FitzGerald Courtney A, Fullerton Lynne, Green Dan, Hall Meryn, Peñaloza Linda J
Am Indian Alsk Native Ment Health Res. 2017;24(2):40-53. doi: 10.5820/aian.2402.2017.40.
This study examined the 2013 New Mexico Youth Risk and Resiliency Survey (NM-YRRS) to determine whether cultural connectedness and positive relationships with adults protected against suicide attempts among American Indian and Alaska Native (AI/AN) youth and whether these relationships differed by gender. The sample included 2,794 AI/AN students in grades 9 to 12 who answered the question about past-year suicide attempts. Protective factor variables tested included relationships with adults at home, school, and the community. The language spoken at home was used as a proxy measure for cultural connectedness. Positive relationships with adults were negatively associated with the prevalence of past-year suicide attempts in bivariate analysis. However, language spoken at home was not associated with the prevalence of suicide attempts. Multivariate analysis showed that among girls, relationships with adults at home, at school, and in the community were independently associated with lower suicide-attempt prevalence. Among boys, only relationships with adults at home showed such an association. These results have important implications for the direction of future research about protective factors associated with AI/AN youth suicide risk as well as in the design of suicide intervention and prevention programs.
本研究对2013年新墨西哥州青少年风险与复原力调查（NM - YRRS）进行了分析，以确定文化联系以及与成年人的积极关系是否能预防美国印第安人和阿拉斯加原住民（AI/AN）青少年的自杀未遂行为，以及这些关系是否因性别而异。样本包括2794名9至12年级的AI/AN学生，他们回答了有关过去一年自杀未遂情况的问题。所测试的保护因素变量包括与家中、学校和社区成年人的关系。在家中使用的语言被用作文化联系的替代指标。在双变量分析中，与成年人的积极关系与过去一年自杀未遂的发生率呈负相关。然而，在家中使用的语言与自杀未遂的发生率无关。多变量分析表明，在女孩中，与家中、学校和社区成年人的关系分别与较低的自杀未遂发生率相关。在男孩中，只有与家中成年人的关系显示出这种关联。这些结果对于未来有关与AI/AN青少年自杀风险相关的保护因素的研究方向以及自杀干预和预防项目的设计具有重要意义。
