[智利青少年的自杀行为,精神活性物质使用和生活质量]
Fabiola Vilugrón Aravena1, Temístocles Molina2, María Eugenia Gras Pérez3
1Departamento de Salud, Comunidad y Gestión, Facultad de Ciencias de la Salud, Universidad de Playa Ancha, Valparaíso, Chile.
概括
青少年的自杀行为与生活质量不佳有关,包括身体和心理健康. 社会联系和学校环境也会影响青少年的自杀计划和企图.
科学领域:
- 公共卫生 公共卫生
- 青少年心理学 青少年心理学
- 心理健康研究 心理健康研究
背景情况:
- 自杀行为是一个重大的公共卫生挑战,青少年是面临风险的主要人口群体.
- 了解导致青少年自杀行为的因素对于制定有效的预防策略至关重要.
研究的目的:
- 调查智利瓦尔帕莱索的青少年中自杀行为,精神活性物质使用和与健康有关的生活质量 (HRQoL) 之间的关系.
- 确定与在上学青少年群体中自杀行为的不同方面相关的特定HRQoL领域.
主要方法:
- 一项涉及550名来自智利瓦尔帕莱索公立学校的青少年的横截面研究.
- 通过使用KIDSCREEN-27问卷进行了与健康相关的生活质量 (HRQoL) 的评估.
- 用全球学校学生健康调查 (GSHS) 来衡量自杀行为和精神活性物质的使用.
主要成果:
- 自杀行为发生率在女性和烟草或大麻使用者中更高.
- 对身体健康的不良感知与增加自杀念头有关 (OR: 2.24).
- 更糟糕的心理健康 (OR: 3.87),以及自主权和父母关系的减少 (OR: 2.46) 与自杀念头有关.
- 自杀计划与自主权/父母关系 (OR: 2.32) 和同行支持 (OR: 1.86) 相关联.
- 自杀企图与友/社会支持 (OR: 1.83) 和学校环境 (OR: 1.92) 有关.
结论:
- 青少年的自杀念头与身体和心理健康的下降有着显著的关联.
- 自杀的计划和企图与父母与孩子的关系,同行支持和学校环境的负面看法有关.
- 这些发现强调了解决青少年自杀预防计划中心理社会因素的整体方法的重要性.
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