Suicidal behavior and sexual/physical abuse among street youth
Suicidal behavior and sexual/physical abuse among street youth
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DOI：
10.1016/s0145-2134(97)00137-3
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发表时间：
1998-03-01
影响因子：
4.8
通讯作者：
Watters, JK
中科院分区：
文献类型：
--
作者：
Molnar, BE;Shade, SB;Watters, JK
目的：探讨科罗拉多州丹佛市无家可归和离家出走街头青年的家庭生活危险因素与自杀企图的关系；纽约市；方法：于1992年和1993年在丹佛市、纽约市和三藩市的街头工作人员中招募12-19岁的街头青年775名进行访谈。横断面、回顾性数据分析，以检验自杀企图与先前家庭生活变量之间的关系。使用逻辑回归来确定预测自杀企图的因素。结果：48%的女性和27%的男性曾试图自杀。女性的平均自杀企图次数为6.2次（SD = 12.9），男性为5.1次（SD = 7.6）。在女性中，70%报告了性虐待，35%报告了身体虐待。在男性中，24%报告了性虐待，35%报告了身体虐待。离家前的性虐待和身体虐待是女性和男性自杀企图的独立预测因素。其他被假设为自杀企图风险因素的家庭生活因素并不显著。相互作用项不显著。在这个样本中遭受过性或身体虐待的街头青年中，企图自杀的几率是没有遭受过性或身体虐待的街头青年的1.9到4.3倍。结论：试图减少这一人群危险行为的干预措施必须包括对自杀行为的评估，以及帮助青少年处理身体虐待和性虐待的行为和情感后遗症的组成部分。1998爱思唯尔科学有限公司
Objective: To examine the relationship between home life risk factors and suicide attempts among homeless and runaway street youth recruited from both shelters and street locations in Denver, CO; New York City; and San Francisco, CA.Method: Street youth 12-19 years old (N = 775) were recruited by street outreach staff in Denver, New York City and San Francisco in 1992 and 1993 and interviewed. Cross-sectional, retrospective data were analyzed to examine the relationship between suicide attempts and antecedent home life variables. Logistic regression was used to identify factors predicting suicide attempts.Results: Forty-eight percent of the females and 27% of the males had attempted suicide. The mean number of suicide attempts was 6.2 (SD = 12.9) for females and 5.1 for males (SD = 7.6). Among females, 70% reported sexual abuse and 35% reported physical abuse. Among males, 24% reported sexual abuse and 35% reported physical abuse. Sexual and physical abuse before leaving home were independent predictors of suicide attempts for females and males. Other home life factors hypothesized to be risk factors for suicide attempts were not significant. Interaction terms were not significant. Among street youth who were sexually or physically abused in this sample, the odds of attempting suicide were 1.9 to 4.3 times the odds of attempting suicide among those not sexually or physically abused.Conclusions: Interventions attempting to reduce risky behaviors in this population must include assessments of suicidal behaviors as well as components for assisting youth in dealing with the behavioral and emotional sequelae of physical and sexual abuse. (C) 1998 Elsevier Science Ltd.