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TRAILS研究中的受害经历与自杀意念:受害者的特定脆弱性

Victimization and suicide ideation in the TRAILS study: specific vulnerabilities of victims.

作者信息

Herba Catherine M, Ferdinand Robert F, Stijnen Theo, Veenstra René, Oldehinkel Albertine J, Ormel Johan, Verhulst Frank C

机构信息

Department of Child and Adolescent Psychiatry, Erasmus University Medical Center/Sophia Children's Hospital, Rotterdam, Netherlands.

出版信息

J Child Psychol Psychiatry. 2008 Aug;49(8):867-76. doi: 10.1111/j.1469-7610.2008.01900.x. Epub 2008 May 19.

Abstract

BACKGROUND

Scientific studies have provided some support for a link between being a victim of bullying and suicide ideation. We examine whether (1) parental psychopathology and (2) feelings of rejection (at home and at school) exacerbate vulnerability to suicide ideation in victims of bullying (pure victims and bully-victims).

METHOD

Data were from a population-based cohort study of Dutch children (n = 1526, mean age = 12.29 years). Using peer nominations, three groups were established: (1) victim only; (2) bully-victims (children who are victims and who also bully others); (3) uninvolved. Self-report data on suicide ideation were obtained using two items from the Youth Self-Report (Achenbach, 1991). Parental internalizing and externalizing disorders were assessed, as were self-reported feelings of rejection at home and social well-being among classmates.

RESULTS

The association between victimization and suicide ideation was moderated by parental internalizing disorders (but not externalizing disorders) and feelings of rejection at home. Victims (but not bully-victims) with parents with internalizing disorders reported elevated levels of suicide ideation compared to children uninvolved in bullying. Victims feeling more rejected at home also reported more suicide ideation. There were no overall sex differences in suicide ideation. Surprisingly, bully-victims did not report higher levels of suicide ideation compared to children uninvolved in bullying.

CONCLUSIONS

Parental internalizing disorders and feelings of rejection at home confer a specific vulnerability for suicide ideation among victims of bullying.

摘要

背景

科学研究为欺凌受害者与自杀意念之间的联系提供了一些支持。我们研究了(1)父母的精神病理学以及(2)被拒绝感(在家中和在学校)是否会加剧欺凌受害者(单纯受害者和欺凌-受害者)产生自杀意念的易感性。

方法

数据来自一项基于荷兰儿童的队列研究(n = 1526,平均年龄 = 12.29岁)。通过同伴提名,确定了三组:(1)仅为受害者;(2)欺凌-受害者(既是受害者又欺凌他人的儿童);(3)未卷入者。使用青少年自我报告(阿肯巴克,1991年)中的两个项目获得了关于自杀意念的自我报告数据。评估了父母的内化和外化障碍,以及在家中的自我报告被拒绝感和同学间的社会幸福感。

结果

父母的内化障碍(而非外化障碍)和在家中的被拒绝感调节了受害与自杀意念之间的关联。与未卷入欺凌的儿童相比,父母有内化障碍的受害者(而非欺凌-受害者)报告的自杀意念水平更高。在家中感觉被拒绝程度更高的受害者也报告了更多的自杀意念。自杀意念方面没有总体性别差异。令人惊讶的是,与未卷入欺凌的儿童相比,欺凌-受害者报告的自杀意念水平并未更高。

结论

父母的内化障碍和在家中的被拒绝感使欺凌受害者产生自杀意念具有特定的易感性。

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