A School-Based Multilevel Study of Adolescent Suicide Ideation in California High Schools
A School-Based Multilevel Study of Adolescent Suicide Ideation in California High Schools
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DOI：
10.1016/j.jpeds.2017.12.070
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发表时间：
2018-05-01
影响因子：
5.1
通讯作者：
Roziner, Ilan
中科院分区：
文献类型：
--
作者：
Benbenishty, Rami;Astor, Ron Avi;Roziner, Ilan
目的评估学校间自杀意念的差异，并评估学校层面属性、学生层面特征以及两个跨层面互动(学校与学生)对学生自杀意念的贡献。研究设计对2009-2011年和2011-2013年加州高中和学生两个大样本和有代表性的加州健康儿童调查进行二次分析。这是加利福尼亚州所有公立高中生(9年级和11年级)的总体样本。分析首先在2011-2013学年对790所学校、345 203名学生进行调查，然后在2009-2011学年对860所学校、406 313名学生进行调查。中位数19.3%，平均20.0%(SD，5.7%)。学生自杀意念受学生层面特征(R-2=0.20)和学校层面属性(R-2=0.55)的影响。学生层面的特征可以预测自杀意念，包括性别。民族和种族从属关系、受害情况和对学校氛围的看法。在两个样本中。学校规模和平均学业成绩与学校自杀意念率无关。在这两个样本中，女生数量较多、受害程度较高的学校自杀意念发生率较高。关于跨层次互动的假设尚未得到证实。结论不同学校在学生自杀意念上存在差异。这些发现表明，学校在预防计划、减少自杀的公共卫生运动和多层次研究中的作用受到了重视。和理论发展。
Objectives To assess the between-school variation in suicide ideation and to estimate the contribution of school-level attributes, student-level characteristics, and 2 cross-level interactions (school by student) to student suicide ideation.Study design A secondary analysis of the California Healthy Kids Survey in 2 large and representative samples of California high schools and students: 2009-2011 and 2011-2013. This is a population sample of all public high school students (grades 9 and 11) in California. Analyses were first conducted on surveys administered in the 2011-2013 academic years to 790 schools with 345 203 students and replicated on surveys administered in 2009-2011 to 860 schools with 406 313 students.Results School-level suicide ideation rates ranged between 4% and 67%. with a median of 19.3% and mean of 20.0% (SD, 5.7%). Student suicide ideation was explained by student-level characteristics (R-2 = .20) and to a larger extent by school-level attributes (R-2 = .55). Student-level characteristics predictive of suicide ideation included, sex. ethnic and racial affiliation, victimization, and perceptions of school climate. In both samples. school size and average level of academic achievement were not associated with rates of school suicide ideation. Schools with a larger number of girls and higher levels of victimization had higher rates of suicide ideation in both samples. The hypotheses regarding cross-level interactions were not confirmed.Conclusions Differences among schools in student suicide ideation are meaningful. The findings suggest an emphasis on the role of schools in prevention programs, public health campaigns to reduce suicide, multilevel research. and theory development.