Goodwin Renee D, Marusic Andrej
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
Croat Med J. 2003 Oct;44(5):553-7.
To determine the association between feelings of inferiority and suicidal ideation and suicide attempt among youth in the United States.
Data were drawn from the National Comorbidity Survey carried out among a representative sample of the 15-54 year old population (n=8,098) in the United States. The subsample analyzed in this study included 1,456 respondents aged 15-19. Multivariate logistic regression analyses were used to determine the relationship between feelings of inferiority and the likelihood of suicidal ideation and suicide attempt among youth them.
Among the youth, 4.2% described themselves as having feelings of inferiority. Feelings of inferiority were associated with a significantly increased odds of suicidal ideation (odds ratio (OR)=3.2; 95% confidence interval (95%CI)=1.8-5.7) and suicide attempt (OR=2.2; 95%CI=1.0-4.8), which persisted after adjusting for differences in socio-demographic characteristics and comorbid mental disorders among youth in the community. There was evidence of interaction between feelings of inferiority and major depression in the likelihood of suicide attempt.
This preliminary evidence suggests that feelings of inferiority are associated with a significantly increased likelihood of suicidal thoughts and suicidal behavior among youth in the community. Intervention and prevention strategies aimed at identifying and intervening with youth at risk may benefit from the assessment of feelings of inferiority.
确定美国青少年自卑情绪与自杀意念及自杀未遂之间的关联。
数据取自对美国15 - 54岁有代表性样本(n = 8098)进行的全国共病调查。本研究分析的子样本包括1456名15 - 19岁的受访者。采用多因素逻辑回归分析来确定青少年中自卑情绪与自杀意念及自杀未遂可能性之间的关系。
在青少年中,4.2%的人表示自己有自卑情绪。自卑情绪与自杀意念的显著增加几率相关(优势比(OR)= 3.2;95%置信区间(95%CI)= 1.8 - 5.7)以及自杀未遂(OR = 2.2;95%CI = 1.0 - 4.8),在调整社区青少年的社会人口学特征和共病精神障碍差异后,这种关联依然存在。有证据表明在自杀未遂可能性方面,自卑情绪与重度抑郁之间存在交互作用。
这一初步证据表明,自卑情绪与社区青少年自杀念头和自杀行为的显著增加可能性相关。旨在识别和干预高危青少年的干预和预防策略可能会受益于对自卑情绪的评估。