交叉边缘化身份作为时间的预测者,直到第一次报道了青春期前青少年的自杀企图使用生存分析
Annabelle M Mournet1, John K Kellerman1, Jessica L Hamilton1
1Rutgers, The State University of New Jersey, New Brunswick, NJ, USA.
概括
具有多重边缘化身份的年轻人面临着更高的早期自杀行为风险. 交叉方法对于在这个脆弱的青春期前人口中进行有针对性的干预至关重要.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 在美国,儿童自杀企图和死亡人数正在上升,但这个年龄组的研究不足.
- 了解自杀行为早期发作是风险预测和干预的关键.
- 这项研究调查了交叉边缘化身份在青春期前自杀行为中的作用.
研究的目的:
- 检查交叉边缘化身份如何预测青春期前青少年的自杀行为.
- 确定与年轻人自杀思想和尝试风险增加相关的特定人口因素.
- 为处于危险的年轻人提供早期干预策略的信息.
主要方法:
- 利用了青少年大脑和认知发展 (ABCD) 研究的数据,这是一个潜在的队列.
- 在9-10岁的年轻人中,每年评估一生自杀企图和准备性自杀行为.
- 采用生存模型来分析自杀行为发作的趋势和人口统计差异.
主要成果:
- 这项研究包括11,223名参与者 (平均年龄9.9岁).
- 具有多个边缘化身份的年轻人 (例如,来自少数种族/民族背景的性/性别少数群体) 显示出明显的风险增加.
- 这包括自杀企图 (HR=2.97) 和准备性行为 (b=3.09) 的更高风险.
结论:
- 交叉边缘化身份与早期的自杀企图和准备性行为有关.
- 调查结果强调了对少数群体青年进行早期,有针对性的干预的需要.
- 解决青春期前青少年中自杀率上升的问题需要了解独特的风险因素.
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