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青少年自杀意念的流行率及其相关危险因素:来自土耳其的实例。

The Prevalence of Suicidal Ideation in Adolescents and Associated Risk Factors: An Example from Turkey.

机构信息

Department of Public Health, Faculty of Medicine, Ondokuz Mayis University, Atakum, 55200, Samsun, Turkey.

出版信息

Adv Ther. 2018 Jun;35(6):839-846. doi: 10.1007/s12325-018-0720-2. Epub 2018 Jun 5.

DOI:10.1007/s12325-018-0720-2
PMID:29873007
Abstract

INTRODUCTION

Identifying risk factors is important in intervening in suicide, which is a preventable cause of death in adolescents. The aim of the present study was to evaluate the prevalence of suicidal ideation and risk factors for suicidal thought in high school students aged 15-18 years.

METHODS

The data were obtained from questionnaire forms administered to 2438 high school students aged 15-18 years. Risk factors that might be associated with suicidal thought were identified using logistic regression analysis.

RESULTS

The prevalence of suicidal ideation in adolescents in the last 12 months was 17.9%. Being female [OR 1.95, (CI 95% 1.47-2.59)], use of alcohol [OR 2.44, (CI 95% 1.63-3.68)] and addictive drugs [OR 1.78, (CI 95% 1.07-2.97)], being in physical fights [OR 1.76, (CI 95% 1.34-2.32)], having no close friends [OR 2.17, (CI 95% 1.34-3.52)], bullying(victimization) [OR 1.99, (CI 95% 1.43-2.77)], and other psychosocial distress were significant risk factors in the development of suicidal ideation.

CONCLUSIONS

Solutions for decreasing risky behaviors for health, particularly the use of alcohol and addictive drugs, prevention of violence between peers, and strengthening of social relationships, must be developed.

摘要

简介

识别风险因素对于干预自杀至关重要,自杀是青少年可预防的死亡原因之一。本研究旨在评估 15-18 岁高中生自杀意念的发生率和自杀念头的危险因素。

方法

从 2438 名 15-18 岁高中生的问卷中获取数据。使用逻辑回归分析识别可能与自杀意念相关的危险因素。

结果

过去 12 个月青少年自杀意念的发生率为 17.9%。女性[比值比 1.95,(95%可信区间 1.47-2.59)]、饮酒[比值比 2.44,(95%可信区间 1.63-3.68)]和滥用药物[比值比 1.78,(95%可信区间 1.07-2.97)]、参与打架[比值比 1.76,(95%可信区间 1.34-2.32)]、没有亲密朋友[比值比 2.17,(95%可信区间 1.34-3.52)]、被欺凌(受害)[比值比 1.99,(95%可信区间 1.43-2.77)]以及其他心理社会困扰是自杀意念发生的显著危险因素。

结论

必须制定解决方案来减少对健康有害的风险行为,特别是饮酒和滥用药物,预防同伴之间的暴力行为,并加强社会关系。

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