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青春期前儿童的自杀想法和行为:明尼苏达州奥尔姆斯特德县的一项基于人口的研究
Neha Ramachandran1, Mohammed Firwana1, Sammy T Murad2
1Evidence-Based Practice Research Program, Mayo Clinic, Rochester, Minnesota, USA.
BMJ open
|February 9, 2026
概括
12岁以下儿童的自杀想法和行为 (STBs) 正在增加,观察到三倍的增加. 这些孩子往往有先前的诊断和心理健康服务的使用,和31%经历后续的尝试.
科学领域:
- 儿科精神健康研究儿童精神健康研究
- 儿童和青少年精神病学的流行病学.
- 对青少年行为的公共卫生监测.
背景情况:
- 青春期前 (12岁及以下) 儿童的自杀想法和行为 (STB) 是一个严重的公共卫生问题.
- 了解这一年龄段的性传播疾病的发病率,表现和长期结果对于开发有效的干预措施至关重要.
研究的目的:
- 研究12岁及以下儿童自杀思想和行为 (STB) 的发生率,临床表现和长期健康结果.
- 为了确定自杀企图和随后的医疗保健利用在经历性传播疾病的青春期前儿童的预测因素.
主要方法:
- 一项基于人口的研究,利用罗切斯特流行病学项目在美国明尼苏达州奥尔姆斯特德县从2005年到2023年进行.
- 由两个独立研究人员从确定的病例中手动提取患者和家庭特征,陈述细节,先前病史和结果.
- 纳入标准集中在2岁至12岁至11个月的患有性病的儿童,不包括那些没有自杀念头/企图或缺少数据的儿童.
主要成果:
- 在2005年至2023年期间,每年性病发病率从每10万人/年的68.8增加了三倍,达到每10万人/年的208.6.
- 访问急诊室是最常见的呈现 (77.1%),其中16.5%的儿童经历了自杀企图.
- 自杀企图的重要预测因素包括先前使用情绪稳定剂和制定具体计划;31%的队列随后进行了自杀企图.
结论:
- 青春期前儿童的自杀想法和行为 (STB),虽然很少见,但其发生率正在增加.
- 经历性传播疾病的儿童往往有先前存在的心理诊断,并利用心理健康服务,随后的自杀企图的比例显著.
- 迫切需要新的,适合年龄的干预措施来解决这个脆弱人群中的性病.
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