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丹麦青少年中父母酗酒问题与自伤和自杀行为的关系:一项基于学校的调查。

Self-injury and suicide behavior among young people with perceived parental alcohol problems in Denmark: a school-based survey.

机构信息

National Institute of Public Health, University of Southern Denmark, Odense, Denmark.

Centre for Suicide Research, University Department of Psychiatry, Warneford Hospital, Oxford, UK.

出版信息

Eur Child Adolesc Psychiatry. 2018 Feb;27(2):201-208. doi: 10.1007/s00787-017-1031-x. Epub 2017 Aug 4.

DOI:10.1007/s00787-017-1031-x
PMID:28779358
Abstract

The aim of this study was to test the hypothesis that young people who perceive their parents to have alcohol problems are more likely to self-injure, have suicide ideation, and to attempt suicide than young people without parental alcohol problems. We also tested whether the association between parental alcohol problems and self-injury, suicide ideation, and suicide attempt among young people differed depending on the gender of the child and the parent. Data came from the Danish National Youth Study 2014, a web-based national survey. A total of 75,853 high school and vocational school students participated. Self-injury, suicidal ideation, and suicide attempts were outcomes and the main exposure variables were perceived parental alcohol problems, gender of the parent with alcohol problems, cohabitation with a parent with alcohol problems, and severity of the parents' alcohol problems. Young people with parental alcohol problems had higher odds of self-injury [boys: OR = 1.59 (95% CI 1.40-1.82); girls: OR = 1.84 (95% CI 1.69-1.99)], suicidal ideation [boys: OR = 1.81 (95% CI 1.59-2.06); girls: OR 1.74 (95% CI 1.59-1.89)], and suicide attempt [boys: OR = 2.10 (95% CI 1.63-2.71); girls: OR = 2.09 (95% CI 1.80-2.42)] compared to young people without parental alcohol problems. Girls with parental alcohol problems had higher odds of self-injury than boys with parental alcohol problems, whereas no gender differences were found for suicidal ideation and suicide attempts. Also no differences were found depending on the gender of the parent with alcohol problems. This study shows that young people with parental alcohol problems have higher odds of self-injury, suicide ideation, and suicide attempts.

摘要

本研究旨在检验以下假设

与父母无酗酒问题的年轻人相比,感知到父母酗酒问题的年轻人更有可能自残、有自杀意念和尝试自杀。我们还测试了父母酗酒问题与年轻人自残、自杀意念和自杀企图之间的关联是否因孩子和父母的性别而异。数据来自于丹麦全国青年研究 2014 年的一项基于网络的全国性调查。共有 75853 名高中生和职业学校学生参与。自残、自杀意念和自杀企图是研究结果,主要暴露变量是感知到的父母酗酒问题、有酗酒问题的父母的性别、与有酗酒问题的父母共同居住以及父母酗酒问题的严重程度。有酗酒问题父母的年轻人自残的可能性更高[男孩:OR=1.59(95%CI 1.40-1.82);女孩:OR=1.84(95%CI 1.69-1.99)]、自杀意念的可能性更高[男孩:OR=1.81(95%CI 1.59-2.06);女孩:OR=1.74(95%CI 1.59-1.89)]和自杀企图的可能性更高[男孩:OR=2.10(95%CI 1.63-2.71);女孩:OR=2.09(95%CI 1.80-2.42)]与没有酗酒问题父母的年轻人相比。有酗酒问题的女孩比有酗酒问题的男孩自残的可能性更高,而在自杀意念和自杀企图方面没有发现性别差异。此外,父母性别也没有差异。本研究表明,有酗酒问题父母的年轻人自残、自杀意念和自杀企图的可能性更高。

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