外化行为/暴力暴露和自杀在美国人中. 青少年 青少年 青少年
Victoria A Joseph1, Noah T Kreski1, Katherine M Keyes1
1Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.
American journal of preventive medicine
|August 26, 2024
概括
青少年暴力暴露和外部化行为与青少年受伤自杀企图 (ISA) 的风险增加有关. 这些关联随着时间的推移而变化,并因性别而异,凸显了针对性干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 青少年心理学 青少年心理学
- 犯罪学 犯罪学
背景情况:
- 检查了美国高中学生的外化行为,暴力暴露和自杀行为之间的联系.
- 分析1991年至2021年的趋势,以了解时间动态.
研究的目的:
- 为了调查外部化行为/暴力暴露和青少年的自杀行为之间的关联.
- 探索这些关联如何因性别而异,并随着时间的推移而改变.
主要方法:
- 使用来自"青年风险行为调查" (N=234,588) 的数据进行的横截面研究.
- 后勤回归模型用于评估与时间和性别的关系和相互作用.
- 对获得武器和伤害自杀企图 (ISA) 的州级趋势的分析.
主要成果:
- 在外部化行为/暴力暴露和所有自杀行为,特别是伤害自杀企图 (ISA) 之间发现了显著的关联.
- 携带枪支与ISA (OR=6.32) 和非ISA (OR=2.66) 的几率相对较高.
- 在男性中观察到更强烈的关联,在2021年ISA中指出了州级武器获取差异.
结论:
- 青少年表现出外部化行为和暴力暴露面临高风险的伤害自杀企图 (ISA).
- 这些因素与自杀行为之间的关系是动态的,受时间和性别的影响.
- 强调需要具有文化能力的心理健康服务和早期识别策略,为处于危险的年轻人.
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