测试青少年自杀的人际关系理论:一个多波纵向研究
David Pagliaccio1,2, Alma Bitran1,2, Jaclyn S Kirshenbaum1,2
1Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, NY, USA.
概括
对他人的负担是青少年自杀想法的一个关键风险因素. 自杀的人际理论 (IPTS) 中的其他因素并不显著,这表明需要针对青年的特定模型.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 自杀是青少年中一个关键的公共卫生问题.
- 人际自杀理论 (IPTS) 解释了从自杀想法到行动的过渡.
- 现有的理论需要在青少年群体中进行验证.
研究的目的:
- 在高风险的青少年样本中测试人际自杀理论 (IPTS).
- 为了检查负担,挫败的归属感和自杀念头之间的关系.
- 为了确定青少年自杀事件的预测因素.
主要方法:
- 在6个月内对167名高风险青少年 (年龄13-18岁) 进行了长度研究.
- 使用临床面试,自我报告措施和每周的智能手机评估.
- 使用回归和结构方程建模来分析数据.
主要成果:
- 感知到的负担显著预测了自杀念头.
- 挫败的归属感及其与负担的相互作用并没有预测思想.
- 抑郁症严重程度升高预测了自杀事件 (尝试,住院,急救诊所).
- 获得能力没有显著的影响.
结论:
- 感知到的负担是青少年自杀念头的关键风险因素.
- 当前的IPTS构造可能无法完全捕捉青年自杀风险.
- 需要对发育敏感的模型来改进对处于危险的年轻人的识别和干预.
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