Logan Joseph E, Vagi Kevin J, Gorman-Smith Deborah
1 Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Violence Prevention, Atlanta, GA, USA.
2 University of Chicago, School of Social Service Administration, Chicago, IL, USA.
Crisis. 2016 Nov;37(6):402-414. doi: 10.1027/0227-5910/a000389. Epub 2016 Jun 1.
Youth reporting combined histories of nonfatal violence, suicidal ideation/behavior, and gun-carrying (VSG) are at risk for perpetrating fatal interpersonal violence and self-harm.
We characterized these youth to inform prevention efforts.
We analyzed 2004 data from 3,931 seventh-, ninth-, and 11-12th-grade youth and compared VSG youth (n = 66) with non-gun carrying youth who either had no histories of violence or suicidal thoughts/behavior (n = 1,839), histories of violence (n = 884), histories of suicidal thoughts/behaviors (n = 552), or both (n = 590). We compared groups based on demographic factors, risk factors (i.e., friends who engage in delinquency, peer-violence victimization, depressive symptoms, illicit substance use), and protective factors (i.e., school connectedness, parental care and supervision). Regression models identified factors associated with VSG youth.
Illicit substance use and having friends who engage in delinquency were more common among VSG youth in all comparisons; almost all VSG youth had high levels of these factors. Depressive symptoms were positively associated with VSG youth versus youth without either violent or suicide-related histories and youth with violent histories alone. School connectedness and parental supervision were negatively associated with VSG youth in most comparisons.
Family-focused and school-based interventions that increase connectedness while reducing delinquency and substance use might prevent these violent tendencies.
报告有非致命暴力、自杀意念/行为和携带枪支综合经历(VSG)的青少年有实施致命人际暴力和自我伤害的风险。
我们对这些青少年进行特征描述,以为预防工作提供信息。
我们分析了来自3931名七年级、九年级以及十一年级和十二年级青少年的2004年数据,并将有VSG经历的青少年(n = 66)与未携带枪支且无暴力史或自杀想法/行为的青少年(n = 1839)、有暴力史的青少年(n = 884)、有自杀想法/行为史的青少年(n = 552)或两者皆有的青少年(n = 590)进行比较。我们根据人口统计学因素、风险因素(即参与犯罪的朋友、遭受同伴暴力、抑郁症状、非法药物使用)和保护因素(即学校归属感、父母关怀和监督)对各组进行比较。回归模型确定了与有VSG经历的青少年相关的因素。
在所有比较中,非法药物使用以及有参与犯罪的朋友在有VSG经历的青少年中更为常见;几乎所有有VSG经历的青少年都有较高水平的这些因素。与没有暴力或自杀相关历史的青少年以及仅有暴力历史的青少年相比,抑郁症状与有VSG经历的青少年呈正相关。在大多数比较中,学校归属感和父母监督与有VSG经历的青少年呈负相关。
以家庭和学校为重点的干预措施,在增强联系的同时减少犯罪和药物使用,可能会预防这些暴力倾向。