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社交联系、生活压力事件与青年自伤想法和行为。

Social connectedness, stressful life events, and self-injurious thoughts and behaviors among young adults.

机构信息

Hunter College, City University of New York, 695 Park Ave., Room 611HN, New York, NY 10065, USA; The Graduate Center, City University of New York, 365 5th Ave., New York, NY 10016, USA.

Hunter College, City University of New York, 695 Park Ave., Room 611HN, New York, NY 10065, USA; The Graduate Center, City University of New York, 365 5th Ave., New York, NY 10016, USA.

出版信息

Compr Psychiatry. 2018 Jan;80:140-149. doi: 10.1016/j.comppsych.2017.09.008. Epub 2017 Sep 19.

Abstract

OBJECTIVES

Preventing self-injurious thoughts and behaviors (SITBs) is particularly challenging on commuter campuses, given lower social cohesion and higher levels of stress than among traditional college populations. The present study examined the relationship between stressful life events (SLEs) and risk for different forms of SITBs, along with the potential buffering role of social connectedness, in a diverse sample of young adults from a commuter college.

METHODS

Participants were 1712 (81% female; 61% racial/ethnic minority; 20% sexual minority) undergraduate and graduate students from a public commuter college in New York City. Participants completed an anonymous survey that inquired about lifetime and recent (past 12months) history of suicidal ideation, suicide attempts, and non-suicidal self-injury (NSSI), along with social connectedness and lifetime history of SLEs.

RESULTS

Lower levels of social connectedness and exposure to a higher number of SLEs were associated with engaging in SITBs in the past year, particularly both suicide attempts and non-suicidal self-injury. However, social connectedness did not buffer against the impact of SLEs on SITBs.

LIMITATIONS

Data are cross-sectional, limiting conclusions about directionality, and females were overrepresented.

CONCLUSIONS

Identifying ways to increase social connectedness on diverse commuter campuses may help decrease risk of SITBs. However, it may not buffer against the impact of SLEs on risk of SITBs. Future studies should examine contextual variables (e.g., type and timing of social support) that may play a role in protecting against SITBs, particularly for those with a history of adversity.

摘要

目的

与传统大学生群体相比,通勤大学校园的社交凝聚力较低,压力水平较高,因此预防自我伤害思想和行为(SITBs)尤其具有挑战性。本研究在纽约市一所通勤大学的不同种族/民族(61%)和性少数群体(20%)的年轻成年人样本中,考察了生活应激事件(SLEs)与不同形式的 SITBs 风险之间的关系,以及社交联系在其中的潜在缓冲作用。

方法

参与者是来自纽约市一所公立通勤大学的 1712 名(81%女性;61%为种族/民族少数群体;20%为性少数群体)本科生和研究生。参与者完成了一项匿名调查,询问了他们一生中及最近(过去 12 个月)的自杀意念、自杀企图和非自杀性自伤(NSSI)的历史,以及社交联系和一生中 SLEs 的历史。

结果

较低的社交联系水平和经历较多的 SLEs 与过去一年中发生 SITBs 有关,尤其是自杀企图和非自杀性自伤。然而,社交联系并不能缓冲 SLEs 对 SITBs 的影响。

局限性

数据是横断面的,限制了关于方向性的结论,而且女性人数过多。

结论

在不同的通勤大学校园,增加社交联系的方法可能有助于降低 SITBs 的风险。然而,它并不能缓冲 SLEs 对 SITBs 风险的影响。未来的研究应该检查可能对预防 SITBs 起作用的情境变量(例如,社会支持的类型和时机),特别是对于那些有逆境经历的人。

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