儿童不良经历和自杀思想和行为对青少年酒精和大麻使用频率的互动效应
Lourah Kelly1, Elizabeth Meeker2, Kristyn Zajac1
1Division of Behavioral Health, Calhoun Cardiology Center, School of Medicine, University of Connecticut.
概括
童年不良经历 (ACE) 显著增加了青少年的饮酒,特别是那些有自杀企图的人. ACE 和自杀企图也与大麻使用量增加有关,这突显了针对 ACE 的干预措施的需要.
科学领域:
- 青少年健康 青少年健康
- 心理健康 心理健康
- 药物使用研究研究 药物使用研究
背景情况:
- 童年不良经历 (ACE) 与青少年吸毒有关.
- 青少年的自杀倾向可能会加剧作为应对机制的物质使用.
- 关于ACE,自杀倾向和物质使用的同时青少年数据有限,但对预防至关重要.
研究的目的:
- 检查ACE与青少年的酒精/大麻使用之间的并发关联.
- 调查这些关联是否在有自杀念头或自杀企图的青少年中被放大.
- 为了比较年轻人的关系,没有自杀想法,想法/计划,或自杀企图.
主要方法:
- 1625名高中生完成了青年风险行为调查.
- 顺序回归分析了ACE和自杀想法/行为对物质使用的影响.
- 在分析中对年龄,性别和种族/种族进行了控制.
主要成果:
- ACE和饮酒之间的联系在自杀未遂的青少年中最强 (AOR=2.63).
- 在没有自杀想法 (AOR=1.56) 和想法/计划 (AOR=1.58) 的年轻人中,ACE和饮酒之间的关联也很重要.
- ACE和自杀企图独立地预测了大麻使用量的增加,但相互作用并不显著.
结论:
- 青少年饮酒与ACE的关联在那些自杀企图的人中特别明显.
- ACE和自杀企图是青少年大麻使用的独立风险因素.
- 专注于减轻ACE的干预措施可以有效地减少青少年的酒精和大麻使用.
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