Flannery D J, Singer M I, Wester K
Kent State University, Institute for the Study and Prevention of Violence, 191 MACC Annex (RAGS), Kent, OH 44242, USA.
J Am Acad Child Adolesc Psychiatry. 2001 Apr;40(4):435-42. doi: 10.1097/00004583-200104000-00012.
To examine violence exposure, violent behaviors, psychological trauma, and suicide risk in a community sample of dangerously violent adolescents by comparison with a matched community sample of nonviolent adolescents.
Anonymous self-report questionnaires were administered in the 1992-1993 school year to students in grades 9 through 12, in six public high schools located in Ohio and Colorado (N = 3,735). From this sample, 484 adolescents (349 males, 135 females) who reported attacking someone with a knife or shooting at someone within the past year (i.e., dangerously violent adolescents) were drawn. Four hundred eighty-four controls were also selected and matched on gender, age in years, ethnicity, area of residence, and family structure.
Dangerously violent adolescents reported higher levels of exposure to violence and victimization than did matched controls. Dangerously violent females were more likely to score in the clinical range of depression, anxiety, posttraumatic stress, anger, and dissociation than were control females and violent males; they also had significantly higher levels of suicide potential.
Students who have been known to commit violent acts should be adequately assessed for violence exposure and symptoms of psychological trauma, with special attention given to the suicide potential of violent females.
通过与匹配的非暴力青少年社区样本进行比较，研究极度暴力青少年社区样本中的暴力暴露、暴力行为、心理创伤和自杀风险。
在1992 - 1993学年，对俄亥俄州和科罗拉多州六所公立高中9至12年级的学生（N = 3735）进行匿名自陈式问卷调查。从这个样本中，抽取了484名青少年（349名男性，135名女性），他们报告在过去一年里用刀袭击他人或向他人开枪（即极度暴力青少年）。还选取了484名对照者，并在性别、年龄、种族、居住地区和家庭结构方面进行匹配。
极度暴力青少年报告的暴力暴露和受害程度高于匹配的对照者。与对照女性和暴力男性相比，极度暴力女性在抑郁、焦虑、创伤后应激、愤怒和解离的临床范围内得分更高；她们的自杀可能性也显著更高。
对于已知实施过暴力行为的学生，应充分评估其暴力暴露情况和心理创伤症状，尤其要关注暴力女性的自杀可能性。
