负面的紧迫性和缺乏力预测了年轻青少年的自杀想法和企图
Ben Scheve1, Zhuoran Xiang1, Brendan Lam1
1Department of Psychology, Yale University.
概括
冲动性特征,如消极的紧迫性和缺乏力,预测了青少年未来的自杀念头和自杀企图. 早期评估这些冲动性维度对于临床干预至关重要.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
背景情况:
- 冲动性与自杀思想和行为 (STBs) 有关.
- 以前的研究经常使用横截面设计,有限的冲动性测量,并专注于年长的青少年.
- 需要全面了解冲动性在年轻年龄组的性传播疾病中的作用.
研究的目的:
- 为了研究冲动性的多种测量方法.
- 评估冲动性和青少年自杀念头和企图之间的预测关系.
主要方法:
- 在青少年大脑认知发展 (ABCD) 研究中利用了10,286名青少年 (9-12岁) 的数据.
- 在9-10岁时使用特征 (UPPS-P),行为 (延迟折扣) 和神经 (皮质延迟折扣) 措施评估冲动性.
- 在11-12岁时使用Kiddie表情障碍和精神分裂症 (KSADS) 自杀模块评估自杀想法和尝试.
主要成果:
- 9-10岁时的负面紧迫感和缺乏坚持力显著预测了11-12岁时自杀念头的几率增加.
- 这些冲动性维度也显著预测了在11-12岁时自杀企图的几率增加.
- 具体赔率比:负的紧迫性 (想法: 1.254,尝试: 1.328);缺乏坚持 (想法: 1.152,尝试: 1.270).
结论:
- 负面的紧迫感和缺乏坚持是未来青少年未来自杀念头和自杀企图的强有力的预测因素.
- 这些发现强调了在临床实践中评估这些特定冲动性维度的重要性.
- 针对负面紧迫性和缺乏坚持可能是预防青年性传播疾病的关键干预策略.
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