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Prevalence and Clinical Differences of Suicidal Thoughts and Behaviors in a Community Sample of Youth Receiving Cognitive-Behavioral Therapy for Anxiety

机译:青年接受认知行为疗法治疗焦虑症的社区样本中自杀思想和行为的普遍性和临床差异

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摘要

This study examined the incidence of suicidal thoughts and behaviors in youth with anxiety before initiating cognitive behavioral therapy, as well as the emergence of suicidal thoughts and behaviors during treatment. Overall, 30% of youth experienced suicidal thoughts and behaviors. Prior to treatment, 24% reported suicidal thoughts and behaviors, and 13.1% endorsed suicidal thoughts and behaviors during treatment. More than half who endorsed suicidal thoughts and behaviors during treatment were newly identified cases not detected prior to treatment. Disagreement among parent- and child-report measures of suicidality was found at baseline. Youth who experienced suicidal thoughts and behaviors had higher levels of loneliness, depressive symptoms, overt peer victimization, functional impairment, and externalizing symptoms. Findings suggest that the assessment of suicidality at a single time-point and from one informant is not sufficient to identify at-risk youth. Ongoing assessment of suicidal risk during treatment is important in this population
机译:本研究在开始认知行为治疗之前检查了焦虑青年中自杀念头和行为的发生率,以及在治疗期间自杀念头和行为的出现。总体而言,有30%的年轻人经历过自杀念头和行为。在治疗之前,有24%的人报告有自杀念头和行为,而13.1%的人表示在治疗期间有自杀念头和行为。半数以上在治疗期间赞同自杀念头和行为的人是在治疗前未发现的新发现病例。在基线时发现父母和孩子自杀率的测量方法之间存在分歧。经历过自杀念头和行为的年轻人有较高的孤独感,抑郁症状,明显的同伴受害,功能障碍和外在症状。研究结果表明,在一个时间点和从一名线人那里对自杀的评估不足以识别高危青年。持续评估治疗期间的自杀风险对这一人群很重要

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