Social-ecological theory, substance misuse, adverse childhood experiences, and adolescent suicidal ideation: Applications for community-academic partnerships.
Social-ecological theory, substance misuse, adverse childhood experiences, and adolescent suicidal ideation: Applications for community-academic partnerships.
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DOI：
10.1002/jcop.22560
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发表时间：
2022-01
影响因子：
2.3
通讯作者：
Malik, Riana
中科院分区：
文献类型：
--
作者：
Aytur, Semra A;Carlino, Sydney;Bernard, Felicity;West, Kelsi;Dobrzycki, Victoria;Malik, Riana
自杀是美国年轻人死亡的第二大原因。数据来自2015年新罕布什尔州9 - 12年级学生青少年危险行为调查（N = 14,837）。使用逻辑回归模型估计调整优势比（aORs）和95%置信区间（ci），以评估自杀意念、不良童年经历（ace）和其他危险因素（包括未经处方使用阿片类药物/药物和食物不安全）之间的关联。我们还研究了潜在的保护行为是否会减弱ace与自杀意念之间的关系。自杀意念患病率为15.4%（女孩20.15%，男孩10.67%）。在未调整的模型中，反映自杀意念与较高ACE评分之间关系的粗优势比为1.85 （95% CI 1.76-1.94）。在调整后的模型中，自杀意念与较高的ACE分数呈正相关（aOR 1.61, 95% CI 1.52-1.70）。在社区-学术伙伴关系和政策的背景下，讨论了与自杀意念和ace相关的风险和保护性行为因素。
Suicide is the second leading cause of death among youth in the United States. Data from the 2015 Youth Risk Behavior Survey of 9th–12th grade students in New Hampshire (N = 14,837) were utilized. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were estimated using logistic regression models to evaluate associations between suicidal ideation, adverse childhood experiences (ACEs), and other risk factors including using opioids/drugs without a prescription and food insecurity. We also examined whether potentially protective behaviors may attenuate the relationship between ACEs and suicidal ideation. The prevalence of suicidal ideation was 15.4% (girls 20.15; boys 10.67). In unadjusted models, the crude odds ratio reflecting the relationship between suicidal ideation and higher ACE scores was 1.85 (95% CI 1.76–1.94). In adjusted models, suicidal ideation remained positively associated with higher ACE scores (aOR 1.61, 95% CI 1.52–1.70). Risk and protective behavioral factors identified in relation to suicidal ideation and ACEs are discussed within the context of community–academic partnerships and policy.