History of Physical Teen Dating Violence and Its Association With Suicidal Behaviors Among Adolescent High School Students: Results From the 2015 Youth Risk Behavior Survey
History of Physical Teen Dating Violence and Its Association With Suicidal Behaviors Among Adolescent High School Students: Results From the 2015 Youth Risk Behavior Survey
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DOI：
10.1177/0886260519860087
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发表时间：
2019-07-04
影响因子：
2.5
通讯作者：
Small, Eusebius
中科院分区：
文献类型：
--
作者：
Baiden, Philip;Mengo, Cecilia;Small, Eusebius
虽然研究已经调查并发现身体青少年约会暴力（TDV）对心理健康结果有显着的负面影响，但很少有研究调查身体TDV对青少年自杀行为的影响。本研究旨在探讨14 ~ 18岁青少年躯体性TDV、自杀意念、自杀计划和自杀未遂的发生率，以及躯体性TDV与这些自杀行为之间的关系。该研究的数据来自2015年青年风险行为调查。采用逻辑回归分析了9,693例14 - 18岁青少年（50.4%为男性）的样本，以自杀意念、自杀计划和自杀企图作为结局变量，以身体TDV作为主要解释变量。在过去的12个月中，约有17%的青少年学生有自杀意念，13.7%的青少年学生有自杀计划，7.6%的青少年学生有自杀未遂。在那些正在约会的人中，9.9%的人经历过身体上的TDV。在多因素Logistic回归分析中，与正在约会但没有经历过身体TDV的青少年学生相比，经历过身体TDV的青少年学生在过去12个月内有自杀意念的可能性是1.92倍，有自杀计划的可能性是1.67倍，有自杀企图的可能性是2.42倍。自杀行为的其他重要预测因素包括性少数群体，经历强迫性行为，欺凌，感到悲伤或绝望，以及酗酒。充足的睡眠降低了自杀意念和自杀计划的几率。身体TDV及其与青少年自杀行为的关联是美国和世界各地研究人员，政策制定者和从业者的重要问题。预防和干预工作应在文化上因地制宜，以反映少数群体（如性少数青少年）在身体TDV和自杀方面的独特经历。
Although studies have investigated and found physical teen dating violence (TDV) has a significant negative impact on mental health outcomes, few studies are yet to investigate the effect of physical TDV on suicidal behaviors among adolescents. The objectives of this study are to examine the prevalence of physical TDV, suicidal ideation, suicide plan, and suicide attempt among adolescents aged 14 to 18 years and the association between physical TDV and these suicidal behaviors. Data for this study were obtained from the 2015 Youth Risk Behavior Survey. A sample of 9,693 adolescents aged 14 to 18 years (50.4% males) was analyzed using logistic regression with suicidal ideation, suicide plan, and suicide attempt as outcome variables and physical TDV as the main explanatory variable. About 17% of the adolescent students experienced suicidal ideation, 13.7% made a suicide plan, and 7.6% attempted suicide during the past 12 months. Among those who were dating, 9.9% experienced physical TDV. In the multivariate logistic regression, adolescent students who experienced physical TDV were 1.92 times more likely to have experienced suicidal ideation, 1.67 times more likely to have made a suicide plan, and 2.42 times more likely to have attempted suicide during the past 12 months when compared with their counterparts who were dating but experienced no physical TDV. Other significant predictors of suicidal behaviors include being a sexual minority, experiencing forced sex, bullying, feeling sad or hopeless, and binge drinking. Having sufficient sleep lowered the odds of suicidal ideation and suicide plan. The topic of physical TDV and its association with suicidal behaviors among adolescents is such an important issue for researchers, policymakers, and practitioners in the United States and around the world. Prevention and intervention efforts should be culturally tailored to reflect the unique experiences with physical TDV and suicide among minority populations such as sexual minority adolescents.