Traumatic events and suicide-related outcomes among Mexico City adolescents
Traumatic events and suicide-related outcomes among Mexico City adolescents
复制标题
DOI：
10.1111/j.1469-7610.2007.01868.x
复制
发表时间：
2008-06-01
影响因子：
7.6
通讯作者：
Nock, Matthew K.
中科院分区：
文献类型：
--
作者：
Borges, Guilherme;Benjet, Corina;Nock, Matthew K.
背景资料：我们报告了墨西哥青少年中创伤性事件与自杀意念、自杀计划和自杀企图之间的患病率和相关性。研究方法：这些数据来自2005年对居住在墨西哥城大都市区的3 005名12至17岁青少年进行的具有代表性的多阶段概率家庭调查。我们使用离散时间生存分析来模拟回顾性报告的既往创伤事件对构思、计划和尝试的净影响，同时考虑到精神疾病的发作。结果如下：在有创伤事件的受访者中，自杀倾向的患病率很高，从有“被强奸”史的人中自杀意念的患病率为43%到报告“故意伤害，折磨或杀害某人”的人中自杀企图的患病率为25%。“在横截面估计中，任何创伤性事件都与自杀意念的几率增加3.2倍，计划的几率增加5.1倍，尝试的几率增加6.6倍。事件的数量也与自杀倾向的增加有关，例如有三个或更多事件的人报告自杀企图的可能性是没有事件的人的13.7倍。多变量离散时间生存模型，考虑到大量的人口统计学，自杀相关和精神疾病变量的强度降低，但没有改变这些基本关系。结论：我们的结论是，创伤性事件，如强奸和性侵犯有深刻的影响，自杀，这种关系并不完全是由精神疾病的发病解释。对创伤事件的青少年受害者，特别是那些有累积事件史的青少年受害者的综合干预措施应包括但不限于治疗任何相关的精神疾病。
Background: We report the prevalence and associations between traumatic events and suicidal ideation, suicide plans and suicide attempts among Mexican adolescents. Methods: The data are from a representative multistage probability household survey of 3,005 adolescents aged 12 to 17 years residing in the Mexico City Metropolitan Area that was carried out in 2005. We used discrete time survival analyses to model the net impact of retrospectively reported prior occurrence of traumatic events on ideation, plans and attempts, taking into account the onset of psychiatric disorders. Results: Prevalence of suicidality was high among respondents with traumatic events, ranging from a 43% prevalence of suicidal ideation among those with a history of 'Being raped' to a 25% prevalence of suicide attempts among those that reported 'Purposely injured, tortured or killed someone.' In cross-sectional estimates, any traumatic event was associated with an increase of 3.2 times the odds of suicide ideation, 5.1 times the odds of a plan and 6.6 times the odds of an attempt. Number of events was also associated with increasing suicidality such that those with three or more events were 13.7 times more likely to report a suicide attempt than those with none. Multivariate discrete time survival models that took into account a large number of demographic, suicide-related and psychiatric disorder variables reduced in strength but did not alter these basic relationships. Conclusions: We conclude that traumatic events such as rape and sexual assault have a profound impact upon suicidality and that this relationship is not entirely explained by the onset of psychiatric disorders. Comprehensive interventions for adolescent victims of traumatic events, especially those with a history of cumulative events, should include, but not be restricted to, treatment of any associated psychiatric disorder.