Manzo Karen, Tiesman Hope, Stewart Jera, Hobbs Gerald R, Knox Sarah S
a Department of Epidemiology , West Virginia University School of Public Health , Morgantown , West Virginia , USA.
Arch Suicide Res. 2015;19(1):89-102. doi: 10.1080/13811118.2013.840254.
We examined racial/ethnic and gender-specific associations between suicide ideation/attempts and risky behaviors, sadness/hopelessness, and victimization in Montana American Indian and White youth using 1999-2011 Youth Risk Behavior Survey data. Logistic regression was used to calculate odds ratios and 95% confidence intervals in stratified racial/ethnic-gender groups. The primary results of this study show that although the American Indian youth had more statistically significant suicidal thoughts and attempts than the White youth, they had fewer statistically significant predictors compared to the White youth. Sadness/hopelessness was the strongest, and the only statistically significant, predictor of suicide ideation/attempts common across all four groups. The unhealthy weight control cluster was a significant predictor for the White youth and the American Indian/Alaska Native girls; the alcohol/tobacco/marijuana cluster was a significant predictor for the American Indian boys only. Results show important differences across the groups and indicate directions for future research targeting prevention and intervention.
我们利用1999 - 2011年青少年风险行为调查数据，研究了蒙大拿州美国印第安人和白人青少年中，自杀意念/企图与危险行为、悲伤/绝望以及受侵害情况之间的种族/族裔和性别特异性关联。采用逻辑回归分析来计算分层种族/族裔 - 性别组中的比值比和95%置信区间。本研究的主要结果表明，尽管美国印第安青少年的自杀意念和企图在统计学上比白人青少年更为显著，但与白人青少年相比，他们具有统计学意义的预测因素更少。悲伤/绝望是所有四组中自杀意念/企图最强且唯一具有统计学意义的预测因素。不健康的体重控制组是白人青少年以及美国印第安/阿拉斯加原住民女孩自杀意念/企图的显著预测因素；酒精/烟草/大麻组仅是美国印第安男孩自杀意念/企图的显著预测因素。结果显示了各群体间的重要差异，并为未来针对预防和干预的研究指明了方向。
