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首页> 外文期刊>European child & adolescent psychiatry >Suicidal ideation, deliberate self-harm behaviour and suicide attempts among adolescent outpatients with depressive mood disorders and comorbid axis I disorders.
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Suicidal ideation, deliberate self-harm behaviour and suicide attempts among adolescent outpatients with depressive mood disorders and comorbid axis I disorders.

机译：患有抑郁性情绪障碍和并发I轴疾病的青少年门诊患者的自杀观念，故意的自残行为和自杀企图。

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OBJECTIVE: We aimed to analyse and compare prevalence and associated clinical features of suicidal ideation, self-harm behaviour with no suicidal intent and suicide attempts among adolescent outpatients with depressive mood disorders with or without comorbidity. METHOD: A sample of 218 consecutive adolescent outpatients aged 13-19 years with depressive mood disorders was interviewed using K-SADS-PL for DSM-IV Axis I diagnoses. They filled out self-report questionnaires assessing depressive and anxiety symptoms. Suicidal behaviour was assessed by K-SADS-PL suicidality items. RESULTS: Half of the subjects reported suicidal ideation or behaviour. There was no difference in prevalence of suicidal behaviour between non-comorbid and comorbid mood disorder groups. Multivariate logistic regression analyses produced the following associations: (1) suicidal ideation with self-reported depressive symptoms and poor psychosocial functioning, (2) deliberate self-harm behaviour with younger age and poor psychosocial functioning, and (3) suicide attempts with self-reported depressive symptoms and poor psychosocial functioning. CONCLUSIONS: Depressed mood disorders, whether comorbid or not, are associated with suicidal ideation and suicide attempts. Diagnostic assessment should be supplemented by self-report methods when assessing suicidal behaviour in depressed adolescents.
机译：目的：我们旨在分析和比较青少年抑郁症患者（有或没有合并症）的自杀意念，无自杀意向的自残行为和自杀未遂的患病率和相关临床特征。方法：使用K-SADS-PL对DSM-IV轴I诊断的218名年龄在13-19岁的抑郁症患者的连续门诊患者进行了访谈。他们填写了自我报告调查表，评估了抑郁和焦虑症状。通过K-SADS-PL自杀项目评估自杀行为。结果：一半的受试者报告有自杀意念或行为。非合并症和合并症患者的自杀行为发生率无差异。多元logistic回归分析产生以下关联：（1）自杀意念与自我报告的抑郁症状和不良的社会心理功能;（2）故意的自残行为与较年轻的年龄和心理社会功能;以及（3）自杀企图与自我报告了抑郁症状和不良的社会心理功能。结论：抑郁情绪障碍，无论是否合并症，均与自杀意念和自杀企图有关。在评估抑郁青少年的自杀行为时，应通过自我报告方法补充诊断评估。

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