患有饮食障碍的青少年的自杀行为:流行病时间表比较
Ayşe Bilge Baklaci1, Eylem Şerife Kalkan1, Yelda Kiliç1
1Division of Adolescent Medicine, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Early intervention in psychiatry
|October 2, 2025
概括
随着COVID-19大流行,饮食障碍青少年的自杀念头和自我伤害行为显著增加,特别是在晚期的流行病阶段. 自杀企图没有显示出明显的变化.
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
- 心理健康 心理健康
背景情况:
- COVID-19大流行对全球心理健康产生了深远的影响.
- 患有饮食障碍 (ED) 的青少年可能特别容易受到与大流行有关的压力因素的影响.
- 了解大流行对这一群体的自杀企图 (SA),自杀念头 (SI) 和自我伤害行为 (SHB) 的影响至关重要.
研究的目的:
- 调查COVID-19大流行对EDs青少年SA,SI和SHB的纵向影响.
- 为了在四个流行病阶段比较这些行为:流行病前,早期,中期和晚期.
主要方法:
- 使用HEEADSSS仪器对SA,SI和SHB进行回顾性评估.
- 根据临床访问,参与者 (n=403) 被分为四个时间段:大流行前 (T0),早期 (T1),中期 (T2) 和晚期 (T3).
- 统计分析比较了定义的流行病阶段的行为患病率.
主要成果:
- 总体而言,27.8%的人报告SHB,34%的人报告SI,10.2%的人报告SA.
- 在大流行期间,SHB和SI显著增加 (T1+T2+T3与T0,p<0.001),在T2和T3中观察到的最高增加.
- SA没有显著变化 (p=0.124). 在所有ED小组中,SHB增加,SI在神经过敏 (BN) 组中显著增加 (p=0.015).
结论:
- COVID-19大流行与EDs青少年中SI和SHB的增加有关.
- 这些增长在大流行中期和晚期最为明显.
- 医疗保健提供者必须认识到大流行对这一弱势群体的潜在长期心理健康后果.
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