Depressive symptoms and suicidal ideation among Mexican-origin and Anglo adolescents.
Depressive symptoms and suicidal ideation among Mexican-origin and Anglo adolescents.
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墨西哥裔和盎格鲁青少年的抑郁症状和自杀意念。
DOI：
10.1097/00004583-199501000-00018
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发表时间：
1995
影响因子：
13.3
通讯作者：
Chen,YW
中科院分区：
文献类型：
--
作者：
Roberts,RE;Chen,YW
目的探讨青少年抑郁症状和自杀意念的患病率、合并症及相关危险因素。方法对三所中学（六年级至八年级）的3200多名学生进行问卷调查。从2614份（81.5%）问卷中获得可用问卷，其中924份为盎格鲁裔，1354份为墨西哥裔。抑郁症是用20个项目的流行病学研究中心抑郁量表来衡量的，自杀意念是用4个项目来衡量死亡和自杀的想法。结果少数民族青少年报告的抑郁症状和自杀念头的原始患病率明显高于盎格鲁人。墨西哥裔女性患病率最高。在两个种族中，抑郁和自杀意念之间都有很强的联系。多因素logistic回归分析显示，与抑郁症状显著相关的依次为自杀意念（校正优势比= 10.9）、孤独感和英语使用。自杀意念的显著相关因素是抑郁（校正优势比= 10.6）、孤独、双亲家庭、使用英语和墨西哥裔。在这两个种族中，超过80%的自杀意念得分较高的人被评为抑郁。结论：该结果与其他研究一致，表明青少年自杀意念的发生率在10% - 20%之间，而抑郁症状的发生率在35% - 50%之间。墨西哥裔美国青年似乎比盎格鲁裔青年有更高的风险，尤其是在自杀意念方面。此外，似乎孤独的年轻人更有可能报告更高的抑郁和自杀念头。数据还表明，只说英语或主要说英语的年轻人患抑郁症和自杀念头的比例较低，这表明文化适应可能也起了作用。
OBJECTIVETo examine the prevalence of depressive symptoms and suicidal ideation, their comorbidity, and associated risk factors in adolescence.METHODA self-administered questionnaire was completed in class by students in three middle schools (grades 6 through 8) enrolling more than 3,200 students. Usable questionnaires were obtained from 2,614 (81.5%), of which 924 were Anglo and 1,354 were of Mexican origin. Depression was measured using the 20-item Center for Epidemiologic Studies Depression Scale and suicidal ideation using four items on thoughts of death and suicide.RESULTSThe minority adolescents reported significantly higher crude prevalence rates of symptoms of depression and thoughts of suicide than their Anglo counterparts. Prevalence rates were highest for females of Mexican origin. There was a strong association between depression and suicidal ideation in both ethnic groups. Multivariate logistic regression analyses indicated significant correlates of depressive symptoms were suicidal ideation (adjusted odds ratio = 10.9), loneliness, and use of English, in that order. Significant correlates of suicidal ideation were depression (adjusted odds ratio = 10.6), loneliness, two-parent household, use of English, and being of Mexican origin. More than 80% of those with high ratings on suicidal ideation scored as depressed in both ethnic groups.CONCLUSIONSResults are consistent with other studies suggesting rates of suicidal ideation among adolescents are in the 10% to 20% range, while rates of depressive symptoms are in the 35% to 50% range using standard caseness scores. Mexican-American youths appear to be at higher risk than Anglo youths, particularly for suicidal ideation. In addition, it appears that youths who are lonely are more likely to report higher rates of both depression and suicidal ideation. The data also indicate that youths who spoke only or mostly English reported lower rates of depression and suicidal ideation, suggesting that acculturation may play a role as well.
影响因子：
4.3
作者：
H. Sambrook
通讯作者：
H. Sambrook