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首页> 外文期刊>BMC Psychiatry >The characteristics of serious suicide attempters in Japanese adolescents- comparison study between adolescents and adults
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The characteristics of serious suicide attempters in Japanese adolescents- comparison study between adolescents and adults

机译：日本青少年严重自杀未遂者的特征-青少年与成年人的比较研究

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Background Suicide is the leading cause of death among Japanese adolescents, and they may commit suicide differently from adults. However, there are few studies in medical-based data concerning adolescent patients seriously attempting suicide. We aimed to explore the characteristics of serious suicide attempts in Japanese adolescents, comparing them with those in adults. Methods We investigated adolescents who seriously attempted suicide and were treated at the Critical Care Medical Center (CCMC) of Nippon Medical School Hospital between 2000 and 2010, and we compared them with adult suicide attempters treated during 2009. We retrospectively studied medical records and collected clinical data and socio-demographic factors, including age, sex, psychiatric symptoms or diagnosis, methods of suicide attempt, motives for suicide attempt, previous deliberate self-harm, previous psychiatric history, parent loss experience, and previous psychiatric history in the family. Results Adolescent attempters were 15 males and 44 females, 13 to 18 years old (mean 16.39). Adult attempters were 37 males and 65 females, 19 to 79 years old (mean 39.45). In comparison to adult attempters, adolescent attempters were more frequently diagnosed with Borderline Personality Disorder (BPD), had more school problems and parent loss experience, but they had less financial problems. Gender differences between adolescents and adults were examined, and male adolescent attempters were found to be more frequently diagnosed with schizophrenia and had less financial problems than their adult counterparts, while female adolescent attempters were more frequently diagnosed with BPD, had more school problems and parent loss, but they had less previous psychiatric history than their adult counterparts. Conclusions Our findings indicated that adolescent attempters were more frequently diagnosed with BPD and had more school problems and parent loss experience but had less financial problems. Additionally, in male adolescent attempters, identifying patients with schizophrenia seemed important, as it was their most frequent psychiatric diagnosis. For female adolescents, adequately assessing family function and interpersonal conflicts seemed important, as they were more often diagnosed with BPD and had more school and family problems.
机译：背景技术自杀是日本青少年死亡的主要原因，他们自杀的方式可能与成年人不同。但是，基于医学的数据中很少有关于严重尝试自杀的青少年患者的研究。我们旨在探讨日本青少年中严重自杀未遂的特征，并将其与成人进行比较。方法我们调查了在2000年至2010年之间严重自杀未遂并在日本医学院附属医院重症医学中心（CCMC）接受治疗的青少年，并将其与2009年接受治疗的成人自杀未遂者进行了比较。我们回顾性研究了病历并收集了临床资料。数据和社会人口统计学因素，包括年龄，性别，精神病症状或诊断，自杀未遂方法，自杀未遂动机，先前故意的自残，先前精神病史，父母丧失经历以及家庭中先前的精神病史。结果青春期尝试者为13岁至18岁的男性15例，女性44例（平均16.39）。成人尝试者为19岁至79岁的37位男性和65位女性（平均39.45）。与成人尝试者相比，青春期尝试者被诊断出患有边境人格障碍（BPD）的频率更高，有更多的学校问题和父母失去经验的经历，但是他们的财务问题较少。检查了青春期与成年人之间的性别差异，发现男性青春期尝试者比成人成年人更容易被诊断为精神分裂症，并且财务问题更少，而女性青春期尝试者被诊断为BPD的次数更多，有更多的学校问题和父母损失，但他们之前的精神病史要比成年同龄人少。结论我们的研究结果表明，青春期尝试者被诊断出患有BPD的频率更高，并有更多的学校问题和父母丧失经历的经历，但财务问题较少。此外，在男性青春期尝试者中，识别精神分裂症患者似乎很重要，因为这是他们最频繁的精神病学诊断。对于女性青少年来说，充分评估家庭功能和人际冲突似乎很重要，因为她们更容易被诊断出患有BPD并有更多的学校和家庭问题。

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