青少年多次自杀企图的危险因素从10岁自杀库
Sunghwan Kim1, Eun-Young Yang2, Kyoung Ho Choi3
1Department of Psychiatry, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Journal of Korean medical science
|December 3, 2024
概括
患有严重精神病理的青少年自杀企图,包括抑郁和自我伤害,更有可能多次尝试自杀. 对这些风险因素的早期干预对于防止青少年重复自杀企图至关重要.
科学领域:
- 精神病学是一个精神病学.
- 青少年健康 青少年健康
- 自杀学是一种自杀学.
背景情况:
- 与西方国家相比,韩国青少年自杀的研究有限.
- 这项研究通过在韩国青少年群体中比较首次和重复的自杀企图来解决数据的稀缺问题.
研究的目的:
- 为了比较首次和多次自杀企图之间的人口和临床变量.
- 确定预测青少年多次自杀企图的潜在危险因素.
主要方法:
- 总共有248名试图自杀的青少年 (年龄在11-19岁) 被从韩国的急救部门招募.
- 参与者被分为第一次 (n=139) 和多次 (n=109) 的尝试者.
- 进行了精神病学面试和急诊室简要自杀风险评估,随后进行了单变量和多变量后勤回归分析.
主要成果:
- 多次自杀未遂者主要是女性 (78%),并表现出更严重的精神病理,包括更高的精神病家族病史率,轴I诊断 (特别是严重抑郁症) 和更大的绝望.
- 他们还报告了更严重的自杀念头,对尝试的遗憾更少,个人应对资源更少 (例如,情绪控制,洞察力).
- 多变量分析确定了自杀想法严重程度 (OR,2.30),轴I历史 (OR,2.55) 和"切割"作为一种方法 (OR,2.85) 作为多次尝试的重要预测因素.
结论:
- 与首次尝试自杀的青少年相比,多次尝试自杀的青少年具有更严重的临床特征.
- 针对抑郁和自残行为的干预措施对于防止这种脆弱人群中反复出现的自杀企图至关重要.
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