Suicidality and its relationship to treatment outcome in depressed adolescents

被引：59

作者：

Barbe, RP ^{[1
]}

Bridge, J ^{[1
]}

Birmaher, B ^{[1
]}

Kolko, D ^{[1
]}

Brent, DA ^{[1
]}

机构：

[1] Univ Pittsburgh, Western Psychiat Inst & Clin, Med Ctr, Pittsburgh, PA 15213 USA

来源：

SUICIDE AND LIFE-THREATENING BEHAVIOR | 2004年 / 34卷 / 01期

关键词：

D O I：

10.1521/suli.34.1.44.27768

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

This study investigates the impact of suicidality on treatment outcome in 107 depressed adolescents who participated in a clinical trial, and received either cognitive-behavioral (CBT), systemic-behavioral-family (SBFT), or non-directive-supportive therapy (NST). Suicidal depressed adolescents had a higher dropout rate and were more likely to be depressed at the end of treatment, in large part due to the particularly poor response of suicidal patients to NST The relationship between suicidality and treatment response was mediated by severity of depression and hopelessness at intake. Hopelessness should be specifically targeted early in treatment. Suicidal depressed adolescents should not receive NST but a specific treatment like CBT.

引用

页码：44 / 55

页数：12

共 50 条

[41] Rapid response to psychosocial treatment for adolescent depression: A two-year follow-up [J].

Renaud, J ;

Brent, DA ;

Baugher, M ;

Birmaher, B ;

Kolko, DJ ;

Bridge, J .

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1998, 37 (11) :1184-1190

[42]

Robin A.L., 1989, NEGOTIATING PARENT A

[43] Enhancing treatment adherence with a specialized emergency room program for adolescent suicide attempters [J].

RotheramBorus, MJ ;

Piacentini, J ;

VanRossem, R ;

Graae, F ;

Cantwell, C ;

CastroBlanco, D ;

Miller, S ;

Feldman, J .

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1996, 35 (05) :654-663

[44]

Shaffer D, 1996, ARCH GEN PSYCHIAT, V53, P339

[45]

SHAFFER D, 1983, ARCH GEN PSYCHIAT, V40, P1228

[46]

Stein D, 2001, J Psychother Pract Res, V10, P1

[47] ARE ADOLESCENT SUICIDE ATTEMPTERS NONCOMPLIANT WITH OUTPATIENT CARE [J].

TRAUTMAN, PD ;

STEWART, N ;

MORISHIMA, A .

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1993, 32 (01) :89-94

[48]

VanGastel A, 1997, ACTA PSYCHIAT SCAND, V96, P254

[49] Controlled trial of a brief cognitive-behavioural intervention in adolescent patients with depressive disorders [J].

Wood, A ;

Harrington, R ;

Moore, A .

JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 1996, 37 (06) :737-746

[50] Randomized trial of group therapy for repeated deliberate self-harm in adolescents [J].

Wood, A ;

Trainor, G ;

Rothwell, J ;

Moore, A ;

Harrington, R .

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2001, 40 (11) :1246-1253

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