Mediators of the relation between war experiences and suicidal ideation among former child soldiers in Northern Uganda: the WAYS study.
Mediators of the relation between war experiences and suicidal ideation among former child soldiers in Northern Uganda: the WAYS study.
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DOI：
10.1186/s12888-014-0271-2
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发表时间：
2014-09-24
期刊：
影响因子：
4.4
通讯作者：
Ovuga E
中科院分区：
文献类型：
--
作者：
Amone-P'Olak K;Lekhutlile TM;Meiser-Stedman R;Ovuga E
在全球范围内，自杀是一种公共卫生负担，特别是在战争结束后。了解定义从以前的战争经历（WE）到当前自杀意念（SI）的路径的过程对于定义干预机会至关重要。我们评估了不同类型的先前WE预测当前SI的程度，以及战后困难和抑郁是否在乌干达北方前儿童兵（FCS）中调节WE和SI之间的关系。我们对539名FCS（61%为男性）进行了横断面分析，这些FCS参与了一项正在进行的纵向研究。通过回归分析评估了各种类型的以前的WE对当前SI的影响以及战后困难和抑郁的中介作用。以下类型的战争经验：“目睹暴力”，“直接的人身伤害”，“死亡”，“参与敌对行动”，“性虐待”和“一般的战争经验”显着预测当前SI在一个单变量分析，而“直接的人身伤害”，“参与敌对行动”，“性虐待”独立预测当前SI在多变量分析。一般WE与SI（β = 0.18（95%CI 0.10 - 0.25））通过战后艰苦（占其关系方差的69%）和抑郁/焦虑（β = 0.17（95%CI 0.12 - 0.22））（占其关系方差的65%）相关。之前的WE和当前的SI之间的直接关系降低了，但对于抑郁/焦虑仍保持轻微的显著性（β = 0.08，CI：（0.01，0.17），但对于战后的艰苦生活则没有（β = 0.09，CI：（-0.03，0.20）。在评估SI风险时，应检查WE的类型。减少SI的干预措施应旨在减轻战后的困难和治疗抑郁/焦虑。
Globally, suicide is a public health burden especially in the aftermath of war. Understanding the processes that define the path from previous war experiences (WE) to current suicidal ideation (SI) is crucial for defining opportunities for interventions. We assessed the extent to which different types of previous WE predict current SI and whether post-war hardships and depression mediate the relations between WE and SI among former child soldiers (FCS) in Northern Uganda. We performed cross-sectional analyses with a sample of 539 FCS (61% male) participating in an on-going longitudinal study. The influence of various types of previous WE on current SI and mediation by post-war hardships and depression were assessed by regression analyses. The following types of war experiences: “witnessing violence”, “direct personal harm”, “deaths”, “Involvement in hostilities”, “sexual abuse” and “general war experiences” significantly predicted current SI in a univariable analyses whereas “direct personal harm”, “involvement in hostilities”, and “sexual abuse” independently predicted current SI in a multivariable analyses. General WE were linked to SI (β = 0.18 (95% CI 0.10 to 0.25)) through post-war hardships (accounting for 69% of the variance in their relationship) and through depression/anxiety (β = 0.17 (95% CI 0.12 to 0.22)) accounting for 65% of the variance in their relationship. The direct relationship between previous WE and current SI reduced but remained marginally significant (β = .08, CI: (.01, .17) for depression/anxiety but not for post-war hardships (β = .09, CI: (−.03, .20). Types of WE should be examined when assessing risks for SI. Interventions to reduce SI should aim to alleviate post-war hardships and treat depression/anxiety.
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影响因子：
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作者：
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影响因子：
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