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Psychosocial risk factors for suicidality in children and adolescents

机译:儿童和青少年自杀的心理社会风险因素

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Suicidality in childhood and adolescence is of increasing concern. The aim of this paper was to review the published literature identifying key psychosocial risk factors for suicidality in the paediatric population. A systematic two-step search was carried out following the PRISMA statement guidelines, using the terms 'suicidality, suicide, and self-harm' combined with terms 'infant, child, adolescent' according to the US National Library of Medicine and the National Institutes of Health classification of ages. Forty-four studies were included in the qualitative synthesis. The review identified three main factors that appear to increase the risk of suicidality: psychological factors (depression, anxiety, previous suicide attempt, drug and alcohol use, and other comorbid psychiatric disorders); stressful life events (family problems and peer conflicts); and personality traits (such as neuroticism and impulsivity). The evidence highlights the complexity of suicidality and points towards an interaction of factors contributing to suicidal behaviour. More information is needed to understand the complex relationship between risk factors for suicidality. Prospective studies with adequate sample sizes are needed to investigate these multiple variables of risk concurrently and over time.
机译:童年和青春期的自由性越来越受到关注。本文的目的是审查发表的文献,鉴定了儿科人口的自由性的关键心理社会风险因素。在Prisma声明指南的指导方面进行了系统的两步搜索,使用条款“自定性,自杀和自我伤害”与术语“婴儿,儿童,青少年”据美国国家医学图书馆和国家机构相结合年龄的健康分类。定性合成中包含四十四项研究。审查确定了三个主要因素,似乎增加了自由性风险:心理因素(抑郁,焦虑,先前自杀企图,药物和酒精使用以及其他同经性精神病疾病);压力生活事件(家庭问题和同伴冲突);和个性特征(如神经质和冲动)。证据突出了自由性的复杂性,并指出了有助于自杀行为的因素的相互作用。需要更多信息来了解自由性风险因素之间的复杂关系。需要具有足够样品尺寸的前瞻性研究,以同时及时调查这些多种风险变量。

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