1 School of Population Health, University of Auckland, Auckland, New Zealand.
2 Mental Health Services, Counties Manukau Health, Auckland, New Zealand.
Aust N Z J Psychiatry. 2018 Apr;52(4):349-356. doi: 10.1177/0004867417710728. Epub 2017 Jun 1.
To examine whether there is an association between students self-reported suicide attempts and non-suicidal self-injury and exposure to suicidal behaviour among friends, family members or within school communities.
A cross-sectional analysis of a nationally representative health and well-being survey of 8500 New Zealand high school students conducted from March through November 2012. Students' self-reported suicide attempts and repeated non-suicidal self-injury was examined in relation to student reports of self-harming behaviour among friends and family as well as data from school administrators of completed suicides within the school community.
Almost 1 in 20 (4.5%) students reported a suicide attempt in the last 12 months and 7.9% reported repeated non-suicidal self-injury in the last 12 months. The risk of both suicide attempts and repeated non-suicidal self-injury was highest among females, students from homes with economic deprivation and among students reporting an episode of low mood in the previous 12 months. Students exposed to suicide attempts or completed suicide among friends and/or family members were at increased risk of reporting attempted suicide and repeated non-suicidal self-injury in the last year. There was no association between completed suicide in school community and students self-reported suicide attempts or repeated non-suicidal self-injury.
Low mood and exposure to suicide attempts of friends and family members are associated with suicide attempts and repeated non-suicidal self-injury in New Zealand high school students. This research highlights importance of supporting adolescents with low mood and exposed to suicide of friends and family.
探讨学生自述的自杀企图和非自杀性自伤与接触朋友、家庭成员或学校社区中自杀行为之间是否存在关联。
对 2012 年 3 月至 11 月期间进行的一项针对 8500 名新西兰高中生的全国性健康和幸福感调查进行横断面分析。学生自我报告的自杀企图和反复非自杀性自伤与学生报告的朋友和家人中的自残行为以及学校管理人员报告的学校社区内完成自杀事件的数据相关联。
近 1/20（4.5%）的学生报告在过去 12 个月内有过自杀企图，7.9%的学生报告在过去 12 个月内有过反复非自杀性自伤。在女性、来自经济贫困家庭的学生和报告在过去 12 个月内情绪低落的学生中，自杀企图和反复非自杀性自伤的风险最高。接触过朋友和/或家人自杀企图或完成自杀的学生，在过去 1 年中报告自杀企图和反复非自杀性自伤的风险增加。学校社区中完成的自杀事件与学生自我报告的自杀企图或反复非自杀性自伤之间没有关联。
情绪低落和接触朋友及家人的自杀企图与新西兰高中生的自杀企图和反复非自杀性自伤有关。这项研究强调了支持情绪低落和接触自杀的青少年朋友和家人的重要性。
