Adolescent suicidal behavior: associations with preadolescent physical abuse and selected risk and protective factors.
Adolescent suicidal behavior: associations with preadolescent physical abuse and selected risk and protective factors.
复制标题
青少年自杀行为：与青春期前身体虐待以及选定的风险和保护因素的关联。
DOI：
10.1097/chi.0b013e318054e702
复制
发表时间：
2007
影响因子：
13.3
通讯作者：
Ng-Mak,DaisyS
中科院分区：
文献类型：
--
作者：
Salzinger,Suzanne;Rosario,Margaret;Feldman,RichardS;Ng-Mak,DaisyS
为了确定青春期前身体虐待是否会增加青少年自杀行为的风险，为了检查青春期前虐待与青少年自杀行为之间关系的潜在中介者和调节者，并检查远端是否（青春期前）风险因素增加近端（青少年）因素预测自杀。在纽约市虐待登记处的五名身体虐待的前青少年和78名对照者在10.5岁和16.5岁时进行了研究。青少年自杀意念和企图和假设的风险和保护因素进行了评估，自我报告，家长访谈和教师评级。通过逻辑回归分析数据，发现青少年身体虐待是青少年自杀倾向的一个可靠的、基本上无中介作用的独立预测因子。只有青少年内化问题介导的关系。没有风险因素调节这种关系。青少年对父母的依恋和内化问题独立地预测了虐待和控制对象的自杀风险。没有preadolescent的风险或保护因素添加到预测以外的风险来自preadolescent abuse.CONCLUSIONSSThe青少年身体虐待和青少年自杀之间的关联在很大程度上是unmediated和unmoderated的有据可查的自杀危险因素。因此，在家庭进入儿童保护系统时，必须开始采取全面干预措施，减少父母虐待行为，同时沿着对儿童和青少年本身采取治疗性干预措施。
OBJECTIVESTo determine whether preadolescent physical abuse raises the risk of adolescent suicidal behavior, to examine potential mediators and moderators of the relationship between preadolescent abuse and adolescent suicidality, and to examine whether distal (preadolescent) risk factors add to proximal (adolescent) factors in predicting suicidality.METHODSeventy-five physically abused preadolescents on the New York City Maltreatment Register and 78 controls were studied at ages 10.5 and 16.5 years. Adolescent suicidal ideation and attempts and hypothesized risk and protective factors were assessed by self-report, parent interview, and teacher ratings. Data were analyzed by logistic regression.RESULTSPreadolescent physical abuse was a robust, largely unmediated, independent predictor of adolescent suicidality. Only adolescent internalizing problems mediated the relationship. No risk factors moderated the relationship. Adolescent attachment to parents and internalizing problems contributed independently to the prediction of suicidality risk in abused and control subjects. No preadolescent risk or protective factors added to the predictions beyond risk deriving from preadolescent abuse.CONCLUSIONSThe association between preadolescent physical abuse and adolescent suicidality is largely unmediated and unmoderated by well-documented risk factors for suicidality. Therefore, comprehensive interventions to reduce abusive parenting must begin when families enter the child protection system, along with therapeutic interventions with the children and adolescents themselves.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
第二版
DOI：
--
发表时间：
2008
期刊：
影响因子：
--
作者：
Fujita J. Springer;Berlin;Schwab;M.(ed.)
通讯作者：
M.(ed.)
在混乱中寻找秩序：从受虐待婴儿对其照顾者依恋的研究中得出的教训。
影响因子：
0.3
作者：
Vicki Carlson;D. Cicchetti;D. Barnett;Karen G. Braunwald
通讯作者：
Karen G. Braunwald
临床心理学问题
DOI：
--
发表时间：
1993
期刊：
影响因子：
--
作者：
J. Mindell
通讯作者：
J. Mindell
DOI：
10.1097/00004583-199912000-00009
发表时间：
1999-12-01
影响因子：
13.3
作者：
Brown, J;Cohen, P;Smailes, EM
通讯作者：
Smailes, EM