Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Violence Prevention, Etiology and Surveillance Branch, Atlanta, GA 30341-3724, USA.
Crisis. 2011;32(6):299-309. doi: 10.1027/0227-5910/a000091.
The association between suicidal ideation, friendships with delinquents, and social/parental connectedness among pre/early adolescents who reside in high-risk communities is poorly understood.
This study examined among high-risk youths: (1) the association between suicidal ideation and having delinquent friends, school connectedness, social support, and different parenting styles (i.e., caring only, supervision only, caring with supervision); and, (2) the differential associations by sex.
The associations were assessed among 2,598 pre/early adolescents using logistic regression. The analyses were adjusted for demographic, mental distress, illicit substance use, and peer/date violence victimization factors. The interaction terms determined differences by sex.
After adjusting for demographic factors and mental distress, suicidal ideation was positively associated with having delinquent friends; however, after factoring in illicit substance use and violence victimization, this association was negative for males. After adjusting for all factors, suicidal ideation was negatively associated with school connectedness and all parenting styles; however, the association between suicidal ideation and having parental caring with supervision was stronger for females.
The results suggest the potential benefits of increasing school connectedness and improving parent-child interactions, particularly among females, and the potential benefits of violence and substance-abuse prevention strategies for youths, particularly males, connected with delinquent peers.
在居住在高风险社区的青少年中,自杀意念、与不良少年的友谊以及与社会/父母的联系之间的关联尚未得到充分理解。
本研究考察了高危青少年中的以下内容:(1)自杀意念与结交不良少年、学校联系、社会支持以及不同的父母教养方式(仅关心、仅监督、关心与监督)之间的关联;以及(2)性别差异的关联。
使用逻辑回归评估了 2598 名青少年的关联。对性别差异的分析进行了调整,以考虑人口统计学、精神困扰、非法药物使用以及同伴/约会暴力受害因素。交互项确定了性别差异。
在调整人口统计学因素和精神困扰后,自杀意念与结交不良少年呈正相关;然而,在考虑非法药物使用和暴力受害因素后,这种关联对男性来说是负面的。在调整所有因素后,自杀意念与学校联系和所有父母教养方式呈负相关;然而,自杀意念与父母关心与监督之间的关联对女性更强。
结果表明,增加学校联系和改善亲子互动可能对女性有益,而针对与不良少年有关联的青少年的暴力和药物滥用预防策略可能对男性有益。