大学生饮酒与自杀倾向：一个提出的模型。
Alcohol Use and Suicide Proneness in College Students: A Proposed Model.
作者信息
Lamis Dorian A, Malone Patrick S, Jahn Danielle R
机构信息
Emory University School of Medicine.
University of South Carolina.
出版信息
Ment Health Subst Use. 2014;7(1):59-72. doi: 10.1080/17523281.2013.781535.
Abstract
This study was designed to assess relations among alcohol use, alcohol-related problems, negative-life events, depressive symptoms, and suicide proneness in a cross-sectional sample of undergraduate college students ( = 1100). Alcohol use was assumed to be causally prior to alcohol-related problems and negative life events, which were in turn modeled as occurring prior to depressive symptoms, which were in turn modeled as prior to suicide proneness. Results revealed that, as expected, suicide proneness was positively related to depressive symptoms, alcohol-related problems, negative life events, and alcohol use, and depressive symptoms were positively associated with alcohol-related problems and negative life events. Additionally, the relation between alcohol use and depressive symptoms was partially mediated by alcohol-related problems and negative life events; and the alcohol use-suicide proneness link was significantly mediated by alcohol-related problems, negative life events, and depressive symptoms. Implications are offered for the improved identification and treatment of at-risk young adults.
摘要
本研究旨在评估在一个有1100名大学生的横断面样本中，饮酒、与酒精相关的问题、负面生活事件、抑郁症状和自杀倾向之间的关系。假设饮酒在因果关系上先于与酒精相关的问题和负面生活事件，而与酒精相关的问题和负面生活事件又被建模为先于抑郁症状出现，抑郁症状又被建模为先于自杀倾向出现。结果显示，正如预期的那样，自杀倾向与抑郁症状、与酒精相关的问题、负面生活事件和饮酒呈正相关，抑郁症状与与酒精相关的问题和负面生活事件呈正相关。此外，饮酒与抑郁症状之间的关系部分由与酒精相关的问题和负面生活事件介导；饮酒与自杀倾向之间的联系由与酒精相关的问题、负面生活事件和抑郁症状显著介导。本文为改善对高危青年的识别和治疗提供了启示。
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