脑神经,发育和行为障碍儿童中自杀念头的新发作来自纵向普遍自杀风险查
Allison E Gornik1,2, Benjamin J Schindel1,3,4, Amanda Kim5
1Kennedy Krieger Institute, Baltimore, MD.
Journal of developmental and behavioral pediatrics : JDBP
|October 27, 2025
概括
新的自杀念头 (SI) 在8.4%的患有神经,发育和行为障碍 (NDBD) 的年轻人中出现,在负面查后. 更频繁的查对于这些易受伤害的年轻人早期检测至关重要.
科学领域:
- 儿童和青少年精神病学
- 神经发育障碍 神经发育障碍
- 公共卫生 公共卫生
背景情况:
- 自杀念头 (SI) 是年轻人的关键问题,特别是那些患有神经,发育和行为障碍 (NDBD) 的年轻人.
- 在临床环境中,常规的自杀风险查是标准的,但在初始负面查后出现新的SI需要进一步调查.
研究的目的:
- 在初始负面自杀风险查后,评估NDBD年轻人中新的和最近的自杀想法 (SI) 的频率和时间.
- 为了比较医疗和行为健康设置之间的新SI的发病率,并确定预测因素.
主要方法:
- 一项自然主义的观察性研究包括5030名患有NDBD的儿童 (8-17岁),他们在2019年7月至2024年2月期间接受了至少两次自杀风险查 (使用问自杀查问题工具).
- 分析重点关注了负面查和新SI出现之间的间隔,按诊所类型和年龄分层,并检查了新SI的预测因素.
主要成果:
- 总体而言,在初始负面查后,8.4%的儿童对新SI进行了查,结果呈阳性.
- 与医疗诊所相比,行为健康诊所 (11.3%) 的新SI率更高 (5.4%),第一次阳性查的中位数间隔为5-6个月.
- 在行为健康环境中的女性和年轻人更有可能报告新的SI.
结论:
- 在初始负面查后的几个月里,很大一部分患有NDBD的年轻人会发展出新的SI.
- 年度查可能不足以发现风险,强调需要更频繁的查,特别是在护理的第一年.
- 重复的自杀风险查对于早期发现和干预这一群体至关重要.
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