改变原住民和非原住民青年自杀的途径。
Change Pathways in Indigenous and Nonindigenous Youth Suicide.
机构信息
Department of Psychiatry, University of Hawai'i at Mānoa, Honolulu, HI, USA.
Office of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, HI, USA.
出版信息
Suicide Life Threat Behav. 2019 Feb;49(1):193-209. doi: 10.1111/sltb.12420. Epub 2018 Jan 22.
Multivariate dynamic relationships among suicide attempts, anxiety and/or depressive symptoms, hope, and help-seeking were examined across time in Native Hawaiian and non-Hawaiian adolescents, using data from a 5-year longitudinal cohort study (N = 7,317). The rate of suicide attempts decreased over time, but this reduction was significantly less among Native Hawaiian youth than their non-Hawaiian peers. There were also significant differences between groups in hope and help-seeking, with Native Hawaiian youth increasing help-seeking and decreasing hope to a greater degree. Youth-centered, cultural approaches to suicide prevention are essential in enhancing well-being in indigenous communities.
本研究利用一项为期 5 年的纵向队列研究的数据（N=7317），跨时间考察了自杀企图、焦虑和/或抑郁症状、希望和寻求帮助之间的多变量动态关系在夏威夷原住民和非夏威夷原住民青少年中的表现。自杀企图的发生率随时间下降，但夏威夷原住民青少年的下降幅度明显低于非夏威夷裔同龄人。在希望和寻求帮助方面，两组之间也存在显著差异，夏威夷原住民青少年更倾向于寻求帮助，同时希望降低。以青年为中心的、文化为本的预防自杀方法对于增强土著社区的幸福感至关重要。
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