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Erschienen in: Prevention Science 3/2006

01.09.2006 | Original Paper

Genetic Contribution to Suicidal Behaviors and Associated Risk Factors among Adolescents in the U.S.

Erschienen in: Prevention Science | Ausgabe 3/2006

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Abstract

This paper examines genetic contribution to suicidal behaviors and other risk factors associated with suicidal behavior among adolescents in the U.S. Using adolescent twin data in the National Longitudinal Study of Adolescent Health (N=1448), we compared concordance in suicidal ideation and attempt among monozygotic (MZ) and dizygotic (DZ) twins. Heritability of risk factors for suicidal behaviors also was examined using Pearson correlation and mixed-model analyses. A trend of higher concordance in suicidal ideation and attempt was found among MZ than DZ twins but the difference was not statistically significant by the stringent test of bootstrapping analysis. Evidence of heritability was found for several suicide risk factors. The percentage of variance explained by heritability was larger among female twins for depression, aggression, and quantity of cigarettes smoked in comparison to heritability estimates for male twins. However, estimated heritability was larger among male than female twins for alcohol use and binge drinking. Heritability influence was negligible among both sexes for other drug use. Risk factors for suicidal behaviors among adolescents may be heritable. Gender differences found in the heritability of some suicide risk factors suggest these genetic contributions are gender specific. Future research examining potential interactions between expression of genetic influence and particular environmental contexts may enhance prevention and intervention efforts.
Literatur
Zurück zum Zitat Anderson R.N., Smith B.L. (2005). Deaths: Leading causes for 2002. National vital statistics reports: National Center for Health Statistics. Volume 53, Number 17. Anderson R.N., Smith B.L. (2005). Deaths: Leading causes for 2002. National vital statistics reports: National Center for Health Statistics. Volume 53, Number 17.
Zurück zum Zitat Bearman, P. S., & Moody, J. (2004). Suicide and friendships among American adolescents. American Journal of Public Health, 94, 89–95.PubMed Bearman, P. S., & Moody, J. (2004). Suicide and friendships among American adolescents. American Journal of Public Health, 94, 89–95.PubMed
Zurück zum Zitat Brent, D. A., Kolko, D. J., Wartella, M. E., Boylan, M. B., Moritz, G., Baugher, M., et al. (1993). Adolescent psychiatric inpatients’ risk of suicide attempt at 6-month follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 95–105.PubMedCrossRef Brent, D. A., Kolko, D. J., Wartella, M. E., Boylan, M. B., Moritz, G., Baugher, M., et al. (1993). Adolescent psychiatric inpatients’ risk of suicide attempt at 6-month follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 95–105.PubMedCrossRef
Zurück zum Zitat Brent, D. A., Bridge, J., Johnson, B. A., & Connolly, J. (1996). Suicidal behavior runs in families. A controlled family study of adolescent suicide victims. Archives of General Psychiatry, 53, 1145–1152.PubMed Brent, D. A., Bridge, J., Johnson, B. A., & Connolly, J. (1996). Suicidal behavior runs in families. A controlled family study of adolescent suicide victims. Archives of General Psychiatry, 53, 1145–1152.PubMed
Zurück zum Zitat Bridge, J. A., Brent, D. A., Johnson, B. A., & Connolly, J. (1997). Familial aggregation of psychiatric disorder in a community sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 628–636.PubMedCrossRef Bridge, J. A., Brent, D. A., Johnson, B. A., & Connolly, J. (1997). Familial aggregation of psychiatric disorder in a community sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 628–636.PubMedCrossRef
Zurück zum Zitat Brook, J. S., Cohen, P., & Brook, D. W. (1998). Longitudinal Study of Co-occurring Psychiatric Disorders and Substance Use. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 322–330.PubMed Brook, J. S., Cohen, P., & Brook, D. W. (1998). Longitudinal Study of Co-occurring Psychiatric Disorders and Substance Use. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 322–330.PubMed
Zurück zum Zitat Brooks, T. L., Harris, S. K., Thrall, J. S., & Woods, E. R. (2002). Association of adolescent risk behaviors with mental health symptoms in high school students. Journal of Adolescence Health, 31, 240–246.CrossRef Brooks, T. L., Harris, S. K., Thrall, J. S., & Woods, E. R. (2002). Association of adolescent risk behaviors with mental health symptoms in high school students. Journal of Adolescence Health, 31, 240–246.CrossRef
Zurück zum Zitat Burge, V., Felts, M., Chenier, T., & Parrillo, A. V. (1995). Drug use, sexual activity, and suicidal behavior in U.S. high school students. Journal of School Health, 65, 222–227. Burge, V., Felts, M., Chenier, T., & Parrillo, A. V. (1995). Drug use, sexual activity, and suicidal behavior in U.S. high school students. Journal of School Health, 65, 222–227.
Zurück zum Zitat Centers for Disease Control and Prevention (2004). Youth Risk Behavior Surveillance-United States 2003. Surveillance Summaries MMWR 2004, 53 (No.SS-2), 1-96. Retrieved May 21, 2004, from http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5302a1.htm. Centers for Disease Control and Prevention (2004). Youth Risk Behavior Surveillance-United States 2003. Surveillance Summaries MMWR 2004, 53 (No.SS-2), 1-96. Retrieved May 21, 2004, from http://​www.​cdc.​gov/​mmwr/​preview/​mmwrhtml/​ss5302a1.​htm.​
Zurück zum Zitat Centers for Disease Control and Prevention (1996). Youth Risk Behavior Surveillance-United States 1995. Surveillance Summaries MMWR 1996, 45 (No.SS-4), 1-86. Retrieved from http://www.cdc.gov/mmwr/PDF/SS/SS4504.pdf. Centers for Disease Control and Prevention (1996). Youth Risk Behavior Surveillance-United States 1995. Surveillance Summaries MMWR 1996, 45 (No.SS-4), 1-86. Retrieved from http://​www.​cdc.​gov/​mmwr/​PDF/​SS/​SS4504.​pdf.​
Zurück zum Zitat Cleveland, H. H. (2003). Disadvantaged neighborhoods and adolescent aggression: Behavioral genetic evidence of contextual effects. Journal of Research on Adolescence, 13, 211–238.CrossRef Cleveland, H. H. (2003). Disadvantaged neighborhoods and adolescent aggression: Behavioral genetic evidence of contextual effects. Journal of Research on Adolescence, 13, 211–238.CrossRef
Zurück zum Zitat Cleveland, H. H., & Wiebe, R. P. (2003). The moderation of genetic and shared-environmental influences on adolescent drinking by levels of parental drinking. Journal of Studies on Alcohol, 64, 182–194.PubMed Cleveland, H. H., & Wiebe, R. P. (2003). The moderation of genetic and shared-environmental influences on adolescent drinking by levels of parental drinking. Journal of Studies on Alcohol, 64, 182–194.PubMed
Zurück zum Zitat Efron, B., & Tibshirani, R. J. (1993). An Introduction to the Bootstrap. New York: Chapman & Hall. Efron, B., & Tibshirani, R. J. (1993). An Introduction to the Bootstrap. New York: Chapman & Hall.
Zurück zum Zitat Felts, W. M., Chenier, T., & Barnes, R. (1992). Drug use and suicide ideation and behavior among North Carolina public school students. American Journal of Public Health, 82, 870–872.PubMedCrossRef Felts, W. M., Chenier, T., & Barnes, R. (1992). Drug use and suicide ideation and behavior among North Carolina public school students. American Journal of Public Health, 82, 870–872.PubMedCrossRef
Zurück zum Zitat Glowinski, A. L., Bucholz, K. K., Nelson, E. C., Fu, Q., Madden, P. A. F., Reich, W., et al. (2001). Suicide attempts in an adolescent female twin sample. Journal of the American Academy of Child and Adolescent Psychiatry, 11, 1300–1302.CrossRef Glowinski, A. L., Bucholz, K. K., Nelson, E. C., Fu, Q., Madden, P. A. F., Reich, W., et al. (2001). Suicide attempts in an adolescent female twin sample. Journal of the American Academy of Child and Adolescent Psychiatry, 11, 1300–1302.CrossRef
Zurück zum Zitat Gould, M. S., Fisher, P., Parides, M., Flory, M., & Shaffer, D. (1996). Psychosocial risk factors of child and adolescent completed suicide. Archives of General Psychiatry, 53, 155–162. Gould, M. S., Fisher, P., Parides, M., Flory, M., & Shaffer, D. (1996). Psychosocial risk factors of child and adolescent completed suicide. Archives of General Psychiatry, 53, 155–162.
Zurück zum Zitat Gould, M., King, R., Greenwald, S., Fisher, P., Schwab-Stone, M., Kramer, R., et al. (1998). Psychopathology associated with suicidal ideation and attempts among children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 915–923.PubMed Gould, M., King, R., Greenwald, S., Fisher, P., Schwab-Stone, M., Kramer, R., et al. (1998). Psychopathology associated with suicidal ideation and attempts among children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 915–923.PubMed
Zurück zum Zitat Gould, M. S., Greenberg, T., Velting, D. M., & Shaffer, D. (2003). Youth suicide risk and preventive interventions: a review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 386–405.PubMed Gould, M. S., Greenberg, T., Velting, D. M., & Shaffer, D. (2003). Youth suicide risk and preventive interventions: a review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 386–405.PubMed
Zurück zum Zitat Guo, G. (2005). Twin studies: What can they tell us about nature and nuture? Contexts, 4, 43–47.CrossRef Guo, G. (2005). Twin studies: What can they tell us about nature and nuture? Contexts, 4, 43–47.CrossRef
Zurück zum Zitat Guo, G., & Wang, J. (2002). The mixed or multilevel model for behavior genetic analysis. Behavior Genetics, 32, 37–49.PubMedCrossRef Guo, G., & Wang, J. (2002). The mixed or multilevel model for behavior genetic analysis. Behavior Genetics, 32, 37–49.PubMedCrossRef
Zurück zum Zitat Hallfors, D., Waller, M. W., Ford, C. A., Halpern, C. T., Brodish, P. H., & Iritani, B. (2004). Adolescent depression and suicide risk: Association with sex and drug behavior. American Journal of Preventive Medicine, 27, 224–230.PubMed Hallfors, D., Waller, M. W., Ford, C. A., Halpern, C. T., Brodish, P. H., & Iritani, B. (2004). Adolescent depression and suicide risk: Association with sex and drug behavior. American Journal of Preventive Medicine, 27, 224–230.PubMed
Zurück zum Zitat Harris, K. M., Frorey, F., Tabor, J., Bearman, P. S., Jones, J., & Udry, J. R. (2003). The National Longitudinal Study of Adolescent Health: Research Design [WWW document]. Retrieved from http://www.cpc.unc.edu/projects/addhealth/design. Harris, K. M., Frorey, F., Tabor, J., Bearman, P. S., Jones, J., & Udry, J. R. (2003). The National Longitudinal Study of Adolescent Health: Research Design [WWW document]. Retrieved from http://​www.​cpc.​unc.​edu/​projects/​addhealth/​design.​
Zurück zum Zitat Jacobson, K. C., & Rowe, D. C. (1998). Genetic and Shared Environment Influences on Adolescent BMI: Interaction with Race and Sex. Behavior Genetics, 28, 265–278.PubMedCrossRef Jacobson, K. C., & Rowe, D. C. (1998). Genetic and Shared Environment Influences on Adolescent BMI: Interaction with Race and Sex. Behavior Genetics, 28, 265–278.PubMedCrossRef
Zurück zum Zitat Jacobson, K. C., & Rowe, D. C. (1999). Genetic and environmental influences on the relationships between family connectedness, school connectedness, and adolescent depressed mood: Sex differences. Developmental Psychology, 35, 926–939.PubMedCrossRef Jacobson, K. C., & Rowe, D. C. (1999). Genetic and environmental influences on the relationships between family connectedness, school connectedness, and adolescent depressed mood: Sex differences. Developmental Psychology, 35, 926–939.PubMedCrossRef
Zurück zum Zitat Jessor, R., Jessor, S. L., & Finney, J. (1973). A social psychology of marijuana use: longitudinal studies of high school and college youth. Journal of Personal and Social Psychology, 26, 1–15.CrossRef Jessor, R., Jessor, S. L., & Finney, J. (1973). A social psychology of marijuana use: longitudinal studies of high school and college youth. Journal of Personal and Social Psychology, 26, 1–15.CrossRef
Zurück zum Zitat Johnson, B. A., Brent, D. A., Bridge, J., & Connolly, J. (1998). The familial aggregation of adolescent suicide attempts. Acta Psychiatrica Scandinavica, 97, 18–24.PubMedCrossRef Johnson, B. A., Brent, D. A., Bridge, J., & Connolly, J. (1998). The familial aggregation of adolescent suicide attempts. Acta Psychiatrica Scandinavica, 97, 18–24.PubMedCrossRef
Zurück zum Zitat Kandel, D. B., Raveis, V. H., & Davies, M. (1991). Suicidal ideation in adolescence: Depression, substance use, and other risk factors. Journal of Youth and Adolescence, 20, 289–309.CrossRef Kandel, D. B., Raveis, V. H., & Davies, M. (1991). Suicidal ideation in adolescence: Depression, substance use, and other risk factors. Journal of Youth and Adolescence, 20, 289–309.CrossRef
Zurück zum Zitat King, R. A., Schwab-Stone, M., Flisher, A. J., Greenwald, S., Kramer, R. A., Goodman, et al. (2001). Psychosocial and risk behavior correlates of youth suicide attempts and suicidal ideation. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 837–846. King, R. A., Schwab-Stone, M., Flisher, A. J., Greenwald, S., Kramer, R. A., Goodman, et al. (2001). Psychosocial and risk behavior correlates of youth suicide attempts and suicidal ideation. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 837–846.
Zurück zum Zitat Lewinsohn, P., Rohde, P., & Seeley, J. (1996). Adolescent suicidal ideation and attempts: prevalence, risk factors, and clinical implications. Clinical Psychology, 3, 25–46. Lewinsohn, P., Rohde, P., & Seeley, J. (1996). Adolescent suicidal ideation and attempts: prevalence, risk factors, and clinical implications. Clinical Psychology, 3, 25–46.
Zurück zum Zitat Maccoby, E., & Masters, J. (1970). Attachment and dependency. In P. H. Mussen (Ed.), Carmichael's manual of child psychology. New York: Wiley Maccoby, E., & Masters, J. (1970). Attachment and dependency. In P. H. Mussen (Ed.), Carmichael's manual of child psychology. New York: Wiley
Zurück zum Zitat Mann, J. J., Waternaux, C., Haas, G. L., & Malone, K. M. (1999). Toward a clinical model of suicidal behavior in psychiatric patients. American Journal of Psychiatry, 156, 181–189.PubMed Mann, J. J., Waternaux, C., Haas, G. L., & Malone, K. M. (1999). Toward a clinical model of suicidal behavior in psychiatric patients. American Journal of Psychiatry, 156, 181–189.PubMed
Zurück zum Zitat Miles, D. R., van den Bree, M. B. M., Gupman, A. E., Newlin, D. B., Glantz, M. D., & Pickens, R. W. (2001). A twin study on sensation seeking, risk taking behavior, and marijuana use. Drug and Alcohol Dependence, 62, 57–68.PubMedCrossRef Miles, D. R., van den Bree, M. B. M., Gupman, A. E., Newlin, D. B., Glantz, M. D., & Pickens, R. W. (2001). A twin study on sensation seeking, risk taking behavior, and marijuana use. Drug and Alcohol Dependence, 62, 57–68.PubMedCrossRef
Zurück zum Zitat Miles, D. R., van den Bree, M. B. M., & Pickens, R. W. (2002). Sex differences in shared genetic and environmental influences between conduct disorder symptoms and marijuana use in adolescents. American Journal of Medical Genetics (Neuropsychiatric Genetics), 114, 159–168.CrossRef Miles, D. R., van den Bree, M. B. M., & Pickens, R. W. (2002). Sex differences in shared genetic and environmental influences between conduct disorder symptoms and marijuana use in adolescents. American Journal of Medical Genetics (Neuropsychiatric Genetics), 114, 159–168.CrossRef
Zurück zum Zitat Neale, C. M., & Cardon, L. R. (1992). Methodology for genetic studies of twins and families. Boston/London: Kluwer Academic Publishers. Neale, C. M., & Cardon, L. R. (1992). Methodology for genetic studies of twins and families. Boston/London: Kluwer Academic Publishers.
Zurück zum Zitat Nimeus, A., Traskman-Bendz, L., & Alsen, M. (1997). Hopelessness and suicidal behavior. Journal of Affective Disorders, 42, 137–144.PubMedCrossRef Nimeus, A., Traskman-Bendz, L., & Alsen, M. (1997). Hopelessness and suicidal behavior. Journal of Affective Disorders, 42, 137–144.PubMedCrossRef
Zurück zum Zitat Nordstrom, P., Schalling, D., & Asberg, M. (1995). Temperal vulnerability in attempted suicide. Acta Psychiatrica Scandinavica, 92, 155–160.PubMedCrossRef Nordstrom, P., Schalling, D., & Asberg, M. (1995). Temperal vulnerability in attempted suicide. Acta Psychiatrica Scandinavica, 92, 155–160.PubMedCrossRef
Zurück zum Zitat O’Connor, R. C., Connery, H., & Cheyne, W. M. (2000). Hopelessness: The role of depression, future directed thinking, and cognitive vulnerability. Psychology, Health & Medicine, 5, 155–161.CrossRef O’Connor, R. C., Connery, H., & Cheyne, W. M. (2000). Hopelessness: The role of depression, future directed thinking, and cognitive vulnerability. Psychology, Health & Medicine, 5, 155–161.CrossRef
Zurück zum Zitat Petronis, K. R., Samuels, J. F., Moscicki, E. K., & Anthony, J. C. (1990). An epidemiologic investigation of potential risk factors for suicide attempts. Social Psychiatry and Psychiatric Epidemiology, 25, 193–199.PubMed Petronis, K. R., Samuels, J. F., Moscicki, E. K., & Anthony, J. C. (1990). An epidemiologic investigation of potential risk factors for suicide attempts. Social Psychiatry and Psychiatric Epidemiology, 25, 193–199.PubMed
Zurück zum Zitat Robins, L. N., Davis, D. H., & Wish, E. (1977). Detecting predictors of rare events: demographic, family and personal deviance as predictors of stages in the progression toward narcotic addiction. In J. S. Strauss, B. Haroutun, & M. Roff (Eds.), The origins and course of psychopathology (pp. 379–406). New York: Plenum. Robins, L. N., Davis, D. H., & Wish, E. (1977). Detecting predictors of rare events: demographic, family and personal deviance as predictors of stages in the progression toward narcotic addiction. In J. S. Strauss, B. Haroutun, & M. Roff (Eds.), The origins and course of psychopathology (pp. 379–406). New York: Plenum.
Zurück zum Zitat Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef
Zurück zum Zitat Rowe, D. C., Almeida, D. M., & Jacobson, K. C. (1999). School context and genetic influences on aggression in adolescence. Psychological Science, 10, 277–280.CrossRef Rowe, D. C., Almeida, D. M., & Jacobson, K. C. (1999). School context and genetic influences on aggression in adolescence. Psychological Science, 10, 277–280.CrossRef
Zurück zum Zitat Roy, A., Segal, J. L., Centerwall, B., & Robinette, D. (1991). Suicide in twins. Archives of General Psychiatry, 48, 29–32.PubMed Roy, A., Segal, J. L., Centerwall, B., & Robinette, D. (1991). Suicide in twins. Archives of General Psychiatry, 48, 29–32.PubMed
Zurück zum Zitat Roy, A., Segal, N. L., & Sarchiapone, M. (1995). Attempted suicide among living co-twins of twin suicide victims. American Journal of Psychiatry, 152, 1075–1076.PubMed Roy, A., Segal, N. L., & Sarchiapone, M. (1995). Attempted suicide among living co-twins of twin suicide victims. American Journal of Psychiatry, 152, 1075–1076.PubMed
Zurück zum Zitat Roy, A., & Segal, N. L. (2001). Suicidal behavior in twins: a replication 2001. Journal of Affective Disorder, 66, 71–74.CrossRef Roy, A., & Segal, N. L. (2001). Suicidal behavior in twins: a replication 2001. Journal of Affective Disorder, 66, 71–74.CrossRef
Zurück zum Zitat Rushton, J. L., Forcier, M., & Schectman, R. M. (2002). Epidemiology of depressive symptoms in the National Longitudinal Study of Adolescent Health. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 199–205.PubMedCrossRef Rushton, J. L., Forcier, M., & Schectman, R. M. (2002). Epidemiology of depressive symptoms in the National Longitudinal Study of Adolescent Health. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 199–205.PubMedCrossRef
Zurück zum Zitat SAS/STAT User's Guide. (1999). SAS Institute, Cary, NC. SAS/STAT User's Guide. (1999). SAS Institute, Cary, NC.
Zurück zum Zitat Seale, S. R. (1971). Linear models. New York: Wiley. Seale, S. R. (1971). Linear models. New York: Wiley.
Zurück zum Zitat Searle, S. R., Casella, G., & McCulloch, C. E. (1992). Variance components. New York: Wiley. Searle, S. R., Casella, G., & McCulloch, C. E. (1992). Variance components. New York: Wiley.
Zurück zum Zitat Statham, D. J., Heath, A. C., Madden, P. A. F., Bucholz, K. K., Bierut, L., Dinwiddie, S. H., et al. (1998). Suicidal behaviour: An epidemiological and genetic study. Psychological Medicine, 28, 839–855.PubMedCrossRef Statham, D. J., Heath, A. C., Madden, P. A. F., Bucholz, K. K., Bierut, L., Dinwiddie, S. H., et al. (1998). Suicidal behaviour: An epidemiological and genetic study. Psychological Medicine, 28, 839–855.PubMedCrossRef
Zurück zum Zitat Strachan, T., & Read, A. P. (2000). Human molecular genetics. New York: John Wiley & Sons. Strachan, T., & Read, A. P. (2000). Human molecular genetics. New York: John Wiley & Sons.
Zurück zum Zitat Turecki, G. (2001). Suicidal behavior: is there a genetic predisposition? Bipolar Disorders, 3, 335–349.PubMedCrossRef Turecki, G. (2001). Suicidal behavior: is there a genetic predisposition? Bipolar Disorders, 3, 335–349.PubMedCrossRef
Zurück zum Zitat Turner, C. F., Ku, L., Rogers, S. M., et al. (1998). Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science, 280, 867–873.PubMedCrossRef Turner, C. F., Ku, L., Rogers, S. M., et al. (1998). Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science, 280, 867–873.PubMedCrossRef
Zurück zum Zitat Woods, E. R., Lin, Y. G., Middleman, A., Beckford, P., Chase, L., & Durant, R. H. (1997). The association of suicidal attempts in adolescence. Pediatrics, 99, 791–796.PubMedCrossRef Woods, E. R., Lin, Y. G., Middleman, A., Beckford, P., Chase, L., & Durant, R. H. (1997). The association of suicidal attempts in adolescence. Pediatrics, 99, 791796.PubMedCrossRef
Metadaten
Titel
Genetic Contribution to Suicidal Behaviors and Associated Risk Factors among Adolescents in the U.S.
Publikationsdatum
01.09.2006
Erschienen in
Prevention Science / Ausgabe 3/2006
Print ISSN: 1389-4986
Elektronische ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-006-0042-5

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