自杀思想和青少年精神病理和行为症状的发展轨迹
Akito Uno1, Daiki Nagaoka1, Satoshi Usami2
1Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
JAMA network open
|January 25, 2024
概括
青少年的持续性戒断和不断增加的身体症状与更高的自杀想法风险有关. 对这些特定症状轨迹的早期识别和干预对于减轻自杀风险至关重要.
科学领域:
- 青少年精神病学 青少年精神病学
- 发展心理学是发展心理学.
- 公共卫生 公共卫生
背景情况:
- 青春期的自杀风险受精神病理学的影响,但并发症症状轨迹的作用仍未得到充分研究.
- 了解心理病理和行为症状的纵向模式是识别有自杀想法风险的青少年的关键.
研究的目的:
- 在青少年中识别心理病理和行为症状的不同轨迹.
- 检查这些症状轨迹与16岁时发生自杀念头之间的关联,考虑并发症.
主要方法:
- 隐性类增长分析被用于集群纵向症状轨迹.
- 分析了来自东京青少年队列 (TTC) 研究的数据,其中包括2780名在10,12和16岁被调查的青少年.
- 使用了护理人员报告的儿童行为检查清单子表和自我报告的自杀想法.
主要成果:
- 不同的症状类别表现出不同的轨迹模式.
- 持续的高戒断症状 (OR,1.88) 和不断增加的身体症状 (OR,1.97) 与16岁时自杀念头的几率增加显著相关.
- 在调整了混因素和并发症症状后,这些关联仍然很重要.
结论:
- 抑郁和体征症状的纵向模式是青春期自杀风险的关键指标.
- 临床医生和研究人员应监测持续的退出和不断增加的身体症状,以寻找潜在的干预风险青少年.
- 这项研究强调了在青少年心理健康和自杀预防的背景下考虑症状轨迹的重要性.
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