询问青春期前的青少年关于自杀的问题与增加的自杀想法没有关联
Laura Hennefield1, Katherine R Luking2, Rebecca Tillman1
1Washington University School of Medicine, St Louis, Missouri.
概括
重复的自杀风险查对青春期前 (8-12岁) 儿童是安全的. 这项研究没有发现任何证据表明查增加了自杀想法或行为 (STBs) 在低风险或高风险的年轻人.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 心理健康查 心理健康查
- 自杀学 自杀学
背景情况:
- 青春期前青少年中自杀思想和行为 (STB) 的上升率需要有效的查.
- 在青春期前 (8-12岁) 进行重复的自杀风险查的安全性尚未得到充分证实.
- 这项研究研究了查在这个年龄组的潜在的阳效应.
研究的目的:
- 为了确定重复的自杀风险查是否会在青春期前增加自杀思想和行为 (STBs).
- 为了比较查在低风险和高风险前青少年群体中的安全性.
- 为临床实践提供有关幼儿自杀风险查的信息.
主要方法:
- 询问自杀查问题 (ASQ) 在12个月内对194名未成年人 (8-12岁) 进行了检查.
- 风险较低的青春期前儿童 (n=68) 每月接受查;风险较高的青春期前儿童 (n=124) 每周接受查.
- 通过文本/电子邮件进行远程管理,分析检查屏幕完成,阳性屏幕以及随时间变化.
主要成果:
- 没有证据表明,重复查增加了自杀想法,无论是在较低风险或较高风险的群体.
- 阳性查在较低风险组 (1.6%) 是罕见的,随着时间的推移没有增加.
- 在高危人群中,7%的查结果呈阳性,由于频繁的查,自杀念头没有加剧.
结论:
- 自杀风险查似乎对8-12岁的青少年来说是安全的.
- 临床医生可以自信地查青春期前儿童,因为好处可能超过风险.
- 这项研究支持在儿童群体中使用自杀风险查.
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