OBJECTIVE To examine factors differentiating individuals whose first suicide attempt was during childhood (ages 5-12 yrs) from those who first attempted suicide during adolescence (13-19 yrs) and during adulthood (≥20 yrs). METHOD A sample of 418 participants (ages 18-64 yrs) with a mood disorder and ≥1 lifetime suicide attempt was divided into three groups according to age of first suicide attempt (childhood: N = 43, adolescent: N = 149, adulthood: N = 226) and compared on demographics, childhood adversity, parental psychopathology, comorbid lifetime axis I diagnoses, self-harm and characteristics of first attempt. RESULTS Participants in the Childhood Attempt group were more likely to report childhood adversity, parental alcohol use disorder and subsequent suicide attempts than the two other groups. They were also more likely to have a depressed mother, non-suicidal self-injury (NSSI) during childhood and adolescence, lifetime PTSD and aggressive behavior than the Adulthood Attempt group. The Adolescent Attempt group had more childhood adversity, parental suicidal behavior, lifetime PTSD and NSSI during adolescence than the Adulthood Attempt group. The groups differed on methods of first attempt, and its lethality was related to age of attempt. CONCLUSIONS Early adversity and parental psychopathology are particularly prominent in those who make childhood suicide attempts, suggesting that this group may represent a suicidal behavior subtype.

中文翻译：

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与儿童自杀未遂相关的社会心理风险因素和结局：一项回顾性研究。

目的探讨与在青少年时期（13-19岁）和成年时期（≥20岁）首次自杀的个体相区别的因素。方法根据首次自杀尝试的年龄（儿童：N = 43，青少年：N = 149，成人：），将418名参与者（年龄在18-64岁）患有情绪障碍且一生中自杀次数≥1的样本分为三组。 N = 226），并比较了人口统计学，儿童时期的逆境，父母的心理病理学，I期诊断的合并症，自我伤害和首次尝试的特征。结果与其他两个组相比，童年尝试组的参与者更有可能报告儿童逆境，父母饮酒障碍和随后的自杀未遂。与成年未成年组相比，他们更有可能在母亲和母亲中处于沮丧状态，在儿童和青少年时期发生非自杀性自残（NSSI），终生PTSD和攻击行为。与成人尝试组相比，青少年尝试组在儿童期的逆境，父母的自杀行为，一生中的终生PTSD和NSSI更大。两组的首次尝试方法不同，其致死率与尝试年龄有关。结论在儿童自杀未遂者中，早期逆境和父母的心理病理学尤为突出，这表明该群体可能代表自杀行为亚型。与成人尝试组相比，青少年尝试组在儿童期的逆境，父母的自杀行为，一生中的终生PTSD和NSSI更大。两组的首次尝试方法不同，其致死率与尝试年龄有关。结论在儿童自杀未遂者中，早期逆境和父母的心理病理学尤为突出，这表明该群体可能代表自杀行为亚型。与成人尝试组相比，青少年尝试组在儿童期的逆境，父母的自杀行为，一生中的PTSD和NSSI较多。两组的首次尝试方法不同，其致死率与尝试年龄有关。结论在儿童自杀未遂者中，早期逆境和父母的心理病理学尤为突出，这表明该群体可能代表自杀行为亚型。