The Diagnostic and Statistical Manual (DSM) does not specifically identify one’s own suicide attempt as a potential source of trauma for the development of posttraumatic stress disorder (PTSD). PTSD following a near death experience in an adolescent may occur in both the adolescent and the parent. However, suicide-attempt-related PTSD (SA-PTSD) is scarce in the literature, particularly in the pediatric population. The authors review three cases of adolescent patients or their parents in an outpatient clinical practice who displayed varying severity of SA-PTSD symptoms. Information was obtained via self-report by adolescent, parent, or both. Screening for SA-PTSD symptoms was not explicitly sought; rather patients or parents volunteered such information de novo during clinical encounters which was then explored further. One adolescent had only brief PTSD-like experiences that faded with time and did not require intervention. A second adolescent reported long-term memory loss around the circumstances of their suicide attempt that may be related to medical morbidity; their parent had significant PTSD symptoms throughout treatment, and the parent was referred to their own therapy. A third adolescent was referred for cognitive-behavioral therapy (CBT) for the treatment of pervasive PTSD symptoms from a previous suicide attempt, with symptoms improving after treatment. A qualititative analysis suggests that more severe SA-PTSD symptoms are associated with 1) multiple prior suicide attempts; 2) more severe/higher morbidity suicide attempt; and 2) previous diagnosis of PTSD in patient or parent. Assessment for SA-PTSD is important to ensure that affected patients and their families are referred for appropriate resources and treatment. Of the very small sample of three cases, two required specific referral to treat PTSD symptoms in either the adolescent or the parent. The literature about SA-PTSD is extremely scarce. Only two studies systematically examined PTSD following suicide attempt, and none of these studies were in pediatric patients, making more robust quantitative or qualitative analysis limited at this time. Therefore, more research regarding epidemiology, risk factors, and treatment is needed.

诊断和统计手册 (DSM) 并未明确将个人的自杀未遂确定为导致创伤后应激障碍 (PTSD) 发展的潜在创伤来源。青少年濒死经历后的 PTSD 可能发生在青少年和父母身上。然而，与自杀未遂相关的 PTSD (SA-PTSD) 在文献中很少见，尤其是在儿科人群中。作者回顾了三例在门诊临床实践中表现出不同严重程度的 SA-PTSD 症状的青少年患者或其父母。信息是通过青少年、父母或两者的自我报告获得的。没有明确要求筛查 SA-PTSD 症状；相反，患者或父母在临床接触期间自愿提供此类信息，然后进行进一步探索。一名青少年只有短暂的类似 PTSD 的经历，这些经历会随着时间的推移而消失，并且不需要干预。第二名青少年报告说，他们对自杀未遂的情况长期记忆丧失，这可能与医学发病率有关；他们的父母在整个治疗过程中都有明显的 PTSD 症状，并且他们被转介到他们自己的治疗中。第三名青少年被转诊接受认知行为疗法 (CBT)，以治疗先前自杀未遂引起的普遍 PTSD 症状，治疗后症状有所改善。一项定性分析表明，更严重的 SA-PTSD 症状与 1) 先前多次自杀未遂有关；2) 更严重/更高发病率的自杀未遂；2) 患者或父母先前诊断为 PTSD。SA-PTSD 评估对于确保受影响的患者及其家人获得适当的资源和治疗非常重要。在三个案例的非常小的样本中，有两个需要特定转诊来治疗青少年或父母的 PTSD 症状。关于 SA-PTSD 的文献极为稀少。只有两项研究系统地检查了自杀未遂后的创伤后应激障碍，而且这些研究都没有针对儿科患者，这使得目前更可靠的定量或定性分析受到限制。因此，需要对流行病学、危险因素和治疗进行更多研究。关于 SA-PTSD 的文献极为稀少。只有两项研究系统地检查了自杀未遂后的创伤后应激障碍，而且这些研究都没有针对儿科患者，这使得目前更可靠的定量或定性分析受到限制。因此，需要对流行病学、危险因素和治疗进行更多研究。关于 SA-PTSD 的文献极为稀少。只有两项研究系统地检查了自杀未遂后的创伤后应激障碍，而且这些研究都没有针对儿科患者，这使得目前更可靠的定量或定性分析受到限制。因此，需要对流行病学、危险因素和治疗进行更多研究。