中国青少年自杀意念和非自杀性自伤的共同发展轨迹:跨诊断的预测因素及与自杀企图的关联。

IF 2.7 3区 医学 Q2 PSYCHIATRY
Suicide and Life-Threatening Behavior Pub Date : 2024-08-01 Epub Date: 2024-03-26 DOI:10.1111/sltb.13074
Yunhong Shen, Danrui Chen, Jiaqi Guo, Yue Zheng, Jiajing Zhang, Shiting Zhan, Jianing You
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引用次数: 0

摘要

导言:青少年自杀意念(SI)和非自杀性自伤(NSSI)是至关重要的公共卫生问题,但它们在青春期早期的共同发展轨迹及其与预测因素和结果之间的关联尚不清楚。本研究旨在:(a)识别SI和NSSI的异质性共同发展轨迹;(b)探索跨诊断预测因素与轨迹之间的关联;以及(c)评估不同轨迹的自杀未遂风险:453 名青少年(年龄 = 12.35 岁,48.3% 为男孩)在两年内每隔 6 个月完成一次调查。在时间 1(2020 年 11 月),参与者完成了包括 SI 和 NSSI 以及家庭、同伴和个人预测因素的调查。随后的调查(时间 2-4)测量了 SI 和 NSSI,并在时间 4 询问了自杀企图:平行过程潜类成长模型揭示了三个共同发展组(即稳定的低 NSSI 和 SI;中度 NSSI 和高度 SI,平行递减;高度 NSSI 和中度 SI,平行递增)。多变量逻辑回归表明,父母的排斥、父母的温暖、欺凌受害、抑郁和焦虑症状、归属感受挫以及感知到的负担过重都会影响青少年是否属于该群体。高NSSI和中度SI,平行增加 "组的青少年自杀未遂频率最高:这些发现强调了在理解 SI 和 NSSI 发展过程中的亚组区别和跨诊断预测因素,强调了针对不同亚组特征进行动态监测和定制干预的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Co-developmental trajectories of suicidal ideation and non-suicidal self-injury among Chinese adolescents: Transdiagnostic predictors and association with suicide attempts.

Introduction: Adolescent suicidal ideation (SI) and non-suicidal self-injury (NSSI) are crucial public health issues, yet their co-developmental trajectories during early adolescence and their associations with predictors and outcomes are unclear. This study aimed to (a) identify heterogeneous co-developmental trajectories of SI and NSSI, (b) explore associations between transdiagnostic predictors and trajectories, and (c) assess suicide attempt risk across trajectories.

Methods: Four hundred fifty-three adolescents (Mage = 12.35 years, 48.3% boys) completed surveys at 6-month intervals across 2 years. At Time 1 (Nov 2020), participants completed surveys encompassing SI, and NSSI, along with family, peer, and individual predictors. Subsequent surveys (Times 2-4) measured SI and NSSI, with suicide attempts queried at Time 4.

Results: Parallel process latent class growth models revealed three co-developmental groups (i.e., Stable low NSSI and SI; Moderate-NSSI and high-SI, parallel decreasing; High-NSSI and moderate-SI, parallel increasing). Multivariate logistic regression indicated that group membership was predicted by parental rejection, parental warmth, bullying victimization, depressive and anxiety symptoms, thwarted belongingness, and perceived burdensomeness. Adolescents in the "High-NSSI and moderate-SI, parallel increasing" group reported the highest suicide attempt frequency.

Conclusion: These findings underscore subgroup distinctions and transdiagnostic predictors in comprehending SI and NSSI progression, emphasizing the necessity of dynamic monitoring and tailored interventions for distinct subgroup characteristics.

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来源期刊
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
期刊介绍: An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.
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