儿童期性虐待与青少年当前自杀意念：问题聚焦和情绪聚焦应对技能。
Childhood sexual abuse and current suicidal ideation among adolescents: Problem-focused and emotion-focused coping skills.
机构信息
University of Southern California, Suzanne Dworak-Peck School of Social Work, Department of Children, Youth, and Families, 669 W. 34th Street, Rm 214, Los Angeles, CA 90089, USA.
University of Southern California, Suzanne Dworak-Peck School of Social Work, Department of Children, Youth, and Families, 669 W. 34th Street, Rm 214, Los Angeles, CA 90089, USA.
出版信息
J Adolesc. 2018 Aug;67:120-128. doi: 10.1016/j.adolescence.2018.06.009. Epub 2018 Jun 23.
INTRODUCTION
The present study aims to investigate whether problem-focused and emotion-focused coping skills were associated with suicidal ideation. In addition, we examined whether childhood maltreatment (i.e. physical, psychological, sexual abuse, and neglect) is a risk factor for later-on suicidal ideation.
METHODS
Youths aged 16 or 18 (n = 307, 56% females) from San Diego and Seattle at Wave 6 and Wave 7 of the LONGSCAN were included in the study. We used hierarchical logistic regression.
RESULTS & CONCLUSIONS: 17.6% reported suicidal ideation. Those who reported better emotion-focused coping were .80 times less likely to report suicidal ideation. However, even after controlling for coping skills, adolescents with sexually abuse histories were 3.08 times more likely to report suicidal ideation. Our findings suggest implications for early intervention efforts. Building youth assets through promotion of positive youth development may serve as a driving force to reduce negative outcomes in youth who have experienced sexual abuse.
简介
本研究旨在探讨问题焦点和情绪焦点应对技巧是否与自杀意念有关。此外，我们还研究了童年期虐待（即身体、心理、性虐待和忽视）是否是日后自杀意念的一个风险因素。
方法
本研究纳入了 LONGSCAN 研究第 6 波和第 7 波中来自圣地亚哥和西雅图的 16 或 18 岁的青少年（n=307，女性占 56%）。我们使用了分层逻辑回归。
结果与结论
17.6%的青少年报告有自杀意念。那些报告情绪焦点应对技巧较好的人，自杀意念的可能性降低 80%。然而，即使控制了应对技巧，有性虐待史的青少年报告自杀意念的可能性仍是没有性虐待史的青少年的 3.08 倍。我们的研究结果表明，早期干预措施具有重要意义。通过促进积极的青年发展来培养青年资产，可能成为减少经历过性虐待的青年出现负面后果的动力。
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