人的摘要）：主要目标 本研究的目的是：1）检查是否有证据表明学生的风险 在高中时自杀的风险在青春期后期仍然存在， 成年早期，自杀发生率最高的年龄; 2） 确定是否将诊断评估添加到自我完成 筛选形式显着提高预测的持久 精神病理学/风险状况; 3）提供关于自然 非转诊青少年的自杀行为史 学校 程序：将召回约645名年龄在15-22岁之间的受试者 4年后，他们完成了一个简短的自我完成筛选表在高 学校 他们是2,004人的一个子集， 儿童诊断性面谈时间表的诊断性评估 （DISC）。 其中83人将接受随访， 自杀未遂; 141人有自杀的想法，但从未尝试过; 100人表现出 没有自杀行为，但被认为是有风险的情绪或 物质滥用障碍和321（对照组）既没有情绪，物质 也没有自杀症状 经过积极的主题跟踪，主题 将接受访谈，以评估当前的精神状态;间隔史 自杀意念和行为;心理社会损害和以前的 治疗经验。 重要：大多数自杀的年轻人，其中一个主要的健康问题 美国青少年和年轻人面临的问题， 可治疗的危险因素。 这些通常是情绪障碍和/或 药物/酒精滥用，通常与既往 自杀行为 这些可以通过廉价的筛选容易地识别 这些方法可以方便地在高中环境中进行。 然而，自杀的高峰期是在青春期后期和早期。 成年后，在高中之后。 这项研究的结果可以 表明在高中确定的自杀风险的程度 可以轻松进行筛查的环境也有效， 识别后期风险。 研究结果还将提供一个 最佳筛选方法的指示。

DESCRIPTION (Adapted from applicant's abstract): The principal goals of this study are: 1) to examine whether students who showed evidence of risk for suicide while in high school remain at-risk in late adolescence and early adulthood, the age at which suicide has its highest incidence; 2) to determine whether adding a diagnostic assessment to a self-completion screening form significantly improves predictions of lasting psychopathology/risk status; 3) to provide information on the natural history of non-referred teens with self-identified suicidal behavior in high school. Procedure: 645 subjects, aged between 15-22 will be recalled approximately 4 years after they completed a brief self-completion screening form at high school. They are a subset of 2,004 who were screened and received a diagnostic assessment on the Diagnostic Interview Schedule for Children (DISC). Eight-three of those who will be followed-up admitted to a previous suicide attempt; 141 ideated about suicide but never attempted; 100 showed no suicidal behavior but were deemed at-risk by having either a mood or substance abuse disorder and 321 (controls) had neither mood, substance abuse nor suicidal symptoms. After aggressive subject tracking, subjects will be interviewed to assess current psychiatric status; interval history of suicidal ideation and behavior; psychosocial impairment and previous treatment experience. Significant: Most young people who commit suicide, one of the major health problems facing American adolescents and young adults, bear a set of treatable risk factors. These are most often either a mood disorder and/or substance/alcohol abuse, often in association with a prior history of suicidal behavior. These can be readily identified by inexpensive screening methods that could conveniently be carried out in a high school setting. However, the peak incidence of suicide is in late adolescence and early adulthood, after the high school years. The results of this study could indicate the extent to which suicidal risk identified in a high school setting where screening can be easily carried out was also effective in identifying later risk. Findings from the study will also provide an indication of optimal screening method.