Longitudinal Associations Between Community Violence Exposure and Suicidality

Longitudinal Associations Between Community Violence Exposure and Suicidality
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DOI:
10.1016/j.jadohealth.2008.02.015
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发表时间:
2008-10-01
影响因子:
7.6
通讯作者:
Ialongo, Nicholas S.
Ialongo, Nicholas S.
中科院分区:
医学2区
文献类型:
--
作者:
Lambert, Sharon F.;Copeland-Linder, Nikeea;Ialongo, Nicholas S.

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目的:研究社区暴力暴露与自杀意念和企图之间的纵向关联,以及抑郁症状和攻击行为是否是这种关联的干预变量。方法:参与者为 473 名城市青少年,主要是非裔美国青少年,他们在 6、7 和 8 年级完成了社区暴力暴露、抑郁症状以及自杀意念和企图的测量;教师报告了 6、7 和 8 年级青少年的攻击行为。路径分析用于检查 6 年级的社区暴力暴露与 8 年级的自杀意念和企图之间的直接和间接关联。抑郁症状和攻击行为被检查为从 6 年级的社区暴力暴露到后来的自杀意念和企图的间接路径的一部分。结果:结果显示,男性和女性的社区暴力暴露与后来的自杀意念之间存在间接关联:六年级的社区暴力暴露与抑郁症状相关7 年级的自杀意念与 8 年级的自杀意念呈正相关。对于男性来说,6 年级的社区暴力暴露与 7 年级的攻击行为增加相关,而攻击行为的增加又与 8 年级的自杀企图相关。(C) 2008 年青少年医学协会。版权所有。
Purpose: To examine longitudinal associations between community violence exposure and suicide ideation and attempt, and whether depressive symptoms and aggressive behavior are interventing variables in this associationMethods: Participants were 473 urban are predominantly African American adolescents who completed measures of community violence exposure, depressive symptoms, and suicide ideation and attempt in grades 6, 7, and 8; teachers reported about adolescents' aggressive behaviors in grades 6, 7, and 8. Path analysis was used to examine direct and indirect associations between community violence exposure in grade 6 and suicide ideation and attempt in grade 8. Depressive symptoms and aggressive behavior were examined as part of an indirect path from grade 6 community violence exposure to later suicide ideation and attempt.Result: Results revealed an indirect association between community violence exposure and later suicide ideation for males and females: community violence exposure in grade 6 was associated with depressive symptoms in grade 7, which in turn, were positively associated with suicide ideation in grade 8. For males, community violence exposure in grade 6 was associated with increases in aggressive behavior in grade 7, which in turn, were associated with suicide attempts in grade 8. (C) 2008 Society for Adolescent Medicine. All rights reserved.