Local exposure to school shootings and youth antidepressant use.
Local exposure to school shootings and youth antidepressant use.
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当地发生校园枪击事件和青少年使用抗抑郁药物。
DOI：
10.1073/pnas.2000804117
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发表时间：
2020
影响因子：
11.1
通讯作者：
Uniat,Lindsey
中科院分区：
文献类型：
--
作者：
Rossin-Slater,Maya;Schnell,Molly;Schwandt,Hannes;Trejo,Sam;Uniat,Lindsey
虽然在过去的二十年里，有超过24万名美国学生经历过校园枪击事件，但人们对这些事件对幸存青年心理健康的影响知之甚少。利用2006年至2015年的大规模处方数据，我们研究了44起校园枪击事件对青少年抗抑郁药使用的影响。我们的经验策略比较了在枪击事件发生之前和之后，在距离经历枪击事件的学校0到5英里（治疗区域）的地方执业的医生开出的抗抑郁药处方的数量，以及在距离学校10到15英里（参考区域）的地方执业的医生开出的处方的数量。我们在所有规格中包括按月和按地区的固定效应，从而控制抗抑郁药使用的总体趋势和不同地区的所有时不变差异。我们发现，在接下来的2年中，当地暴露于致命的校园枪击事件会使青少年使用抗抑郁药的人数增加21.4%。在注重行为干预而非药物干预的心理健康提供者密度较高的地区，这种影响较小。
While over 240,000 American students experienced a school shooting in the last two decades, little is known about the impacts of these events on the mental health of surviving youth. Using large-scale prescription data from 2006 to 2015, we examine the effects of 44 school shootings on youth antidepressant use. Our empirical strategy compares the number of antidepressant prescriptions written by providers practicing 0 to 5 miles from a school that experienced a shooting (treatment areas) to the number of prescriptions written by providers practicing 10 to 15 miles away (reference areas), both before and after the shooting. We include month-by-year and school-by-area fixed effects in all specifications, thereby controlling for overall trends in antidepressant use and all time-invariant differences across locations. We find that local exposure to fatal school shootings increases youth antidepressant use by 21.4% in the following 2 y. These effects are smaller in areas with a higher density of mental health providers who focus on behavioral, rather than pharmacological, interventions.