早期青少年的第一次自杀尝试:一个描述性的研究结果研究
Alastair J McKean1, Chaitanya Pabbati2, Tanner J Bommersbach1
1Department of Psychiatry & Psychology, Mayo Clinic, Rochester, MN.
Journal of the Academy of Consultation-Liaison Psychiatry
|October 7, 2024
概括
早期青少年 (10-14岁) 的自杀企图令人担忧,药物过量是常见的,特别是在女性中. 调查结果强调了早期干预的必要性,并限制了对致命手段的访问.
科学领域:
- 青少年精神病学 青少年精神病学
- 自杀学 自杀学
- 公共卫生 公共卫生
背景情况:
- 自杀是早期青少年 (10-14岁) 死亡的主要原因.
- 在这个年龄段对自杀行为的研究是有限的.
- 这项研究考察了早期青少年经历第一次自杀企图的特征.
研究的目的:
- 调查先前的精神病治疗,使用的方法和早期青少年第一次自杀企图的结果.
- 确定青少年自杀的危险因素,并为预防青少年自杀策略提供信息.
主要方法:
- 从一项较大的回顾性-前性研究中分析了164名早期青少年 (10-14岁) 的队列.
- 在22年的时间里 (1986-2007) 收集了指数自杀企图 (IA) 的数据.
- 检查的人口统计,先前的精神病史,试验方法和医疗/精神病学结果.
主要成果:
- 1.8%的早期青少年索引尝试者死于自杀.
- 近一半的人没有先前的精神病史;女性不太可能先前接受过心理健康护理.
- 对女性来说,药物过量是最常见的方法 (63.3%),而男性使用切割/穿孔 (36.1%).
- 在幸存者中,19.9%需要医疗住院治疗,超过一半 (52.8%) 需要精神病医院治疗.
结论:
- 药物过量服用是青少年早期自杀企图的一个重要方法,特别是在女性中.
- 虽然死亡率很低,但患病率很高,许多人需要住院治疗.
- 强调需要及早识别有风险的年轻人,并限制手段以防止自杀企图.
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