Votta Elizabeth, Manion Ian
Plan-it Safe Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
J Adolesc Health. 2004 Mar;34(3):237-43. doi: 10.1016/j.jadohealth.2003.06.002.
To evaluate the association among suicide behaviors, high-risk behaviors, coping style, and psychological adjustment (i.e., depressive symptomatology, internalizing and externalizing behavior problems) in homeless and non-homeless adolescent males (aged 16 to 19 years).
Data were obtained from 100 homeless youth accessing an emergency shelter (Ottawa, ON). The comparison group was comprised of 70 youth accessing local community drop-in centers that lived with their parent(s)/guardian(s) and had never stayed in a shelter. Data were analyzed using Chi-square, Student's t-tests, and regression statistics.
Relative to non-homeless youth, homeless youth were more likely to report drug, alcohol, and tobacco use, legal problems, academic difficulties, and mental health problems. Homeless youth presented with a higher prevalence of suicidal ideation, past suicide attempts, depressive symptomatology, and internalizing and externalizing behavior problems. Disengagement coping was a predictor of suicidal ideation, past attempts, depressive symptoms and both internalizing and externalizing behavior problems in homeless youth.
Relative to non-homeless youth, findings indicate that homeless youth reported greater use of a disengaging coping style and are at greater risk for high-risk behaviors, past suicide attempts, and clinically elevated levels of depressive symptoms and behavior problems.
评估无家可归和有家可归的16至19岁青少年男性的自杀行为、高危行为、应对方式与心理调适(即抑郁症状、内化和外化行为问题)之间的关联。
数据来自100名进入紧急避难所的无家可归青少年(安大略省渥太华)。对照组由70名进入当地社区救助中心的青少年组成,他们与父母/监护人住在一起,从未在避难所留宿过。使用卡方检验、学生t检验和回归统计进行数据分析。
与有家可归的青少年相比,无家可归的青少年更有可能报告使用毒品、酒精和烟草、存在法律问题、学业困难和心理健康问题。无家可归的青少年自杀意念、既往自杀未遂、抑郁症状以及内化和外化行为问题的患病率更高。脱离应对是无家可归青少年自杀意念、既往自杀未遂、抑郁症状以及内化和外化行为问题的一个预测因素。
研究结果表明,与有家可归的青少年相比,无家可归的青少年更多地采用脱离应对方式,且面临更高的高危行为风险、既往自杀未遂风险以及临床上抑郁症状和行为问题水平升高的风险。