Suicide and history of childhood trauma among street youth
Suicide and history of childhood trauma among street youth
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DOI：
10.1016/j.jad.2011.11.019
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发表时间：
2012-02-01
影响因子：
6.6
通讯作者：
Wood, Evan
中科院分区：
文献类型：
--
作者：
Hadland, Scott E.;Marshall, Brandon D. L.;Wood, Evan
背景：街头青年是一个边缘化的群体，其特点是死亡率低，自杀风险高。目前尚不清楚在这个难以研究的人群中，儿童期虐待和忽视在多大程度上易导致自杀。这项研究是第一次研究童年创伤和随后的自杀未遂之间的关系，在青春期和青年成年街头youth.Methods：从2005年10月至2007年11月，数据收集的风险青年研究（阿里斯），队列495街头招募的青年，年龄在14-26岁，温哥华，加拿大。自我报告的自杀未遂在过去六个月内进行了检查，与儿童虐待和忽视，衡量的童年创伤问卷（CTQ），使用逻辑回归。结果：总体而言，46名（9.3%）青年在过去六个月内报告了自杀企图。儿童期身体虐待和性虐待非常普遍，分别有201名（40.6%）和131名（26.5%）青少年报告了各自的历史。CTQ评分的增加与自杀企图的风险相关，尽管对混杂因素进行了调整（调整后的比值比[AOR]，每增加一个标准差评分1.45; 95%置信区间[CI]，1.08-1.91）。局限性：使用滚雪球抽样可能没有产生真正的随机样本，依赖自我报告可能导致参与者中风险行为的漏报。此外，横截面数据的使用限制了时间性可以从本study.Conclusions的结果得出结论的程度：有一个强大的和分级的关联童年创伤和随后的自杀未遂之间的街头青年，否则“隐藏”的人口。有必要采取有效的干预措施，不仅要防止虐待儿童，而且要帮助那些因先前有创伤史而自杀风险增加的青年。(C)2011爱思唯尔有限公司版权所有。
Background: Street youth represent a marginalized population marked by early mortality and elevated risk for suicide. It is not known to what extent childhood abuse and neglect predispose to suicide in this difficult-to-study population. This study is among the first to examine the relationship between childhood trauma and subsequent attempted suicide during adolescence and young adulthood among street youth.Methods: From October 2005 to November 2007, data were collected for the At Risk Youth Study (ARYS), a cohort of 495 street-recruited youth aged 14-26 in Vancouver, Canada. Self-reported attempted suicide in the preceding six months was examined in relation to childhood abuse and neglect, as measured by the Childhood Trauma Questionnaire (CTQ), using logistic regression. Results: Overall, 46 (9.3%) youth reported a suicide attempt during the preceding six months. Childhood physical and sexual abuse were highly prevalent, with 201 (40.6%) and 131 (26.5%) of youth reporting history of each, respectively. Increasing CTQ score was related to risk for suicide attempt despite adjustment for confounders (adjusted odds ratio [AOR], 1.45 per standard deviation increase in score; 95% confidence interval [CI], 1.08-1.91).Limitations: Use of snowball sampling may not have produced a truly random sample, and reliance on self-report may have resulted in underreporting of risk behaviors among participants. Moreover, use of cross-sectional data limits the degree to which temporality can be concluded from the results of this study alone.Conclusions: There exists a strong and graded association between childhood trauma and subsequent attempted suicide among street youth, an otherwise 'hidden' population. There is a need for effective interventions that not only prevent maltreatment of children but also aid youth at increased risk for suicide given prior history of trauma. (C) 2011 Elsevier B.V. All rights reserved.