根据早期青少年的指数自杀未遂的精神病预后
Tanner J Bommersbach1, Grace Johnson2, Vanessa K Pazdernik3
1Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
JAMA psychiatry
|May 14, 2025
概括
大多数在15岁之前试图自杀的青少年在以后的生活中不会因自杀而死亡. 然而,少数人经历了严重的成人精神病理,突出了风险分层的必要性,以指导弱势青年的预防后资源.
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
- 公共卫生 公共卫生
背景情况:
- 自杀和自杀企图在美国早期青少年 (10-14岁) 中正在增加.
- 在最初的自杀企图后,对这一人口群体的长期社会和精神病学结果知之甚少.
- 早期青少年的自杀企图比老年人群更频繁,但死亡率低.
研究的目的:
- 为了检查10至14岁之间尝试自杀的个体的成年后果.
- 确定与该人群的长期不良结果相关的因素.
主要方法:
- 一个以人口为基础的164个具有指数自杀尝试 (年龄10-14岁) 个体的队列被跟踪了长达36年.
- 医疗记录被查询了社会,精神病和死亡率的结果,包括住院和重复自杀企图.
- 使用K-平均集群和多变量逻辑回归来分析结果和相关因素.
主要成果:
- 在随访期间没有发生自杀事件;所有自杀死亡都发生在索引尝试时.
- 大多数 (80%) 个体表现出有利的社会指标,复试和住院的次数较少.
- 少数人 (20%) 经历了成人精神病理学高率,其特点是多次重复尝试和住院治疗.
- 作为男性,并有先前的精神病诊断与糟糕的成年结果有关.
结论:
- 大多数有指数自杀企图的早期青少年不会经历严重的长期精神障碍.
- 一个小小的子组有慢性精神病理的高风险,并重复自杀企图.
- 尝试后的风险分层对于将预防后的资源指向易受感染的青少年至关重要.
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