在两个基于人口的青少年样本中,育儿行为,自杀念头和自杀企图之间的关系
Mallory Stephenson1, Jessica E Salvatore2, Séverine Lannoy1
1Virginia Institute for Psychiatric and Behavioral Genetics, Department of Psychiatry, Virginia Commonwealth University, 800 East Leigh Street, Box 980126, Richmond, VA 23298, United States of America.
Journal of affective disorders
|May 7, 2025
概括
家长的接受和监督可能会减少青少年的自杀念头 (SI),但不能减少自杀企图 (SA). 父母与青少年的关系似乎对SI更为关键,而不是过渡到SA.
科学领域:
- 精神病学和行为科学
- 发展心理学 发展心理学
- 遗传学 是一个遗传学.
背景情况:
- 自杀念头 (SI) 和自杀企图 (SA) 是青少年的重大公共卫生问题.
- 了解遗传责任,环境因素如痛苦和挑事件 (PPEs) 和育儿的相互作用对于预防至关重要.
- 父母的行为可能会影响自杀行为的风险和进展.
研究的目的:
- 检查育儿,SI和从SI向SA的过渡之间的关系.
- 调查育儿行为是否能缓和SA和/或PPE与SA风险的遗传责任的关联.
- 区分家长在SI中的角色与SA的进展.
主要方法:
- 利用了来自两个大青少年队伍的数据的后勤回归分析:青少年大脑认知发育研究 (ABCD) 和青少年到成人健康 (添加健康) 国家纵向研究.
- 评估了各种育儿维度 (例如,接受,监测,支持,知识) 和SI/SA之间的关联.
- 包括SA和PPE的遗传责任作为SA风险的预测因素.
主要成果:
- 在ABCD研究中,更高的家长接受和监测与较低的SI风险有关,但与SA风险无关.
- 非自杀性自我伤害和父母对孩子的SI知识与SA风险增加有关.
- 母亲的支持在Add Health中降低了SI风险,而父亲的支持和家庭参与与SI或SA没有显著关联.
- 几种PPE与更高的SA风险有显著的关联.
结论:
- 父母的行为,特别是接受和监控,似乎与自杀念头 (SI) 相比,与自杀念头 (SI) 过渡到自杀企图 (SA) 相比,与自杀念头 (SI) 相比更为强烈.
- 父母与青少年的关系可能在SI的初始发展中发挥更为关键的作用.
- 需要进一步的研究来阐明导致自杀企图的复杂途径,考虑到遗传和环境因素以及关系动态.
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