Etiology and Surveillance Branch, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway, MS-F63, Atlanta, GA 30341-3724, USA.
Inj Prev. 2009 Aug;15(4):278-80. doi: 10.1136/ip.2008.020966.
Suicide ideation is a problem among youths who have been previously abused. This study assesses whether three factors (ie, feeling connected to school, having parents who reward good behaviour, and feeling able to cope with peer conflict) are negatively associated with suicidal ideation for 2598 pre/early adolescents with various levels of prior abuse. For the entire youth population, those who reported all three factors were less than half as likely to have suicidal thoughts as those who did not report any of these factors (10.8% vs 30.3%, p<0.05). This pattern was similar and significant for youths who experienced peer abuse (10.2% vs 35.0%, p<0.05) and youths who experienced both early child abuse and peer abuse (21.6% vs 54.8%, p<0.05). Comprehensive programmes that improve school connectedness, parent-child relationships and coping skills to avoid violent peer conflicts may help decrease suicide ideation among youths, particularly those who have been previously abused.
自杀意念是曾遭受虐待的青少年面临的一个问题。本研究评估了三个因素（即与学校有联系的感觉、有奖励良好行为的父母、以及能够应对同伴冲突的感觉）是否与 2598 名有不同程度既往虐待史的青少年的自杀意念呈负相关。对于整个青少年群体来说，报告了所有三个因素的青少年出现自杀想法的可能性不到没有报告这些因素的青少年的一半（10.8%比 30.3%，p<0.05）。对于遭受同伴虐待的青少年（10.2%比 35.0%，p<0.05）和同时遭受早期儿童虐待和同伴虐待的青少年（21.6%比 54.8%，p<0.05），这种模式也是相似且显著的。提高学校联系、亲子关系和应对技能以避免暴力同伴冲突的综合方案可能有助于减少曾遭受虐待的青少年的自杀意念。
