Thoughts of death or suicidal ideation are common in young people aged 12 to 30?years presenting for mental health care 英文参考文献.docVIP
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Thoughts of death or suicidal ideation are common in young people aged 12 to 30?years presenting for mental health care 英文参考文献
Scottetal.BMCPsychiatry2012,12:234
/1471-244X/12/234
RESEARCH ARTICLE
OpenAccess
Thoughtsofdeathorsuicidalideationare
commoninyoungpeopleaged12to30years
presentingformentalhealthcare
ElizabethMScott1,2,DanielFHermens1*,SharonLNaismith1,DjangoWhite1,BradleyWhitwell1,AdamJGuastella1,
NickGlozier1andIanBHickie1
Abstract
Background:Reducingsuicidalbehaviourisamajorpublichealthgoal.Expandingaccesstocarehasbeen
identifiedasakeystrategy.InAustralia,anationalnetworkofprimary-carebasedservices(headspace)hasbeen
establishedforyoungpeoplewithmentalill-health.Thisstudydeterminesthesocio-demographic,
psychopathologicalandillness-stagecorrelatesofsuicidalideationinyoungpersonsattendingheadspaceservices.
Methods:SuicidalideationwasrecordedusingthespecificsuicideitemoftheHamiltonDepressionRatingScale
(HDRS)inacohortofsubjectsaged12-30years(N=494)attendingheadspaceservices.
Results:Ofthe494youngpersonsassessed,32%(158/494)hadapositiveresponsetoanyleveloftheHDRS
suicideitem,consistingof16%(77/494)reportingthatlifewasnotworthlivingandafurther16%(81/494)
reportedthoughtsofdeathorsuicidalideation.Youngwomen(19%;94/494)weremorelikelytoreportany
positiveresponseascomparedwithyoungmen(13%;64/494)[χ2(2,494)=13.6,p.01].Thosewith‘attenuated
syndromes’reportedpositiveresponsesatratescomparabletothosewithmoreestablisheddisorders(35%vs.34%;
χ2(1,347)=0.0,p=0.87).However,moreseriouslevelsofsuicidalideationweremorecommoninthosewith
depressivedisordersorlaterstagesofillness.Inmultivariateanalyses,themajorpredictorsofthedegreeofsuicidal
ideationwereincreasinglevelsofclinician-rateddepressivesymptoms(beta=0.595,p.001),general
psychopathology(beta=0.198,p.01),andself-reporteddistress(beta=0.172,p.05).
Conclusions:Feelingsthatlifeisnotworthliving,thoughtsofdeathorsuicidalideationarecommoninyoung
peopleseekingmentalhealthcare.Theseat-riskcognitionsareevidentbeforemanyoftheseindividualsdevelop
severeorpersistentmentaldisorders.Thoughtsofdeathorsuicidalideationmaywellneedtobeaprimary
interventiontarget
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