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首页> 外文期刊>Pediatric diabetes. >Lifetime prevalence of suicidal and self-injurious behaviors in a representative cohort of Slovenian adolescents with type 1 diabetes.
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Lifetime prevalence of suicidal and self-injurious behaviors in a representative cohort of Slovenian adolescents with type 1 diabetes.

机译：斯洛文尼亚1型糖尿病青少年群体中自杀和自残行为的终生流行率。

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OBJECTIVE: To determine lifetime prevalence of suicidal and self-injurious behaviors in Slovenian adolescents with type 1 diabetes compared with healthy controls. RESEARCH DESIGN AND METHODS: Adolescents (14-19 yr) with type 1 diabetes were compared with a normative control group of healthy secondary school students by means of a self-reported questionnaire (according to Kienhorst) containing questions on demographic and family characteristics, suicidal ideation, intended suicide, attempted suicide, possible future suicide, and self-injurious behavior. Patients received the questionnaires at regular outpatient visits to the pediatric diabetes clinic, completed them in private, and returned them by mail. Questionnaires for control subjects were administered in classrooms. RESULTS: The responses of 126 eligible patients and 499 controls were analyzed. The control group trended toward higher lifetime prevalence of all suicidal behaviors and self-injurious behavior. The lowest prevalence of all suicidal behaviors and self-injurious behavior was reported by males with diabetes. Compared with male controls, the differences were statistically significant for suicidal ideation (p < 0.05) and intended suicide (p < 0.05). Compared with females with diabetes, the differences were statistically significant for suicidal ideation (p < 0.001), intended suicide (p < 0.01), attempted suicide (p < 0.05), and self-injurious behavior (p < 0.05). Females with diabetes reported highest prevalence of all suicidal but not self-injurious behaviors. More patients than controls reported receiving counseling the year preceding the study (p < 0.001). CONCLUSIONS: In the study, type 1 diabetes showed a protective effect for suicidal behavior in adolescent males but not in adolescent females. Professionals working with adolescents with type 1 diabetes should be alert to possible suicidality, especially among females.
机译：目的：确定与健康对照组相比，斯洛文尼亚1型糖尿病青少年的自杀和自伤行为终生患病率。研究设计和方法：通过自我报告的问卷（根据肯恩霍斯特（Kienhorst）），将1型糖尿病青少年（14-19岁）与健康中学生的正常对照组进行比较，该问卷包含有关人口统计学和家庭特征的问题，是否自杀想法，意图自杀，未遂自杀，将来可能的自杀以及自残行为。患者在定期门诊到小儿糖尿病诊所时收到问卷，私下填写，并通过邮件退回。对照受试者的问卷在教室中进行。结果：分析了126名合格患者和499名对照组的反应。对照组倾向于所有自杀行为和自残行为的终生患病率更高。据报道，所有自杀行为和自伤行为的患病率最低，男性是糖尿病男性。与男性对照组相比，自杀意念（p <0.05）和意向自杀（p <0.05）的差异具有统计学意义。与患有糖尿病的女性相比，自杀意念（p <0.001），意图自杀（p <0.01），自杀未遂（p <0.05）和自残行为（p <0.05）的差异具有统计学意义。糖尿病女性的自杀行为发生率最高，但自伤行为并非如此。研究前一年报告接受咨询的患者多于对照组（p <0.001）。结论：在这项研究中，1型糖尿病对青春期男性的自杀行为具有保护作用，而对青春期女性则没有保护作用。在患有1型糖尿病的青少年中工作的专业人员应警惕可能的自杀倾向，尤其是女性。

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