Associations of childhood bullying victimization with lifetime suicidal behaviors among new US Army soldiers
Associations of childhood bullying victimization with lifetime suicidal behaviors among new US Army soldiers
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DOI：
10.1002/da.22621
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发表时间：
2017-08-01
影响因子：
7.4
通讯作者：
Stein, Murray B.
中科院分区：
文献类型：
--
作者：
Campbell-Sills, Laura;Kessler, Ronald C.;Stein, Murray B.
背景：先前的研究已经记录了童年欺凌受害与自杀行为的关联。然而，许多人未能调整伴随的风险因素，没有人调查军事人员的这种关系。本研究旨在评估美国陆军士兵的童年欺凌受害与自杀行为的独立关联。方法：对参加基础训练的士兵进行横断面调查，评估精神障碍、自杀行为和童年逆境，包括两种类型的欺凌受害者：(1)身体攻击/盗窃和(2)欺凌评论/行为。利用来自30,436名士兵的离散时间生存分析，估计了童年欺凌经历与自杀行为的关联。模型调整了社会人口因素、成人虐待儿童和精神障碍。结果：在综合校正其他危险因素后，儿童期同伴身体攻击/盗窃的频率越高，终生自杀意念的几率越高(校正优势比[AOR]=1.18, 95% CI: 1.11-1.26， P
Background: Prior studies have documented associations of childhood bullying victimization with suicidal behaviors. However, many failed to adjust for concomitant risk factors and none investigated this relationship in military personnel. This study aimed to estimate independent associations of childhood bullying victimization with suicidal behaviors among U.S. Army soldiers.Methods: Soldiers reporting for basic training completed a cross-sectional survey assessing mental disorders, suicidal behaviors, and childhood adversities including two types of bullying victimization: (1) Physical Assault/Theft and (2) Bullying Comments/Behaviors. Associations of childhood bullying experiences with suicidal behaviors were estimated using discrete-time survival analysis of person-year data from 30,436 soldiers. Models adjusted for sociodemographic factors, childhood maltreatment by adults, and mental disorders.Results: After comprehensive adjustment for other risk factors, more frequent Physical Assault/Theft by peers during childhood was associated with increased odds of lifetime suicidal ideation (adjusted odds ratio [AOR]=1.18, 95% CI: 1.11-1.26, P