Trends in Adolescent Online and Offline Victimization and Suicide Risk Factors.
Trends in Adolescent Online and Offline Victimization and Suicide Risk Factors.
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DOI：
10.1542/peds.2020-049585
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发表时间：
2021-09
期刊：
影响因子：
8
通讯作者：
Keyes KM
中科院分区：
文献类型：
--
作者：
Kreski NT;Chen Q;Olfson M;Cerdá M;Hasin D;Martins SS;Mauro PM;Keyes KM
美国青少年的自杀意念和计划正在增加。网络受害发生率的变化经常被认为是这种增加的原因。我们测试了线上和线下受害的趋势，以及它们是否会导致青少年自杀结果的最新趋势。青少年风险行为调查数据（2011-2019，N = 73 074）每两年通过对美国在校青少年进行的全国横断面调查收集。我们研究了去年受害的趋势。我们还使用针对性别、种族和民族进行调整的调查加权逻辑回归，研究了受害与过去一年的自杀意念、计划、企图和伤害之间的关系是否随着时间的推移而变化。我们还对结果进行性别分层以检查性别差异。尽管美国青少年（主要是女孩）的自杀意念和计划有所增加，但线上和线下受害率并没有随着时间的推移而增加（线下：2011年为20.0%，2019年为19.5%；线上：2011年为16.2%，2019年为15.7%）。线上和线下受害与自杀结果相关，尤其是同时发生的线上和线下受害（例如，调整后的比值比[同时发生线上和线下受害与无受害，结果：自杀性伤害] = 8.37；95% 置信区间：7.06–9.91）。随着时间的推移，受害与自杀结果之间的关联程度基本上保持稳定。随着时间的推移，同伴受害率并没有随着自杀结果发生足够的变化来解释自杀结果的增加。尽管人们的认识和规划不断增强，但受害的发生率在不同时期仍保持相对不变，使得线上和线下受害具有一致的社会模式风险因素，需要进一步监测和干预。研究必须检查受害以外的风险因素，以解释自杀结果的增加。
Suicidal ideation and plans are increasing among US adolescents. Changing prevalence of online victimization is frequently hypothesized as an explanation for this increase. We tested trends in online and offline victimization and whether they contribute to recent trends in adolescent suicidal outcomes. Youth Risk Behavior Survey data (2011–2019, N = 73 074) were collected biennially through national cross-sectional surveys of US school-attending adolescents. We examined trends in past-year victimization. We also examined whether the relationship between victimization and past-year suicidal ideation, plans, attempts, and injury changed over time using survey-weighted logistic regressions that adjusted for sex and race and ethnicity. We also sex-stratified results to examine sex differences. Although suicidal ideation and plans increased among US adolescents (mainly girls), online and offline victimization prevalence did not increase over time (offline: 20.0% in 2011, 19.5% in 2019; online: 16.2% in 2011, 15.7% in 2019). Online and offline victimization were associated with suicidal outcomes, especially co-occurring online and offline victimization (eg, adjusted odds ratio [co-occurring online and offline victimization versus none, outcome: suicidal injury] = 8.37; 95% confidence interval: 7.06–9.91). The magnitude of the associations between victimization and suicidal outcomes largely remained stable over time. Peer victimization prevalence has not sufficiently changed over time in concert with suicidal outcomes to explain increased suicidal outcomes. The prevalence of victimization has remained relatively invariant across time despite growing awareness and programming, making online and offline victimization consistent, socially-patterned risk factors that warrant further monitoring and interventions. Research must examine risk factors beyond victimization to explain increasing suicidal outcomes.
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影响因子：
4.5
作者：
Li R;Lian Q;Su Q;Li L;Xie M;Hu J
通讯作者：
Hu J
影响因子：
64.3
作者：
Mars, Becky;Heron, Jon;Gunnell, David
通讯作者：
Gunnell, David
影响因子：
3.8
作者：
Bauman, Sheri;Toomey, Russell B.;Walker, Jenny L.
通讯作者：
Walker, Jenny L.
影响因子：
7.4
作者：
John A;Glendenning AC;Marchant A;Montgomery P;Stewart A;Wood S;Lloyd K;Hawton K
通讯作者：
Hawton K
DOI：
10.15585/mmwr.ss6708a1
发表时间：
2018-06-15
期刊：
Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002)
影响因子：
--
作者：
Kann L;McManus T;Harris WA;Shanklin SL;Flint KH;Queen B;Lowry R;Chyen D;Whittle L;Thornton J;Lim C;Bradford D;Yamakawa Y;Leon M;Brener N;Ethier KA
通讯作者：
Ethier KA