美国印第安人和阿拉斯加原住民青少年的自杀思想和行为
James H Price1, Jagdish Khubchandani2
1University of Toledo, 43606, Toledo, OH, USA. jprice@utnet.utoledo.edu.
Journal of community health
|October 15, 2024
概括
美国印第安人和阿拉斯加原住民 (AI/AN) 青少年面临不成比例的高自杀率. 这项研究强调了自杀思想,行为和方法的普遍性,强调了针对性预防策略和改善社会支持的迫切需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 美国印第安人和阿拉斯加原住民 (AI/AN) 的自杀率高于美国其他种族/民族群体.
- 关于AI/AN青年自杀的流行病学研究有限.
研究的目的:
- 根据年龄和性别评估AI/AN青少年中自杀思想和行为的流行程度.
- 确定80岁之前因自杀而丧失的生命年数.
- 确定AI/AN青少年常用的自杀方法.
主要方法:
- 从青少年风险行为调查和基于Web的伤害统计查询和报告系统 (2015,2017,2019,2021) 的数据进行横截面描述性分析.
主要成果:
- AI/AN青少年报告的高率:四分之一的青少年考虑过自杀,五分之一的青少年计划过自杀,六分之一的青少年尝试过自杀.
- 257名AI/AN青少年死于自杀;男性和年长的青少年更容易受到影响.
- 窒息 (57.5%) 和枪支 (35.5%) 是最常见的方法. 青少年的AI/AN失去了近16000年的潜在寿命.
结论:
- 在全国范围内,AI/AN青少年的自杀率最高.
- 干预措施应侧重于在AI/AN青年中建立性和自我力量.
- 联邦,州和部落领导人之间的协作努力对于解决影响AI/AN家庭和儿童的社会经济因素至关重要.
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