Adolescent social networks matter for suicidal trajectories: disparities across race/ethnicity, sex, sexual identity, and socioeconomic status.
Adolescent social networks matter for suicidal trajectories: disparities across race/ethnicity, sex, sexual identity, and socioeconomic status.
复制标题
青少年社交网络对自杀轨迹很重要：种族/民族，性别，性别认同和社会经济地位的差异。
DOI：
10.1017/s0033291721000465
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发表时间：
2021-03-03
影响因子：
6.9
通讯作者：
Lindsey, Michael A.
中科院分区：
文献类型：
--
作者：
Xiao, Yunyu;Lindsey, Michael A.
关键词：
研究以家庭、同伴、学校和社区的人际互动为特征的社会网络，为自杀行为提供了另一种解释，并形成了有效的自杀预防。本研究探讨了青少年的社会网络预测自杀意念和企图向成年过渡的轨迹，同时揭示了种族/民族、性别、性别认同和社会经济地位之间的差异。参与者包括9421名高中学生（年龄15.30岁，54.58%为女性，基线），来自1994-2008年全国青少年到成人健康纵向研究第I-IV期。进行潜在阶级增长分析，以确定自杀意念和企图轨迹。多元多项式逻辑回归检验了青少年社会网络特征与自杀轨迹之间的关系。社会网络与社会人口学特征之间的相互作用项被纳入检验调节效应。三种自杀意念轨迹（低稳定、高下降、中等下降-上升）和两种自杀企图轨迹（低稳定、中等下降-上升）。更强的家庭凝聚力显著降低了属于高减少（轨迹2）、中等减少-增加（轨迹3）自杀意念轨迹和中等减少（轨迹2）自杀企图轨迹的概率。种族/民族、性别和性别认同显著调节了社会网络（家庭规模、同伴网络密度、家庭凝聚力、同伴支持、邻里支持）与自杀轨迹之间的关联。青少年时期的社交网络影响了属于不同自杀轨迹的几率。家庭凝聚力保护青少年免于自杀行为的高风险发展过程。社交网络，尤其是互动的质量，可以提高对青少年和年轻人自杀行为风险的检测。基于网络的干预措施是预防自杀行为和自杀干预规划的关键。
Examining social networks, characterized by interpersonal interactions across family, peer, school, and neighborhoods, offer alternative explanations to suicidal behaviors and shape effective suicide prevention. This study examines adolescent social networks predicting suicide ideation and attempt trajectories transitioning to adulthood, while revealing differences across racial/ethnic, sex, sexual identity, and socioeconomic status. Participants included 9421 high school students (Mage = 15.30 years; 54.58% females, baseline) from Waves I–IV of the National Longitudinal Study of Adolescent to Adult Health, 1994–2008. Latent class growth analyses were conducted to identify suicide ideation and attempt trajectories. Multivariate multinomial logistic regressions examined the relationships between social network characteristics during adolescence and suicidal trajectories. Interaction terms between social networks and sociodemographic characteristics were included to test moderation effects. Three suicidal ideation trajectories (low-stable, high-decreasing, moderate-decreasing-increasing) and two suicide attempt trajectories (low-stable, moderate-decreasing) were identified. Greater family cohesion significantly reduced the probability of belonging to high-decreasing (Trajectory 2) and moderate-decreasing-increasing (Trajectory 3) suicidal ideation trajectories, and moderate-decreasing (Trajectory 2) suicide attempt trajectory. Race/ethnicity, sex, and sexual identity significantly moderated the associations between social networks (household size, peer network density, family cohesion, peer support, neighborhood support) and suicidal trajectories. Social networks during adolescence influenced the odds of belonging to distinct suicidal trajectories. Family cohesion protected youth from being in high-risk developmental courses of suicidal behaviors. Social networks, especially quality of interactions, may improve detecting adolescents and young adults at-risk for suicide behaviors. Network-based interventions are key to prevent suicidal behaviors over time and suicide intervention programming.