Psychosocial risk factors for suicidality in children and adolescents

被引：262

作者：

Carballo, J. J. ^{[1
]}

Llorente, C. ^{[1
]}

Kehrmann, L. ^{[1
]}

Flamarique, I. ^{[2
]}

Zuddas, A. ^{[3
,4
]}

Purper-Ouakil, D. ^{[5
]}

Hoekstra, P. J. ^{[6
]}

Coghill, D. ^{[7
,8
,9
,10
]}

Schulze, U. M. E. ^{[11
]}

Dittmann, R. W. ^{[12
]}

Buitelaar, J. K. ^{[13
,14
]}

Castro-Fornieles, J. ^{[2
,15
,16
]}

Lievesley, K. ^{[17
,18
]}

Santosh, Paramala ^{[17
,18
]}

Arango, C. ^{[1
]}

机构：

[1] Univ Complutense, Child & Adolescent Psychiat Dept, Hosp Gen Univ Gregorio Maranon,Sch Med, CIBERSAM,Inst Invest Sanitaria Gregorio Maranon I, Madrid, Spain

[2] Hosp Clin Barcelona, CIBERSAM, Inst Clin Neurosci, Child & Adolescent Psychiat & Psychol Dept, 2014SGR489, Barcelona, Spain

[3] Univ Cagliari, Dept Biomed Sci, Child & Adolescent Neuropsychiat Unit, Cagliari, Italy

[4] Cagliari Univ Hosp, A Cao Paediat Hosp, G Brotzu Hosp Trust, Cagliari, Italy

[5] CHRU Montpellier, Hop St Eloi, Med Psychol Enfant & Adolescent, Montpellier, France

[6] Univ Groningen, Univ Med Ctr Groningen, Dept Child & Adolescent Psychiat, Groningen, Netherlands

[7] Univ Melbourne, Sch Med Dent & Hlth Sci, Dept Paediat, Melbourne, Vic, Australia

[8] Univ Melbourne, Dept Psychiat, Sch Med Dent & Hlth Sci, Melbourne, Vic, Australia

[9] Murdoch Childrens Res Inst, Melbourne, Vic, Australia

[10] Univ Dundee, Sch Med, Div Neurosci, Dundee, Scotland

[11] Univ Ulm, Dept Child & Adolescent Psychiat Psychotherapy, Ulm, Germany

[12] Heidelberg Univ, Med Fac Mannheim, Dept Child & Adolescent Psychiat, Paediat Psychopharmacol,Cent Inst Mental Hlth CIM, Mannheim, Germany

[13] Radboud Univ Nijmegen, Dept Cognit Neurosci, Donders Inst Brain Cognit & Behav, Med Ctr, Nijmegen, Netherlands

[14] Karakter Child & Adolescent Psychiat Univ Ctr, Nijmegen, Netherlands

[15] CIBERSAM, Ctr Invest Biomed Red Salud Mental, Barcelona, Spain

[16] Univ Barcelona, Dept Psychiat & Clin Psychol, Barcelona, Spain

[17] Kings Coll London, Dept Child & Adolescent Psychiat, Inst Psychol Psychiat & Neurosci, London, England

[18] South London & Maudsley NHS Fdn Trust, Ctr Intervent Paediat Psychopharmacol & Rare Dis, London, England

来源：

EUROPEAN CHILD & ADOLESCENT PSYCHIATRY | 2020年 / 29卷 / 06期

关键词：

Children; Adolescents; Youth; Suicidality; Risk; Resilience; Psychosocial; Web-based; Questionnaire; DELIBERATE SELF-HARM; IDEATION; BEHAVIORS; YOUTH; PREDICTORS; DEPRESSION; SYMPTOMS; EVENTS; ASSOCIATIONS; ATTEMPTERS;

D O I：

10.1007/s00787-018-01270-9

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Suicidality in childhood and adolescence is of increasing concern. The aim of this paper was to review the published literature identifying key psychosocial risk factors for suicidality in the paediatric population. A systematic two-step search was carried out following the PRISMA statement guidelines, using the terms 'suicidality, suicide, and self-harm' combined with terms 'infant, child, adolescent' according to the US National Library of Medicine and the National Institutes of Health classification of ages. Forty-four studies were included in the qualitative synthesis. The review identified three main factors that appear to increase the risk of suicidality: psychological factors (depression, anxiety, previous suicide attempt, drug and alcohol use, and other comorbid psychiatric disorders); stressful life events (family problems and peer conflicts); and personality traits (such as neuroticism and impulsivity). The evidence highlights the complexity of suicidality and points towards an interaction of factors contributing to suicidal behaviour. More information is needed to understand the complex relationship between risk factors for suicidality. Prospective studies with adequate sample sizes are needed to investigate these multiple variables of risk concurrently and over time.

引用

页码：759 / 776

页数：18

共 55 条

[1] Familial, psychiatric, and socioeconomic risk factors for suicide in young people: nested case-control study [J].