Longitudinal trajectories of suicidal ideation among child welfare-involved 7- to 12-year-old children.
Longitudinal trajectories of suicidal ideation among child welfare-involved 7- to 12-year-old children.
复制标题
涉及儿童福利的 7 至 12 岁儿童自杀意念的纵向轨迹。
DOI：
10.1111/jcpp.13999
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Griffin,BethAnn
中科院分区：
文献类型：
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作者：
Ayer,Lynsay;Hassler,Gabriel;Ohana,Elie;Sheftall,ArielleH;Anderson,NathanielW;Griffin,BethAnn
研究背景儿童福利系统（CWS）中的幼儿自杀意念（SI）的风险很高，而这个年龄组的自杀死亡率正在上升。然而，随着时间的推移，SI的风险因素和变化知之甚少，在这个population.MethodWe结合数据从两个大的代表性纵向研究的儿童参与美国CWS。我们在最初的调查波（N= 2，186）中检查了7至12岁儿童的SI模式，在过去2周内使用SI测量在三个波中进行评估。我们进行了多项回归，以了解基线人口，儿童虐待，和精神健康的特点，区分trajectors.ResultsThere有8个不同的亚组（非Ideators，晚Ideators，回旋镖Ideators，延迟Ideators，Desisters，回旋镖非Ideators，晚Desisters，和Persisters）。在种族，虐待，性别和心理健康症状的类型的差异进行了比较Persisters（SI在所有三个波）到其他groups.ConclusionsThese研究结果可以帮助研究人员和从业人员制定策略，更好地确定CWS涉及儿童谁是最需要的自杀风险监测和干预。
BackgroundYoung children involved in the child welfare system (CWS) are at high risk for suicidal ideation (SI) at a time when overall rates of suicide death in this age group are rising. Yet risk factors for and changes in SI over time are poorly understood in this population.MethodWe combined data from two large representative longitudinal studies of children involved in the United States CWS. We examined patterns of SI among children who were between ages 7 and 12 years at the initial survey wave (N= 2,186), assessed at three waves using a measure of SI in the past 2 weeks. We conducted a multinomial regression to understand the baseline demographic, child maltreatment, and mental health characteristics that distinguish the trajectories.ResultsThere were eight different subgroups (Non‐Ideators, Late Ideators, Boomerang Ideators, Delayed Ideators, Desisters, Boomerang Non‐Ideators, Late Desisters, and Persisters). Differences in race, type of maltreatment, sex, and mental health symptoms were identified when comparing Persisters (SI at all three waves) to other groups.ConclusionsThese findings can help researchers and practitioners to develop strategies for better identifying CWS‐involved children who are in greatest need of suicide risk monitoring and intervention.