Parent-adolescent relationships and their associations with adolescent suicidal behaviours: Secondary analysis of data from 52 countries using the Global School-based Health Survey.
Parent-adolescent relationships and their associations with adolescent suicidal behaviours: Secondary analysis of data from 52 countries using the Global School-based Health Survey.
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DOI：
10.1016/j.eclinm.2020.100691
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发表时间：
2021-01
影响因子：
15.1
通讯作者：
Shawon MSR
中科院分区：
文献类型：
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作者：
Kushal SA;Amin YM;Reza S;Shawon MSR
尽管父母-青少年关系对青少年自杀行为有潜在的好处，但这些主题的研究受到缺乏全面性、难以进行跨国比较以及概括性有限等因素的严重限制。我们的目的是按性别和地区估计父母-青少年关系和自杀行为的各个方面的流行率，并调查它们之间的联系。2009-2015年间，我们使用了来自52个国家的全球校本健康调查(GSHS)的数据，对12-15岁的120 858名青少年(53.9%为女孩)进行了调查。我们使用具有随机效应的Meta分析，估计了父母-青少年关系(即了解问题、监控学业和闲暇时间活动、尊重隐私)和自杀行为(即自杀意念、自杀计划和自杀企图)的流行率。采用多水平混合效应Logistic回归分析其相关性。总体而言，男孩和女孩在父母对问题的理解(35.8%比36.8%)、监控学术活动(41.8%比41.1%)和尊重隐私(69.6%比69.7%)方面表现出相似的水平，而女孩报告说父母对休闲活动的监控水平高于男孩(44.9%比40.0%)。西太平洋地区的青少年报告父母对问题和监测活动的了解程度最低，而东南亚地区的青少年报告父母尊重他们的隐私的程度最低。女孩自杀行为的总体患病率高于男孩(26.2%比23.0%)。在青少年中，如果父母理解他们的问题(优势比，95%可信区间：0.70，0.68-0.73)，监督他们的学业(0.81，0.78-0.84)和闲暇活动(0.73，0.71-0.75)，并尊重他们的隐私(0.83，0.80-0.86)，青少年自杀行为的可能性较小。有证据表明，这些关联按性别和地区具有异质性。尽管父母-青少年关系和青少年自杀行为的流行率因性别和地区的不同而有所不同，但它们之间存在着强烈和独立的联系。
Despite the potential benefits of parents-adolescent relationships on suicidal behaviours among adolescents, research on these topics are importantly limited by lack of comprehensiveness, difficulties in cross-country comparisons, and limited generalisability, among others. We aimed to estimate the prevalence of various aspects of parents-adolescent relationships and suicidal behaviours by sex and region, and to investigate their associations. We used data from the Global School-based Health Survey (GSHS) from 52 countries in 2009–2015 for 120 858 adolescents (53.9% girls) aged 12–15 years. Using meta-analysis with random effects, we estimated the prevalence of parents-adolescent relationships (i.e. understanding problems, monitoring academic and leisure time activities, and respecting privacy) and suicidal behaviours (i.e. suicidal ideation, suicide planning, and suicide attempt). Multi-level mixed-effect logistic regressions were used to investigate their associations. Overall, boys and girls reported similar levels of parental understanding of problems (35.8% vs. 36.8%), monitoring academic activities (41.8% vs. 41.1%), and respecting privacy (69.6% vs. 69.7%), whereas girls reported higher level of parental monitoring of leisure time activities than boys (44.9% vs. 40.0%). Adolescents in the Western Pacific region reported the lowest level of parental understanding of problems and monitoring activities, while those in South-East Asia region least reported that their parents respected their privacy. The overall prevalence of any suicidal behaviour was higher in girls than boys (26.2% vs. 23.0%). Suicidal behaviour was less likely in adolescents if their parents understood their problems (odds ratio, 95% confidence intervals: 0.70, 0.68–0.73), monitored their academic (0.81, 0.78–0.84) and leisure time activities (0.73, 0.71–0.75), and respected their privacy (0.83, 0.80–0.86). There was evidence of heterogeneity in those associations by sex and regions. Although the prevalence of parents-adolescent relationships and adolescent suicidal behaviours varied particularly by sex and region, there were strong and independent associations among them.
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DOI：
10.3390/ijerph9114122
发表时间：
2012-11-13
影响因子：
--
作者：
Wilson ML;Dunlavy AC;Viswanathan B;Bovet P
通讯作者：
Bovet P
影响因子：
11.1
作者：
McKinnon B;Gariépy G;Sentenac M;Elgar FJ
通讯作者：
Elgar FJ
影响因子：
64.3
作者：
Mars, Becky;Heron, Jon;Gunnell, David
通讯作者：
Gunnell, David
影响因子：
4.4
作者：
Macalli, Melissa;Tournier, Marie;Tzourio, Christophe
通讯作者：
Tzourio, Christophe
青少年自杀行为和被欺凌的全球风险及其关联：83 个国家的学校健康调查
影响因子：
15.1
作者：
Tang, James Jie;Yu, Yizhen;Chen, Ruoling
通讯作者：
Chen, Ruoling