Adolescent depression and suicide risk - Association with sex and drug behavior
Adolescent depression and suicide risk - Association with sex and drug behavior
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DOI：
10.1016/j.amepre.2004.06.001
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发表时间：
2004-10-01
影响因子：
5.5
通讯作者：
Iritani, B
中科院分区：
文献类型：
--
作者：
Hallfors, DD;Waller, MW;Iritani, B
抑郁症在青少年中很常见，自杀是15至19岁青少年的第三大死亡原因。虽然这两个健康问题已与药物的上升和早期性交，这种关系还没有得到系统的研究，在一个全国性的代表性sample.Methods：16模式相结合的性和药物使用的行为，获得了聚类分析的响应波I的国家青少年健康纵向研究进行1994年9月至1995年12月。双变量和多变量分析测试了行为模式与当前抑郁症、严重自杀意念和既往自杀企图之间的相关性，控制了性别、种族/民族、西班牙裔民族、家庭结构和父母教育程度。与戒除危险行为的年轻人相比，参与任何饮酒，吸烟和/或性活动与抑郁，自杀意念，和自杀企图在从事非法药物使用的年轻人中，优势比最高。在禁欲和戒毒行为方面，男孩和女孩之间几乎没有差异。女孩不太可能比男孩从事高风险的行为，但那些谁往往他更容易抑郁症，自杀意念，自杀attempt.Conclusions：青少年从事危险行为的抑郁症，自杀意念，自杀attempt. Conclusions的几率增加。虽然因果关系尚未确定，但涉及任何性行为或药物使用都是令人担忧的，应该成为女孩心理健康筛查的临床指征;如果参与大麻或非法药物使用，男孩和女孩都应该进行筛查。(C)2004年美国预防医学杂志。
Background: Depression is common among adolescents, and suicide is the third leading cause of death among 15- to 19-year-olds. Although both health problems have been associated with drug rise and early sexual intercourse, the relationship has not been systematically studied in a nationally representative sample.Methods: Sixteen patterns of combined sex and drug use behaviors were obtained using cluster analysis of responses to Wave I of the National Longitudinal Study of Adolescent Health conducted from September 1994 through December 1995. Bivariate and multivariate analyses tested correlations between behavior patterns and current depression, serious suicidal ideation, and previous suicide attempt, controlling for gender, race/ethnicity, Hispanic ethnicity, family structure, and parent education.Results: Compared to youth who abstain from risk behaviors, involvement in any drinking, smoking, and/or sexual activity was associated with significantly increased odds of depression, suicidal ideation, and suicide attempts. Odds ratios were highest among youth who engaged in illegal drug use. There were few differences between boys and girls who abstain from sex and drug behaviors. Girls were less likely than boys to engage in high-risk behaviors, but those who did tended to he more vulnerable to depression, suicidal ideation, and suicide attempt.Conclusions: Teens engaging in risk behaviors are at increased odds for depression, suicidal ideation, and suicide attempts. Although causal direction has not been established, involvement in any sex or drug use is cause for concern, and should be a clinical indication for mental health screening for girls; both boys and girls should be screened if engaging in an), marijuana or illegal drug use. (C) 2004 American Journal of Preventive Medicine.