Self-injurious Thoughts and Behaviors among Preteens in the Child Welfare System

抽象的。 自杀是5-11岁儿童的第八大死因，最近的证据表明， 黑人儿童的自杀率正在不成比例地上升。此外，自残思想和行为(SITB)- 这增加了自杀死亡的风险--在儿童医院急救中所占比例不断上升 科室和住院就诊。儿童福利体系(CWS)中的青春期前儿童自杀风险更大 比一般人群中的人多。然而，很少有研究调查风险和保护因素， 或研究参与CWS的青春期前儿童的SITB随时间的变化。理解 儿童虐待(CM)与青春期SITB之间的路径以及轨迹与青少年 青春期前SITB的结果对于识别和预防CWS相关儿童的自杀至关重要。建议数 探索性/发展性研究将整合两个跟踪调查儿童的丰富的纵向数据集 在CWS中，CWS是在做出报告时调查CM的实体。这些数据使我们能够探索 CWS相关儿童的风险途径、结果和纵向变化模式。此外，因为 这两项研究在设计和测量上是如此一致，数据集成将允许更细微的差异 暗娼青春期儿童行为缺陷的调查研究拟议的研究将确定授予 易受儿童自杀风险的影响，发现未来治疗干预的新目标，并及早识别 可能代表未来预防和治疗研究目标的风险迹象。这项研究的发现 将推动青少年自杀风险的科学研究--这是一个迫切需要调查的领域。重要的是， 这项研究将有助于确定CWS儿童中预防自杀的目标，这是一种脆弱和 服务不足的群体。

ABSTRACT. Suicide is the eighth leading cause of death in children ages 5-11, and recent evidence suggests that rates of suicide are rising disproportionately in Black children. Further, self-injurious thoughts and behaviors (SITB) – which increase risk for suicide death -- account for a rising proportion of children's hospital emergency department and inpatient visits. Preteens in the child welfare system (CWS) are at even greater risk for suicide than those in the general population. However, few studies have investigated risk and protective factors, adolescent outcomes, or examined change in SITB over time in preteens involved in the CWS. Understanding the pathways between child maltreatment (CM) and SITB in preteens, as well as trajectories and adolescent outcomes of preteen SITB is critical to identify and prevent suicide in CWS-involved children. The proposed exploratory/developmental study will integrate two rich, longitudinal datasets that followed children involved in the CWS, which is the entity that investigates CM when a report is made. These data allow for exploration of risk pathways, outcomes, and longitudinal patterns of change within CWS-involved children. Further, because the two studies were so consistent in design and measures, data integration will allow for more nuanced investigations of preteen SITB in the CWS. The proposed study will identify mechanisms that confer vulnerability to child suicide risk, discover novel targets for future therapeutic intervention, and identify early signs of risk that could represent targets for future prevention and treatment studies. Findings from this study will advance the science on preteen suicide risk—an area urgently in need of investigation. Importantly, the study will help to identify targets for suicide prevention among children in the CWS, a vulnerable and underserved group.