青春期前的自杀思想和行为:对风险因素的密集纵向研究
Renee J Thompson1, Diana J Whalen1, Kirsten Gilbert1
1Washington University in St. Louis, St. Louis, Missouri.
概括
经历情绪抑制和感知负担的青春期前青少年面临自杀思想和行为 (STB) 的风险增加. 早期识别这些因素和情绪变化可以帮助及时对处于危险的年轻人进行及时干预.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 发展心理学 发展心理学
- 心理健康研究 心理健康研究
背景情况:
- 青少年的自杀想法和行为 (STBs) 正在增加,需要早期识别危险因素.
- 青春期前期是理解性传播疾病发展的关键时期.
- 关于性病风险因素的现有研究主要集中在青少年和成年人身上.
研究的目的:
- 评估风险因素与前青少年的性病状况之间的并发关联.
- 检查风险因素的近位变化如何与STB状态有关.
- 为了确定风险因素是否有望预测在青春期前的样本中性病状况的变化.
主要方法:
- 在12个月的时间里,对192名年龄在7~12岁之间的参与者进行了强化纵向抽样.
- 对于高风险的青春期前儿童 (有性病史) 进行每周调查,对于低风险的青春期前儿童进行每月调查.
- 评估自杀念头和11个与性传播疾病相关的心理社会变量.
主要成果:
- 女性性别,抑郁症,表达抑制,反省,情绪清晰和感知到的负担与性传播疾病同时相关.
- 抑郁症的增加,表达性抑制,反和感知到的负担,以及积极影响的减少预测更高的STB概率.
- 更高的表达性抑制,感知到的负担,以及护理人员的批评/冲突前性预测增加了性传播疾病的可能性.
结论:
- 影响成年性病的心理社会因素也与青春期前的青少年有关.
- 压抑表达和感知负担是新的风险指标和潜在的治疗目标.
- 抑郁症,反,照顾者冲突的增加,以及积极情绪的减少,要求在有风险的青春期前期儿童中加强性传播疾病查.
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