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Suicidal Ideation and Attempts during Middle Childhood: Associations with Subjective Quality of Life and Depression

机译:童年中期的自杀意念和尝试:主观生活质量和抑郁的联想

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Background: Confronted to the increasing suicide rate in children, clinicians have to better understand and predict suicide-related behaviours (SRBs) in children with and without depressive symptoms. Aims: To investigate associations among suicidal tendencies (thoughts and/or attempts), depression and children’s perceptions of subjective quality of life. Methods: This was a cross-sectional study of 157 children of 6 - 13-year-old. Results: Children who attempted or thought of suicide reported goodless subjective quality of life than nonsuicidal children did, and children who thought of or attempted suicide reported higher levels of depressive symptoms than nonsuicidal children. Limitations: A more rigorous approach to investigating suicidal ideation and depressive symptomatology as a diagnostic interview based on the DSM-IV-TR will be valuable to future progress in understanding children’s suicidality. Conclusions: Results may reflect the confirmation of depressive symptoms as risk factors for suicidality and underline the high importance of social and emotional life context among suicidal children. For this reason, more effective recognition and comprehension of the underlying affective and social conditions of children with suicidality have special importance to prevent future suicidal behaviour during adolescence.
机译:背景:面对儿童自杀率的上升,临床医生必须更好地了解和预测患有和不患有抑郁症状的儿童的自杀相关行为(SRB)。目的:调查自杀倾向(思想和/或尝试),抑郁和儿童对主观生活质量的看法之间的关联。方法:这是对157名6-13岁儿童的横断面研究。结果:尝试或想到自杀的儿童所报告的主观生活质量较未自杀的儿童差,而考虑或尝试自杀的儿童所报告的抑郁症状水平高于未自杀的儿童。局限性:以DSM-IV-TR为基础的一种更严格的自杀意念和抑郁症状学调查方法作为诊断性访谈将对未来了解儿童自杀倾向具有重要价值。结论:结果可能反映出抑郁症状已被确认为自杀的危险因素,并强调了自杀儿童中社交和情感生活环境的高度重要性。因此,更有效地认识和理解自杀儿童的潜在情感和社会状况对于防止青春期以后的自杀行为具有特别重要的意义。

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