发病的平均年龄和自我伤害思想和行为之间的过渡时间:来自两个发展上不同的样本的回顾性证据
Brianna J Turner1, Andrew C Porter2, Christina L Robillard1
1Department of Psychology, University of Victoria.
Journal of affective disorders
|July 21, 2024
概括
开始非自杀自伤 (NSSI) 或自杀念头 (SI) 后的第一年对于过渡到其他自杀思想和行为 (SITB) 至关重要. 早期或晚期出现NSSI也会增加这些过渡的风险.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 自杀想法和行为 (SITB) 经常遵循可预测的顺序:自杀想法 (SI) 之前的计划,这之前的企图.
- 非自杀性自伤 (NSSI) 时间和持续时间在这些过渡过程中的作用还未得到充分研究.
研究的目的:
- 为了检查NSSI,SI和自杀企图的发育序列.
- 确定NSSI和SI的发病年龄或持续时间是否预测过渡到其他SITB.
主要方法:
- 使用了两个样本:704名大学生 (样本1) 和2095名在线志愿者 (样本2).
- 参与者完成了自我伤害思想和行为面试,评估了SITB的存在,发病年龄和最近情况.
主要成果:
- NSSI和SI通常在15岁之前开始;自杀计划/企图通常在15岁或之后开始.
- 从NSSI过渡到SI发生在NSSI发病的第一年内.
- 从NSSI过渡到自杀企图发生在NSSI发病后的2-4年内.
- 早期 (<13) 和晚期 (>16) 的NSSI发病预测过渡到SI或尝试的可能性更高.
- 从SI过渡到NSSI最有可能是在SI发病后两年内发生的,特别是如果SI在13岁之前开始.
结论:
- 在NSSI或SI开始后的最初一年是潜在升级到其他SITB的关键时期.
- 建议针对最近开始NSSI的个人进行有针对性的预防和监测.
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