在没有自杀意念的情况下的自杀企图：在少年法律制度中被拘留的青少年中的患病率及其相关性。

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2025-07-14 DOI:10.1016/j.jad.2025.119927

Melissa Padron , Lin Liu , Jeremy W. Pettit

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引用次数: 0

摘要

目的：在法律体系中被拘留的青少年（YD）的自杀率比一般人群中的青少年高2-3倍。风险评估策略，包括YD，优先考虑自杀意念，基于从意念到尝试的顺序进展。然而，来自成人样本的有趣数据表明，一些企图自杀的人否认有过自杀意念。本研究首次提供了与企图自杀的青少年中意念缺失相关的变量数据。方法：我们的样本包括N = 427名被拘留在青少年合法居住计划的青少年，支持终身自杀企图。评估青少年心理健康史、自杀意念和企图史以及不良童年经历。结果：171名青少年（40.0 %）承认有过自杀企图，否认有过自杀意念。与报告有意念的青少年相比，否认有意念的青少年抑郁、身体抱怨和忽视的比例明显较低，而愤怒/易怒的比例明显较高。结论：优先考虑自杀意念的评估策略可能无法识别大量有自杀企图风险的青少年。愤怒/易怒可能是一个有希望的变量纳入改善风险评估策略。讨论了对YD理论发展和预防的启示。

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Suicide attempt in the absence of suicide ideation: Prevalence and correlates among youth detained in the juvenile legal system

Objective

Suicide rates are 2–3 times higher among youth detained (YD) in the legal system than youth in the general population. Risk assessment strategies, including for YD, prioritize suicide ideation based on a sequential progression from ideation to attempt. However, intriguing data from adult samples document that some people who attempt suicide deny experiencing ideation. This study presents the first data on variables associated with the absence of ideation among YD who attempt suicide.

Method

Our sample included N = 427 youth detained in juvenile legal residential programs endorsing a lifetime suicide attempt. Youth mental health history, suicide ideation and attempt history, and adverse childhood experiences were assessed.

Results

171 youth (40.0 %) endorsing a lifetime suicide attempt denied a history of suicide ideation. Compared to youth reporting ideation, youth denying ideation had significantly lower rates of depression, somatic complaints, and neglect, and a significantly higher rate of anger/irritability.

Conclusion

Assessment strategies that prioritize suicide ideation likely fail to identify a substantial number of YD who are at risk of attempt. Anger/irritability may be a promising variable for inclusion to improve risk assessment strategies. Implications for theory advancement and prevention in YD are discussed.

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来源期刊

Journal of affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.