儿童机会指数与儿童急诊室青年自杀风险因素之间的关联
Rachel Cafferty1, Mairead Dillon2, Lilliam Ambroggio3
1Department of Pediatrics, Section of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado.
概括
儿童机会指数 (COI) 与高风险青年家庭使用枪支的可能性增加有关. 较高的COI与更大的枪支获取相关,但不是其他自杀风险因素,这表明有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 社会学 社会学 社会学
背景情况:
- 青少年自杀是一个重大的公共卫生问题.
- 社会经济因素,如儿童机会指数 (COI),可能会影响自杀风险.
- 了解这些关联对于制定有效的预防策略至关重要.
研究的目的:
- 检查儿童机会指数 (COI) 与高风险急诊室青年自杀未遂或死亡的各种风险因素之间的关系.
- 测试假设,较低的COI与自杀风险因素增加的几率有关.
主要方法:
- 一项对873名年龄在10-18岁的青少年进行的回顾性队列研究,这些青少年在儿科急诊室的自杀风险查结果呈阳性.
- 数据包括心理社会风险因素和儿童机会指数 (COI) 3.0数据.
- 用年龄调整的多变量后勤回归模型来分析COI和风险因素之间的关联.
主要成果:
- 大多数年轻人居住在"非常低"或"低"的COI五分位数.
- 在COI和获得枪支之间发现了显著的关联 (p < .001).
- "非常高"的COI五分位数中的年轻人与"非常低"的COI五分位数中的年轻人相比,家庭使用枪支的几率明显更高 (aOR:5.76). 没有发现与其他风险因素的关联.
结论:
- 更高的儿童机会指数 (COI) 与紧急部门的高风险年轻人中家庭枪支获取的几率增加有关.
- 在这个队列中,COI与其他已识别的自杀风险因素无关.
- 建议对COI和自杀青少年使用枪支进行进一步的国家研究,以告知预防工作.
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