Preliminary Associations among Relational Victimization, Targeted Rejection, and Suicidality in Adolescents: A Prospective Study.
Preliminary Associations among Relational Victimization, Targeted Rejection, and Suicidality in Adolescents: A Prospective Study.
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青少年关系受害、有针对性的拒绝和自杀之间的初步关联：一项前瞻性研究。
DOI：
10.1080/15374416.2018.1469093
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Prinstein,MitchellJ
中科院分区：
文献类型：
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作者：
Massing-Schaffer,Maya;Helms,SarahW;Rudolph,KarenD;Slavich,GeorgeM;Hastings,PaulD;Giletta,Matteo;Nock,MatthewK;Prinstein,MitchellJ
这项研究考察了多种类型的人际和非人际应激源与随后发生的自杀意念和企图之间的关系。对自杀念头和自杀行为高危的12-18岁青少年(n=160)进行了18个月的跟踪调查，分为两个9个月的时期进行数据分析(阶段1和阶段2)。使用半结构访谈和独立的生活压力评估小组评估了在最初的9个月期间(第1期)暴露于急性关系受害、定向拒绝、未指明的人际和非人际生活应激源的情况。参与者还完成了关于自杀想法和行为的电话半结构化访谈。初步分析显示，第一阶段的急性定向排斥和非特定人际压力与第二阶段的自杀意念、第一阶段的人际关系受害和非人际压力以及第二阶段的自杀企图之间存在显著的前瞻性关联。然而，在调整了既往自杀和抑郁症状的Logistic回归分析中，第一阶段的人际关系受害(而不是定向拒绝、非特定人际或非人际事件)与第二阶段自杀企图的增加有关。因此，急性关系受害暴露与女性青少年自杀行为的风险增加有关。未来的研究应该检查这种关联的潜在中介和调节因素，这些应激源应该被考虑纳入临床筛查工具。
This study examined associations between multiple types of interpersonal and noninterpersonal stressors and the subsequent occurrence of suicide ideation and attempts among female adolescents. Adolescents ages 12 to 18 years old (n= 160) at elevated risk for suicidal thoughts and behaviors were followed for 18 months, divided into two 9-month epochs for data analysis (Periods 1 and 2). Exposure to acute relational victimization, targeted rejection, nonspecified interpersonal, and noninterpersonal life stressors over the first 9-month epoch (Period 1) was assessed using semistructured interviews and an independent life stress rating team. Participants also completed phone-based semistructured interviews of suicidal thoughts and behaviors. Preliminary analyses showed significant prospective associations between acute targeted rejection and nonspecified interpersonal stress during Period 1 and suicide ideation during Period 2, as well as relational victimization and noninterpersonal stress during Period 1 and suicide attempts during Period 2. However, in logistic regression analyses that adjusted for prior suicidality and depressive symptoms, relational victimization during Period 1 (but not targeted rejection, nonspecified interpersonal or noninterpersonal events) was associated with increased odds of suicide attempt during Period 2. Therefore, acute relational victimization exposure is associated with heightened risk for suicidal behaviors in female adolescents. Future studies should examine potential mediators and moderators of this association, and these stressors should be considered for inclusion in clinical screening tools.