Auditory verbal hallucinations increase the risk for suicide attempts in adolescents with suicidal ideation

详细信息    查看全文

• 作者：Junichi Fujita^a ; ^f ; ^{juniteef@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Yuichi Takahashi^b ; Atsushi Nishida^c ; Yasuyuki Okumura^d ; Shuntaro Ando^c ; Miho Kawano^e ; Koji Toyohara^a ; Noriko Sho^a ; Tatsuya Minami^a ; Takashi Arai^a
• 关键词：Auditory verbal hallucination ; Suicide attempt ; Depression ; Early adolescents ; Child and adolescent mental health clinic
• 刊名：Schizophrenia Research
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：168
• 期：1-2
• 页码：209-212
• 全文大小：212 K

文摘

It is important to prevent patients with suicidal ideation from actually attempting suicide. A school based cohort study suggested that auditory verbal hallucinations (AVHs) might play an important role in driving young people with mental health problems to attempt suicide. However, no clinical study to date has specifically investigated the association between AVHs and suicide attempts among young patients with suicidal ideation.

Method

We conducted a cross-sectional study of first-visit psychiatric referrals aged 10–15 years at two general child and adolescent mental health hospitals in Japan. We administered self-reported questionnaires to measure suicidal ideation and suicide attempts, AVHs, and depression in the two weeks prior to the date of first-visit.

Results

Among 188 patients with suicidal ideation, the presence of AVHs was associated with increased odds of suicide attempts (OR 3.4, 95% CI 1.7–6.9; p < 0.05); however, depression was not associated with a significant change of odds (OR 0.7, 95% CI 0.4–1.3; p = 0.29).

Conclusions

AVHs may increase the risk of suicide attempts made by adolescents with suicidal ideation. Clinicians should consider AVHs when adolescent patients present with suicidal ideation.