Iowa State University, IA, USA.
Addict Behav. 2010 May;35(5):507-9. doi: 10.1016/j.addbeh.2009.12.008. Epub 2009 Dec 21.
Although sexual assault victimization has been shown to predict suicidality, little is known about the mechanisms linking these two factors. Using cross-sectional data (N=6364) from the 2007 Youth Risk Behavior Survey, binge drinking significantly mediated the relationship between forced sexual intercourse and suicide for Hispanic (n=1915) and Caucasian (n=2928) adolescent females, but not for African American adolescent females (n=1521). Results suggest the need for closer monitoring of adolescent victims of sexual assault who also abuse alcohol to intervene in early suicide behaviors. Treatment and intervention programs should also be culturally sensitive to account for differences in reaction to sexual trauma among race/ethnicity. Implications for suicide prevention and alcohol intervention strategies as well as suggestions to clinical providers are discussed.
尽管性侵犯受害与自杀倾向之间的关系已得到证实，但对于这两个因素之间的联系机制知之甚少。利用 2007 年青少年风险行为调查的横断面数据（N=6364），豪饮显著中介了被迫性交与西班牙裔（n=1915）和白种人（n=2928）少女自杀之间的关系，但对非裔美国少女（n=1521）则不然。结果表明，需要对遭受性侵犯且同时酗酒的青少年受害者进行更密切的监测，以干预早期自杀行为。治疗和干预计划也应该对文化敏感，以考虑不同种族/族裔对性创伤的反应差异。讨论了自杀预防和酒精干预策略的意义，以及向临床医生提供的建议。
