Estonian-Swedish Mental Health and Suicidology Institute, Estonian Centre of Behavioural and Health Sciences, Tallinn, Estonia.
Crisis. 2013 Jan 1;34(1):3-12. doi: 10.1027/0227-5910/a000153.
Suicide is a leading cause of death among youth. In the year 2002, Lithuania had the 2nd, Luxembourg the 5th, and Estonia the 9th highest suicide rates among 15- to 19-year-olds across 90 countries worldwide. Suicidal ideation is a significant precursor to suicide.
To report on the prevalence of and associations between suicidal ideation, smoking, alcohol consumption, physical fighting, bullying, and communication with parents among 15-year-old schoolchildren.
The survey analyzes data from the 2005/2006 HBSC study from Estonia, Lithuania, and Luxembourg (N = 4,954). The risk factors were calculated through multinomial logistic regression analyses.
The overall prevalence of suicidal ideation in the preceding year was 17%. Suicidal thoughts were associated with communication difficulties with parents (OR from 2.0 to 4.6) and other risk factors, especially multiple risks (OR for 4-5 concurrent risk factors from 4.5 to 13.6). Parent-child communication had a significant mediating effect by decreasing the odds for suicidality and multiple risks.
The prevalence estimates were obtained by self-reports. The causal relationships need further investigation.
The risk factors studied, particularly multiple risks, were associated with higher odds for suicidal ideation. Good parent-child communication is a significant resource for decreasing suicidal ideation among adolescents.
自杀是青少年死亡的主要原因之一。2002 年，在全球 90 个国家中，15 至 19 岁青少年自杀率最高的国家中，立陶宛排名第二，卢森堡排名第五，爱沙尼亚排名第九。自杀意念是自杀的重要前兆。
报告 15 岁在校学生自杀意念、吸烟、饮酒、身体打架、欺凌以及与父母沟通的发生率和关联。
该调查分析了 2005/2006 年 HBSC 研究在爱沙尼亚、立陶宛和卢森堡（N=4954）的数据。通过多项逻辑回归分析计算了风险因素。
在前一年，自杀意念的总发生率为 17%。自杀想法与与父母沟通困难有关（OR 为 2.0 至 4.6）和其他风险因素，尤其是多种风险（OR 为 4-5 个同时存在的风险因素，从 4.5 到 13.6）。亲子沟通通过降低自杀可能性和多种风险的几率，具有显著的中介作用。
流行率估计是通过自我报告获得的。因果关系需要进一步调查。
研究的风险因素，特别是多种风险，与自杀意念的几率增加有关。良好的亲子沟通是减少青少年自杀意念的重要资源。
