Trauma Among Street-Involved Youth
Trauma Among Street-Involved Youth
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DOI：
10.1177/1063426613476093
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发表时间：
2014-03-01
影响因子：
1.9
通讯作者：
Kern, Leah
中科院分区：
文献类型：
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作者：
Bender, Kimberly A.;Thompson, Sanna J.;Kern, Leah
先前的研究证明，街头青年经历创伤和创伤后应激障碍(PTSD)的比率明显高于他们住在家里的年轻人。创伤和创伤后应激障碍对无家可归的青年特别令人关切，因为它们会对青年适应能力和脱离街头的能力产生负面影响。这项混合方法的研究调查了美国三个城市无家可归青年经历的错综复杂的创伤。对洛杉矶(n=50)、丹佛(n=50)和奥斯汀(n=45)的145名无家可归的青年进行了定性访谈，以探索青年对创伤的定义和与受害相关的背景的看法。量化标准化评估调查了年轻人无家可归前后的创伤经历。创伤筛查发现创伤事件的发生率很高(78%)，28%的参与者符合创伤后应激障碍的标准。参与者报告了在离开家之前和在街上发生的各种创伤经历，以及多人受害的高比率。定性主题描述了街道上最脆弱的特定人和地点。讨论了预防和治疗无家可归青年创伤的服务的影响。
Previous research documents that street-involved youth experience rates of trauma and posttraumatic stress disorder (PTSD) that are significantly higher than their housed counterparts. Trauma and PTSD are of particular concern for homeless youth as they can negatively affect youths' ability to function adaptively and to transition off the streets. This mixed-methods study investigates the intricacies of trauma experienced by homeless youth across three U.S. cities. Qualitative interviews were conducted with a sample of 145 homeless youth in Los Angeles (n = 50), Denver (n = 50), and Austin (n = 45) to explore youths' perspectives on the definition of trauma and the contexts associated with victimization. Quantitative standardized assessments investigated youths' trauma experiences before and after becoming homeless. Trauma screening identified high rates of trauma incidents (78%), with 28% of participants meeting criteria for PTSD. Participants reported various traumatic experiences that occurred before leaving home and while on the streets, and high rates of polyvictimization. Qualitative themes describe particular people and places most vulnerable on the streets. Implications for services to prevent and treat trauma among homeless youth are discussed.