孤独与青春期和青春期的自杀想法和企图之间的关联:对全国代表性的美国样本进行纵向分析
概括
青少年时期的孤独预示着13年后的自杀想法,但不是自杀企图. 早期干预对于预防青少年自杀念头至关重要.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 孤独是一种已知的自杀想法和企图的危险因素.
- 之前的研究缺乏具有代表性的青少年样本.
- 本研究使用国家数据集解决了这一差距.
研究的目的:
- 调查青少年孤独与与自杀有关的结果之间的纵向关联.
- 为了利用美国青少年的全国代表性样本.
- 检查6年和13年的随访结果.
主要方法:
- 分析了17751名参与者从国家长度研究青少年到成人健康 (添加健康).
- 1995年 (年龄在11-21岁) 测量出的基线孤独.
- 在2001-2002年和2008-2009年评估的自杀想法和企图,使用多变量逻辑回归.
主要成果:
- 更高的青少年孤独预测了13年后的自杀念头 (ORadj2=1.36,p=0.049).
- 在6年随访后,与自杀念头的关联在调整后并不显着 (ORadj2=1.10,p=0.62).
- 在两次随访中,孤独和自杀企图之间没有发现显著的关联.
结论:
- 青少年的孤独预测了未来的自杀想法,而不是尝试.
- 建议针对青春期早期孤独的干预措施.
- 预防痛苦的自杀念头需要早期干预策略.
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