Suicidality among military-connected adolescents in California schools

Suicidality among military-connected adolescents in California schools
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DOI:
10.1007/s00787-015-0696-2
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发表时间:
2016-01-01
影响因子:
6.4
通讯作者:
Astor, Ron A.
Astor, Ron A.
中科院分区:
医学2区
文献类型:
--
作者:
Gilreath, Tamika D.;Wrabel, Stephani L.;Astor, Ron A.

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先前的研究表明,与军队有联系的年轻人的自杀意念高于与军队无联系的年轻人。这项研究扩展了以前的工作,通过检查自杀意念,计划,并在军事连接和非军事连接的青少年企图。数据来自390,028名完成2012-2013年加州健康儿童调查的9年级和11年级学生。进行了双变量比较和多变量logistic分析,以检查军人和非军人青年在自杀意念、计划、企图和需要医疗照顾的企图方面的差异。在多变量logistic分析中,与军队有联系的年轻人自杀意念的风险增加(OR = 1.43,95%CI = 1.37-1.49),制定伤害自己的计划(OR = 1.19,CI = 1.06-1.34),自杀未遂(OR = 1.67,CI = 1.43-1.95),自杀未遂者需要药物治疗(OR = 1.71,CI = 1.34-2.16)。这些结果表明,全州范围内与军队有联系的青年有自杀意念、计划、企图和由于自杀行为而需要医疗护理的企图的风险更高。建议实施政策,以提高认识和初级保健提供者,学校工作人员和军事组织,为军事连接的青年之间的筛选。
Previous research indicates that suicidal ideation is higher among military-connected youth than non military-connected youth. This study extends prior work by examining suicidal ideation, plans, and attempts in military-connected and non military-connected adolescents. Data were gathered from 390,028 9th and 11th grade students who completed the 2012-2013 California Healthy Kids Survey. Bivariate comparisons and multivariate logistic analyses were conducted to examine differences in suicidal ideation, plans, attempts, and attempts requiring medical attention between military and not military-connected youth. In multivariate logistic analyses, military-connected youth were at increased risk for suicidal ideation (OR = 1.43, 95 % CI = 1.37-1.49), making a plan to harm themselves (OR = 1.19, CI = 1.06-1.34), attempting suicide (OR = 1.67, CI = 1.43-1.95), and an attempted suicide which required medical treatment (OR = 1.71, CI = 1.34-2.16). These results indicate that military-connected youth statewide are at a higher risk for suicidal ideation, plans, attempts, and attempts requiring medical care because of suicidal behaviors. It is suggested that policies be implemented to increase awareness and screening among primary care providers, school personnel, and military organizations that serve military-connected youth.