自傷害の自然史,青春期から青年期まで:人口ベースのコホート研究
Paul Moran1, Carolyn Coffey, Helena Romaniuk
1King's College London, Institute of Psychiatry, Health Service & Population Research Department, London, UK. paul.moran@kcl.ac.uk
Lancet (London, England)
|November 22, 2011
まとめ
青少年の自傷行為のほとんどは,自然に解決します. 青春期の早期の精神保健治療は,若い成人の自殺を防ぐための鍵です.
科学分野:
- 精神科医は精神病を患っている.
- 発達心理学の心理学について
- 公衆衛生は公衆衛生である.
背景:
- 自傷害の自然史は,特に青春期から若年成人期への移行期において,十分に理解されていない.
- この期間に,自傷による死亡が著しく増加しています.
- 自傷行為の長期的な経過に関するデータは限られている.
研究 の 目的:
- 自傷行為の軌道を青春期から若い成人期まで説明する.
- 自傷行為の持続または停止に関連する要因を特定する.
- 自殺予防戦略を伝えるために.
主な方法:
- オーストラリアのビクトリア州に住む1943人の青少年を代表するコホートは,15.9歳から29.0歳まで追跡調査されました.
- 自傷行為および関連因子 (薬物使用,精神健康,行動) に関するデータは,アンケートとインタビューを通じて7つの波で収集されました.
- 縦断分析は,自傷行為の経過と予測要因を調査した.
主要な成果:
- 青少年の8%が自己傷害を報告し,女の子の割合は高かった.
- 自傷行為の頻度の有意な減少は,思春期の後半に観察されました.
- 大抵の青少年の自傷行為は,若い成人期まで続かなかったが,少女の場合は継続性がより強く見られた.
- 青少年の自傷は,うつ,不安,薬物使用,反社会的行動と関連しています.
- 青春期うつ病と不安症は,若い成人の自己傷害を予測しました.
結論:
- 青少年の自傷は,しばしば自発的に解決します.
- 青少年における精神疾患の早期発見と治療は,若年成人における自殺予防に極めて重要です.
- 一般的な精神障害に対処することは,重要で,見過ごされている自殺予防戦略かもしれません.
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