自我伤害的自然历史从青春期到年轻成年期:基于人口的队列研究
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
概括
大多数青少年的自我伤害都是自然而然地解决的. 青春期早期心理健康治疗是预防年轻人自杀的关键.
科学领域:
- 精神病学是一种精神病学.
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 人们对自我伤害的自然历史知之甚少,特别是在青少年到年轻成年人的过渡期间.
- 这一时期,自杀的死亡人数显著增加.
- 关于自我伤害行为长期发展的数据有限.
研究的目的:
- 描述自伤的轨迹从青春期到年轻成年期.
- 确定与自我伤害的持续或停止相关的因素.
- 为了告知自杀预防策略.
主要方法:
- 澳大利亚维多利亚州1943年青少年的代表队伍从15.9岁到29.0岁进行了跟踪.
- 关于自我伤害和相关因素 (物质使用,心理健康,行为) 的数据是通过调查问卷和采访在七个波段收集的.
- 纵向分析检查了自我伤害的过程和预测因素.
主要成果:
- 8%的青少年报告自伤,女孩的自伤率更高.
- 在青春晚期观察到自我伤害频率的显著减少.
- 大多数青少年的自我伤害并没有继续到年轻的成年期,尽管在女孩中这种连续性更强.
- 青少年自我伤害与抑郁,焦虑,吸毒和反社会行为有关.
- 青少年的抑郁和焦虑预测了年轻人的自我伤害.
结论:
- 青少年自我伤害往往会自发地消失.
- 早期识别和治疗青少年的心理健康状况对于年轻人预防自杀至关重要.
- 解决常见的精神障碍可能是一个至关重要的,被忽视的自杀预防策略.
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