Let's Talk About Suicide Spectrum in Spanish Adolescents. "Prefer not to say": Missing Value or Clinical Data?

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psicothema Pub Date : 2023-05-01 DOI:10.7334/psicothema2022.287

Raquel Falcó, José A Piqueras, Beatriz Moreno-Amador, Victoria Soto-Sanz, Juan C Marzo

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引用次数: 0

Abstract

Background: Suicide is the second leading cause of death in young people aged 15-29 in Spain. It is imperative to detect cases with suicidal risk for early intervention. The purpose of the study was to examine the self-reported presence of suicide spectrum indicators using a trichotomous rating scale: no, yes, prefer not to say . This last alternative was intended to safeguard the sensitive nature of the phenomenon and explore its clinical character.

Method: 5,528 adolescents made up the definitive sample (12-18 years; M ± SD = 14.20 ± 1.53; 50.74% female).

Results: Prevalence reached 15.38% for ideation, 9.32% for planning, and 3.65% for previous suicide attempts. Girls' rates were twice those of men. Suicidality showed a tendency to increase with age. Adolescents with the presence of suicidal indicators (yes) and omission of response (prefer not to say) both had lower levels of socioemotional strength and subjective well-being, and higher levels of psychopathology than the group with the absence of markers (no).

Conclusions: Prefer not to say is a response category that increases the sensitivity of the self-report, allowing more accurate identification of cases with a high suicidal risk that would go unnoticed by the traditional dichotomous system (no-yes).

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让我们谈谈西班牙青少年的自杀谱系。“宁愿不说”:缺失价值还是临床数据?

背景:自杀是西班牙15-29岁年轻人死亡的第二大原因。必须发现有自杀风险的病例并进行早期干预。本研究的目的是用三分评定量表检查自杀谱指标的自我报告:不，是，宁愿不说。最后一种选择是为了保护这种现象的敏感性，并探讨其临床特征。方法:最终样本为5528名青少年(12-18岁;M±sd = 14.20±1.53;50.74%的女性)。结果:有自杀念头者占15.38%，有自杀计划者占9.32%，有过自杀企图者占3.65%。女孩的比率是男性的两倍。自杀倾向随年龄增长而增加。存在自杀指标(是)和不愿说(宁愿不说)的青少年的社会情绪强度和主观幸福感水平都低于没有自杀指标(否)的青少年，而精神病理学水平则高于没有自杀指标的青少年。结论:宁愿不说是一个反应类别，增加了自我报告的敏感性，允许更准确地识别具有高自杀风险的病例，这将被传统的二分法系统(否-是)所忽视。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psicothema PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.50

自引率

16.70%

发文量

审稿时长

24 weeks

期刊介绍： La revista Psicothema fue fundada en Asturias en 1989 y está editada conjuntamente por la Facultad y el Departamento de Psicología de la Universidad de Oviedo y el Colegio Oficial de Psicólogos del Principado de Asturias. Publica cuatro números al año. Se admiten trabajos tanto de investigación básica como aplicada, pertenecientes a cualquier ámbito de la Psicología, que previamente a su publicación son evaluados anónimamente por revisores externos. Psicothema está incluida en las bases de datos nacionales e internacionales más relevantes, entre las que cabe destacar Psychological Abstracts, Current Contents y MEDLINE/Index Medicus, entre otras. Además, figura en las listas de Factor de Impacto del Journal Citation Reports. Psicothema es una revista abierta a cualquier enfoque u orientación psicológica que venga avalada por la fuerza de los datos y los argumentos, y en la que encuentran acomodo todos los autores que sean capaces de convencer a los revisores de que sus manuscritos tienen la calidad para ser publicados. Psicothema es una revista de acceso abierto lo que significa que todo el contenido está a disposición de cualquier usuario o institución sin cargo alguno. Los usuarios pueden leer, descargar, copiar, distribuir, imprimir, buscar, o realizar enlaces a los textos completos de esta revista sin pedir permiso previo al editor o al autor, siempre y cuando la fuente original sea referenciada. Para acervos y repositorios, se prefiere que la cobertura se realice mediante enlaces a la propia web de Psicothema. Nos parece que una apuesta decidida por la calidad es el mejor modo de servir a nuestros lectores, cuyas sugerencias siempre serán bienvenidas.