School connectedness and suicidal thoughts and behaviors: A systematic meta-analysis.
School connectedness and suicidal thoughts and behaviors: A systematic meta-analysis.
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DOI：
10.1037/spq0000192
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发表时间：
2017-03
期刊：
影响因子：
--
通讯作者：
Brier ZMF
中科院分区：
文献类型：
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作者：
Marraccini ME;Brier ZMF
在与降低自杀风险相关的保护因素中，考虑到学校的理想位置可以为绝大多数青少年提供干预措施，对学校联系的科学调查尤为重要。尽管有大量研究支持学校连通性与青少年有自杀念头或自杀企图的自我报告减少之间的联系，但研究测量和操作学校连通性方式的不一致性限制了研究结果的综合。本荟萃分析研究使用随机效应模型调查了一般人群和亚人群（高风险青少年和性少数青少年）中学校联系与自杀想法和行为之间的关系。符合条件的研究检查了学校联系的衡量标准，明确称为“学校联系”或“学校联系”，与在校青年（6-12年级）的自杀意念或自杀企图有关。本研究采用多元元回归分析，探讨学校连通性测量变异对被试特质的影响。包括16个样本在内的结果表明，在普通青少年（OR = 0.536）、高风险青少年（OR = 0.603）和性少数青少年（OR = 0.608）中，较高的学校联系与自杀念头和行为报告的减少有关。当分别分析自杀意念（OR = 0.529）和自杀企图（OR = 0.589）时，结果是一致的，并且在考虑测量变异性时保持稳定。尽管受其横断面性质的限制，研究结果支持了最近关于增加学校联系的呼吁，并为在学校进行的筛查和干预工作提供了重要启示。
Among the protective factors associated with reduced risk for suicide, scientific inquiries into school connectedness are especially important considering that schools are ideally situated to provide interventions reaching the vast majority of youth. Although there is a wealth of research that supports the association between school connectedness and reduced self-report of adolescents having a suicidal thought or making a suicide attempt, inconsistencies in the way studies have measured and operationalized school connectedness limit synthesis across findings. This meta-analytic study investigates the literature exploring associations between school connectedness and suicidal thoughts and behaviors across general and sub-populations (high risk and sexual minority youth) using a random effects model. Eligible studies examined a measure of school connectedness explicitly referred to as “school connectedness” or “connections at school” in relation to suicidal ideation or suicide attempts among youth enrolled in school (grades 6–12). Multiple meta-regression analyses were conducted to explore the influence of school connectedness measurement variation, as well as participant characteristics. Results, including 16 samples, support that higher school connectedness is associated with reduced reports of suicidal thoughts and behaviors across general (OR = 0.536), high-risk (OR = 0.603), and sexual minority (OR = 0.608) adolescents. Findings are consistent when analyzed separately for suicidal ideation (OR = 0.529) and suicide attempts (OR = 0.589) and remain stable when accounting for measurement variability. Although limited by its cross-sectional nature, findings support recent calls to increase school connectedness and proffer important implications for screening and intervention efforts conducted in schools.