从童年后期到青春期早期的行为和精神病学轨迹中的性别差异:对自杀风险的影响
Xiaoxia Duan1,2,3, Yujie Tao3, Mingjing Situ2,3
1Laboratory of Child and Adolescent Psychiatry, Mental Health Center and Psychiatric Laboratory, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China.
Depression and anxiety
|December 10, 2025
概括
儿童行为症状轨迹与青少年的自杀倾向有关. 焦虑/抑郁症状预测了女孩的风险,男孩的退缩/抑郁,注意力问题预测了两性自杀企图.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 发展心理学 发展心理学
- 行为科学 行为科学
背景情况:
- 在精神病理学,行为和自杀倾向之间建立了联系.
- 关于动态症状轨迹和性别差异的研究有限.
- 专注于从童年到青春期的过渡.
研究的目的:
- 调查从童年到青春期的症状轨迹.
- 检查与自杀倾向的关联.
- 分析这些关联中的基于性别的变化.
主要方法:
- 7849名儿童的纵向研究 (青少年大脑认知发展队列).
- 3年后续跟进,每年进行评估.
- 照顾者报告的症状 (儿童行为检查清单) 和年轻人报告的自杀倾向 (情绪障碍和精神分裂症儿童表).
主要成果:
- 潜在类增长分析确定了不同的症状轨迹.
- 较高的症状轨迹与增加的自杀风险相关 (ORs 1.35-3.15).
- 与自杀念头相关的焦虑/抑郁症状;对自杀企图的注意力问题.
- 观察到的性别差异:男孩的退缩/抑郁症状,女孩的焦虑/抑郁症状;两者都有注意力问题.
结论:
- 症状轨迹显示与青少年自杀倾向的温和关联.
- 具体的症状差异性预测风险的性别.
- 注意力问题始终预测跨性别的自杀企图.
- 强调需要对处于危险的年轻人进行监测和早期干预.
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