Gilreath Tamika D, Wrabel Stephani L, Sullivan Kathrine S, Capp Gordon P, Roziner Ilan, Benbenishty Rami, Astor Ron A
School of Social Work, University of Southern California, 669 W 34th Street, Los Angeles, CA, 90089-0411, USA.
Rossier School of Education, University of Southern California, 3470 Trousdale Parkway, Los Angeles, CA, 90089-4038, USA.
Eur Child Adolesc Psychiatry. 2016 Jan;25(1):61-6. doi: 10.1007/s00787-015-0696-2. Epub 2015 Mar 20.
Previous research indicates that suicidal ideation is higher among military-connected youth than non military-connected youth. This study extends prior work by examining suicidal ideation, plans, and attempts in military-connected and non military-connected adolescents. Data were gathered from 390,028 9th and 11th grade students who completed the 2012-2013 California Healthy Kids Survey. Bivariate comparisons and multivariate logistic analyses were conducted to examine differences in suicidal ideation, plans, attempts, and attempts requiring medical attention between military and not military-connected youth. In multivariate logistic analyses, military-connected youth were at increased risk for suicidal ideation (OR = 1.43, 95 % CI = 1.37-1.49), making a plan to harm themselves (OR = 1.19, CI = 1.06-1.34), attempting suicide (OR = 1.67, CI = 1.43-1.95), and an attempted suicide which required medical treatment (OR = 1.71, CI = 1.34-2.16). These results indicate that military-connected youth statewide are at a higher risk for suicidal ideation, plans, attempts, and attempts requiring medical care because of suicidal behaviors. It is suggested that policies be implemented to increase awareness and screening among primary care providers, school personnel, and military organizations that serve military-connected youth.
先前的研究表明，与军人有关联的青少年的自杀意念高于与军人无关联的青少年。本研究通过调查与军人有关联和无关联的青少年的自杀意念、计划及企图，对先前的研究进行了拓展。数据收集自390,028名9年级和11年级学生，他们完成了2012 - 2013年加利福尼亚健康儿童调查。进行了双变量比较和多变量逻辑分析，以检验与军人有关联和无关联的青少年在自杀意念、计划、企图以及需要医疗救治的企图方面的差异。在多变量逻辑分析中，与军人有关联的青少年出现自杀意念的风险增加（比值比[OR]=1.43，95%置信区间[CI]=1.37 - 1.49），制定伤害自己的计划（OR = 1.19，CI = 1.06 - 1.34），企图自杀（OR = 1.67，CI = 1.43 - 1.95），以及因自杀行为而需要医疗救治的企图（OR = 1.71，CI = 1.34 - 2.16）。这些结果表明，全州范围内与军人有关联的青少年因自杀行为而在自杀意念、计划、企图以及需要医疗护理的企图方面面临更高风险。建议实施相关政策，以提高为与军人有关联的青少年提供服务的初级保健提供者、学校工作人员和军事组织的认识并加强筛查。
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