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更好的情绪调节能否预防受创伤的无家可归青少年的自杀倾向?

Can Better Emotion Regulation Protect against Suicidality in Traumatized Homeless Youth?

作者信息

Barr Nicholas, Fulginiti Anthony, Rhoades Harmony, Rice Eric

出版信息

Arch Suicide Res. 2017 Jul 3;21(3):490-501. doi: 10.1080/13811118.2016.1224989. Epub 2016 Aug 23.

Abstract

A substantial majority of homeless youth and young adults (HYA) experience abuse prior to and during homelessness. HYA also have high rates of posttraumatic stress disorder (PTSD) and suicidal behavior. This study investigated relationships between traumatic experiences, PTSD symptoms, substance use, and the protective effects of emotion regulation on outcome variables suicidal ideation and suicide attempts. Data were drawn from a sample of 398 HYA interviewed at 3 drop-in centers in Los Angeles County. A bivariate logistic regression modeling strategy was employed to examine relationships among demographic characteristics and dependent and independent variables. Trauma prior to homelessness and trauma prior to and after homelessness were positively associated with suicidal ideation, whereas emotional awareness and control demonstrated negative associations. PTSD symptoms were positively associated with suicide attempts, whereas emotional awareness and control demonstrated negative associations. Better emotion regulation is associated with reduced odds of suicidal ideation and attempts in HYA and may protect against effects of traumatic experiences. Interventions targeting emotion regulation skills in HYA to reduce suicidality associated with traumatic experiences merit additional investigation.

摘要

绝大多数无家可归的青少年和年轻人在无家可归之前和期间都遭受过虐待。无家可归的青少年和年轻人患创伤后应激障碍(PTSD)和自杀行为的比例也很高。本研究调查了创伤经历、PTSD症状、物质使用之间的关系,以及情绪调节对结果变量自杀意念和自杀未遂的保护作用。数据来自对洛杉矶县3个救助中心的398名无家可归的青少年和年轻人进行访谈的样本。采用双变量逻辑回归建模策略来检验人口统计学特征与因变量和自变量之间的关系。无家可归之前的创伤以及无家可归之前和之后的创伤与自杀意念呈正相关,而情绪意识和控制则呈负相关。PTSD症状与自杀未遂呈正相关,而情绪意识和控制则呈负相关。更好的情绪调节与无家可归的青少年和年轻人自杀意念和自杀未遂几率的降低相关,并且可能抵御创伤经历的影响。针对无家可归的青少年和年轻人的情绪调节技能进行干预,以减少与创伤经历相关的自杀行为,值得进一步研究。

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