两种不同的发展途径导致自杀念头的心理健康先例和相关性
Marie-Claude Geoffroy1, Sasha MacNeil2, Vincent Paquin3
1McGill Group for Suicide Studies, Douglas Mental Health University Institute, Department of Psychiatry and Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Québec, Canada.
确定了青少年自杀念头的两个途径:与持续的童年症状相关的早期青少年发病,以及与新出现的青少年内化症状的年轻成人发病. 早期干预对于心理健康至关重要.
科学领域:
- 儿童和青少年精神病学
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 自杀念头是年轻人日益关注的问题,但发展轨迹和相关的心理健康问题尚未完全理解.
- 了解这些模式对于制定有效的预防策略至关重要.
研究的目的:
- 绘制自杀念头的发展轨迹,从早期青春期到年轻成人.
- 识别先前或同时出现自杀念头的心理健康症状.
主要方法:
- 纵向队列研究使用来自北克儿童发展纵向研究 (QLSCD) 的数据.
- 包括参与者,家长和教师报告的精神健康症状从学龄前到年轻成人.
- 在13,15,17,20,23和25岁时评估了严重的自杀念头.
主要成果:
- 确定了三种自杀念头的轨迹:念头很少/没有念头,在青春期早期开始,在年轻时开始.
- 早期青少年发病与从童年开始持续的内化和外化症状有关.
- 年轻成人发病与青春期出现的内化症状有关.
结论:
- 发现了两种导致自杀念头的途径:一个是从童年开始的,另一个是从青春期开始的.
- 调查结果强调需要及时针对发育阶段的心理健康干预措施.
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