Risk and Protective Factors for Self-Harm in a Population-Based Sample of Transgender Youth.
Risk and Protective Factors for Self-Harm in a Population-Based Sample of Transgender Youth.
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DOI：
10.1080/13811118.2018.1430639
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发表时间：
2019-04
期刊：
影响因子：
--
通讯作者：
Eisenberg ME
中科院分区：
文献类型：
--
作者：
Taliaferro LA;McMorris BJ;Rider GN;Eisenberg ME
这项研究试图找出三组跨性别/性别不一致(GNC)青少年的区别因素：没有自我伤害，只有非自杀自伤(NSSI)，以及NSSI和自杀未遂(NSSI+SA)。数据来自2016年明尼苏达州学生调查。最终的分析样本包括1,635名9年级和11年级的变性人/GNC学生。Logistic回归分析确定了最能区分报告自我伤害(仅NSSI或NSSI+SA)的变性人/GNC学生和报告NSSI+SA的变性人/GNC学生，以及报告NSSI+SA的变性人/GNC青少年与仅报告NSSI+SA的人。最终的模型是在三个分析阶段中开发的，测试了风险因素、保护因素和健康风险行为领域内变量与自我伤害的关联。超过一半(51.6%)的变性人/GNC青少年报告了过去一年的自我伤害行为。报告自我伤害的变性人/GNC青年与报告没有自我伤害的人一致区分的因素包括精神健康问题、抑郁、离家出走和药物使用(酒精或大麻使用)。NSSI+SA组与仅NSSI组的区别因素是心理健康问题、身体或性虐待、关系暴力、欺凌受害者、父母联系较少、成绩较低、学校安全感较低以及离家出走。临床医生和学校工作人员需要做好应对风险因素和加强保护因素的准备，这些因素可能会降低这群弱势青年参与NSSI和/或企图自杀的可能性。
This study sought to identify factors distinguishing transgender/gender non-conforming (GNC) adolescents across three groups: no self-harm, non-suicidal self-injury (NSSI) only, and NSSI and suicide attempt (NSSI + SA). Data were from the 2016 Minnesota Student Survey. The final analytic sample included 1,635 transgender/GNC students in grades 9 and 11. Logistic regression analyses determined factors that best distinguished transgender/GNC students who reported self-harm (NSSI only or NSSI + SA) from those who reported no self-harm, and transgender/GNC adolescents who reported NSSI + SA from those who reported NSSI only. Final models were developed over 3 stages of analysis that tested associations of variables within risk factor, protective factor, and health-risk behavior domains to self-harm. Over half (51.6%) of transgender/GNC adolescents reported past-year self-harm behavior. Factors that consistently distinguished transgender/GNC youth who reported self-harm from those who reported no self-harm included reports of a mental health problem, depression, running away from home, and substance use (alcohol or marijuana use). Factors that distinguished the NSSI + SA group from the NSSI only group were reports of a mental health problem, physical or sexual abuse, relationship violence, bullying victimization, less parent connectedness, lower grades, lower levels of perceived school safety, and running away from home. Clinicians and school personnel need to be prepared to address risk factors and enhance protective factors that may reduce the likelihood this population of vulnerable youth will engage in NSSI and/or attempt suicide.
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影响因子：
5.6
作者：
Muehlenkamp JJ;Hilt LM;Ehlinger PP;McMillan T
通讯作者：
McMillan T
CDC规定慢性疼痛的阿片类药物的指南 - 美国，2016年。
DOI：
10.1001/jama.2016.1464
发表时间：
2016-04-19
期刊：
JAMA
影响因子：
--
作者：
Dowell D;Haegerich TM;Chou R
通讯作者：
Chou R
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影响因子：
3.8
作者：
Mustanski, Brian;Liu, Richard T.
通讯作者：
Liu, Richard T.
影响因子：
--
作者：
Kelada, Lauren;Hasking, Penelope;Melvin, Glenn A.
通讯作者：
Melvin, Glenn A.
影响因子：
2.6
作者：
Haas AP;Eliason M;Mays VM;Mathy RM;Cochran SD;D'Augelli AR;Silverman MM;Fisher PW;Hughes T;Rosario M;Russell ST;Malley E;Reed J;Litts DA;Haller E;Sell RL;Remafedi G;Bradford J;Beautrais AL;Brown GK;Diamond GM;Friedman MS;Garofalo R;Turner MS;Hollibaugh A;Clayton PJ
通讯作者：
Clayton PJ