在不认可自杀风险的青少年中对自杀倾向的基于人口的监测和查的影响
Eunice M Areba1, Michelle A Mathiason2, Patricia I Jewett3
1School of Nursing, University of Minnesota (EM Areba, M Mathiason), Minneapolis, Minn; Department of Pediatrics, University of Minnesota (IW Borowsky), Minneapolis, Minn.
Academic pediatrics
|July 11, 2025
概括
青少年的自杀企图可以发生在没有典型的警告信号,如抑郁或焦虑. 对于男性,一些黑人子组和多种族学生来说尤其如此,这突显了当前自杀风险查中的差距.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 社会学 社会学 社会学
背景情况:
- 标准的自杀风险评估工具可能会忽视不同种族青年群体中独特的脆弱性.
- 自杀企图 (SA) 的危险因素,包括自杀念头 (SI),在不同的人口群体之间可能会有很大的差异.
- 基于数据的不一致和汇总的指导方针对准确识别处于风险的年轻人构成了挑战.
研究的目的:
- 调查不同种族的年轻人中去年自杀未遂 (SA) 的流行情况.
- 检查试图自杀的年轻人中存在或缺少常见的危险因素 (抑郁症状,焦虑症状,自杀念头).
- 确定SA发生在没有典型指标的特定青年子组.
主要方法:
- 2019年和2022年明尼苏达州学生调查数据的横截面分析.
- 包括来自12个种族不同群体的8,9,11年级学生.
- 按性别和种族群体进行分层分析,后勤回归调整为社会经济因素和心理健康治疗.
主要成果:
- 大约3.0%的男性和7.3%的女性报告了去年发生的SA.
- 很大一部分自杀未遂的年轻人否认有抑郁症状,焦虑症状或SI,特别是索马里和多种族男性以及索马里和黑人女性.
- 虽然抑郁或焦虑症状增加了SA的几率,特别是在男性中,但很大一部分尝试者缺乏这些指标.
结论:
- 相当数量的男性,某些黑人子组和多种族学生报告了去年的SA,但没有认可常见的心理痛苦症状.
- 当前的自杀查工具可能在识别所有年轻人群的风险方面存在局限性.
- 需要进一步的研究来完善查的有效性,解决局限性,并消除少数群体青年心理健康的耻辱化.
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