Suicide Patterns and Association With Predictors Among Rhode Island Public High School Students: A Latent Class Analysis

Suicide Patterns and Association With Predictors Among Rhode Island Public High School Students: A Latent Class Analysis
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DOI:
10.2105/ajph.2009.183483
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发表时间:
2010-09-01
影响因子:
12.7
通讯作者:
Hesser, Jana Earl
Hesser, Jana Earl
中科院分区:
医学2区
文献类型:
--
作者:
Jiang, Yongwen;Perry, Donald Kent;Hesser, Jana Earl

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目标。我们分析了罗德岛州2007年青少年风险行为调查(YRBS)的数据,以调查公立高中学生的自杀模式及其与自杀风险预测因素的关系。我们使用潜在类别回归分析罗得岛2007年YRBS数据(来自2210名公立高中学生的随机样本)来建立自杀风险的潜在类别模型,并确定潜在类别成员的预测因子。对四种潜在自杀风险进行建模,并与之相关的预测因子:1类(情绪健康,74%);第二类(考虑和计划自杀,14%)与女性、成绩低、男同性恋/女同性恋/双性恋/不确定、在学校感到不安全、经历过强迫性交和自我感觉超重有关;第3类(企图自杀,6%)与在家说英语以外的语言、是男同性恋/女同性恋/双性恋/不确定、在学校感到不安全以及被迫性交有关;第4级(计划和企图自杀,6%)与前面提到的预测因素有关,与9年级或10年级的学生和目前吸烟有关。一个单一的模型描述和量化了青少年自杀风险的4种模式,并确定了3种风险类别的预测因素。对高危青少年的干预可能有助于预防青少年自杀。[J] .中华卫生杂志,2010;31(2):391 - 397。doi: 10.2105 / AJPH.2009.183483)
Objectives. We analyzed Rhode Island's 2007 Youth Risk Behavior Survey (YRBS) data to investigate suicide patterns and their association with suicide risk predictors among public high school students.Methods. We used latent class regression analysis of Rhode Island's 2007 YRBS data (from a random sample of 2210 public high school students) to model latent classes of suicide risk and identify predictors of latent class membership.Results. Four latent classes of suicide risk were modeled and predictors were associated with each: class 1 (emotionally healthy, 74%); class 2 (considered and planned suicide, 14%) was associated with being female, having low grades, being gay/lesbian/bisexual/unsure, feeling unsafe at school, having experienced forced sexual intercourse, and self-perceived overweight; class 3 (attempted suicide, 6%) was associated with speaking a language other than English at home, being gay/lesbian/bisexual/unsure, feeling unsafe at school, and forced sexual intercourse; and class 4 (planned and attempted suicide, 6%) was associated with the previously mentioned predictors and with being in 9th or 10th grade and currently smoking.Conclusions. A single model characterized and quantified 4 patterns of suicide risk among adolescents and identified predictors for 3 at-risk classes. Interventions for high-risk youths may help prevent adolescent suicides. (Am J Public Health. 2010;100:1701-1707. doi:10.2105/AJPH.2009.183483)