An Exploratory Study of Nonsuicidal Self-Injury and Suicidal Behaviors in Adolescent Latinas
An Exploratory Study of Nonsuicidal Self-Injury and Suicidal Behaviors in Adolescent Latinas
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DOI：
10.1037/ort0000073
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发表时间：
2015-07-01
影响因子：
3.3
通讯作者：
Zayas, Luis H.
中科院分区：
文献类型：
--
作者：
Gulbas, Lauren E.;Hausmann-Stabile, Carolina;Zayas, Luis H.
到目前为止，很少有研究来验证拉丁裔青少年中非自杀性自伤行为（NSSI）和自杀未遂之间的差异。了解拉丁裔青少年自我伤害行为的特征和背景特征是一个关键的公共卫生和社会正义问题，因为这个弱势群体的自杀未遂率和预期人口增长率不成比例。在这篇文章中，我们利用生态发展模型，重点关注社会文化环境中塑造自杀行为和NSSI的因素。通过对使用NSSI（n = 18），自杀未遂（n = 29），使用NSSI和自杀未遂（n = 8），没有自我伤害的终身史（n = 28）的女孩进行定性访谈分析，我们描述了社会文化因素，形成心理社会脆弱性，并产生了使用NSSI或自杀未遂的决定。我们的分析显示，青少年从事NSSI认为他们的负面情绪是可以通过自我伤害行为控制的，而无力感是一个主题的情绪状态下的女孩谁试图自杀。当国家社会安全倡议不再作为一种控制机制时，女孩们突然决定试图自杀。大多数青少年都能识别出特定的，而且往往是多种情况，这些情况会引发强烈的情感状态，并影响他们做出自残的决定。两个情境的经验出现了特别突出的和有前途的拉丁裔青少年之间的自我伤害行为的后续研究：跨国压力和欺凌。我们描述了每一个，并为未来的研究和实践提供建议。
To date, there is little research to validate empirically differences between nonsuicidal self-injurious behavior (NSSI) and attempted suicide among Latina adolescents. Understanding the characteristics and contextual features of self-harmful behaviors among Latina teens is a critical public health and social justice matter given the disproportionate rates of attempted suicide and anticipated population growth of this vulnerable group. In this article, we draw on an ecodevelopmental model to focus attention on factors in the sociocultural environment that shape suicidal behaviors and NSSIs. Through analysis of qualitative interviews conducted with girls who used NSSI (n = 18), attempted suicide (n = 29), used NSSI and attempted suicide (n = 8,) and had no reported lifetime history of self-harm (n = 28), we describe the sociocultural factors that shaped psychosocial vulnerabilities and gave rise to decisions to use NSSI or attempt suicide. Our analysis revealed that adolescents who engaged in NSSI perceived their negative feelings as something that could be controlled through self-injurious acts, whereas powerlessness was a theme underlying the emotional states of girls who attempted suicide. When NSSI ceased to function as a mechanism for control, girls came to sudden decisions to attempt suicide. Most teens identified specific, and often multiple, situations that induced intense affective states and shaped decisions to inflict self-harm. Two situational experiences emerged as particularly salient and promising for subsequent studies on self-harmful behaviors among Latina adolescents: transnational stress and bullying. We describe each of these and offer suggestions for future research and practice.