Risk and Protective Factors Associated with Suicidal Thoughts and Behaviors Among Maryland Middle School Students.
Risk and Protective Factors Associated with Suicidal Thoughts and Behaviors Among Maryland Middle School Students.
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DOI：
10.1007/s12310-022-09521-6
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发表时间：
2022
影响因子：
2.6
通讯作者：
Wilcox, Holly C.
中科院分区：
文献类型：
--
作者：
Flores, Jean P.;Stuart, Elizabeth A.;Swartz, Karen L.;Jallah, Nikardi A.;Wilcox, Holly C.
本研究的目的是通过检查青少年自我报告的心理健康、药物滥用、暴力参与、社会和经济挑战和支持、身体健康和与STB相关的人口统计学数据，确定与青少年自我报告的自杀想法和行为（STB）相关的独立风险和保护因素。来自近27，000名完成2018-19年马里兰州中学青少年风险行为调查/青少年烟草调查（YRBS/YTS）的学生的数据被用来确定与中学生（6-8年级; 11-14岁）STB相关的独立风险和保护因素。23%的学生报告了一生的自杀意念，9%的学生报告了一生的自杀企图。与STB相关的独立风险因素包括抑郁症，药物滥用或误用，暴力参与，在学校或电子欺凌受害，性活动和睡眠剥夺。保护性因素包括在校外有一个成年人可以倾诉，感觉到老师的关心和鼓励。性别和/或种族/民族的交互作用，观察到一些因素与STB。这些结果表明，在学校环境中的普遍和选择性/指示水平的循证方案和政策是必要的，并应尽早推出，以解决STB在青少年中的广泛流行。方案规划者在实施和制定干预战略时应考虑到社会、文化和语言需求。在线版本包含补充材料，可通过10.1007/s12310-022-09521-6获得。
The aim of this study was to identify independent risk and protective factors associated with self-reported suicidal thoughts and behaviors (STB) among young adolescents by examining self-report data on mental health, substance abuse, violence involvement, social and economic challenges and supports, physical health and demographics in relation to STB. Data from nearly 27,000 students who completed the 2018-19 Maryland Middle School Youth Risk Behavior Survey/Youth Tobacco Survey (YRBS/YTS) were used to identify independent risk and protective factors associated with STB among middle school students (grades 6–8; ages 11-14). Twenty-three percent of students reported lifetime suicidal ideation and nine percent reported lifetime attempt(s). Independent risk factors associated with STB include depression, substance abuse or misuse, violence involvement, bullying victimization at school or electronically, sexual activity, and sleep deprivation. Protective factors include having an adult outside of school to confide in and feeling that teachers care and provide encouragement. Interactive effects by gender and/or race/ethnicity were observed for some factors in relation to STB. These results suggest that evidence-based programs and policies at the universal and selective/indicated levels in school settings are needed and should be introduced earlier on to address the widespread prevalence of STB in young adolescents. Program planners should take into consideration social, cultural and language needs when implementing and developing intervention strategies. The online version contains supplementary material available at 10.1007/s12310-022-09521-6.
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