School of Community Health Sciences, University of Nevada, Reno, Nevada, USA.
J Epidemiol Community Health. 2019 Mar;73(3):219-224. doi: 10.1136/jech-2017-210107. Epub 2018 Nov 23.
Studies have found that youth assets have a protective influence on many risk behaviours. However, the relationship between youth assets and adolescent suicide ideation is poorly understood. The purpose of this study was to determine if youth assets were prospectively associated with suicide ideation.
Four waves of data were collected from 1111 youth and their parents living in randomly sampled census tracts that were stratified by income and race/ethnicity using census data. Computer-assisted, in-person data collection methods were used to measure assets at the individual (6 assets), family (4 assets) and community (6 assets) levels. Generalised linear mixed models were used to prospectively assess the relationship between the number of individual-level, family-level and community-level assets and suicide ideation, while controlling for known confounders.
About half of the sample was female (53%). Participants were racially/ethnically diverse (white (41%), Hispanic (29%) and black (24%)). Eleven of the 16 assets were associated with reduced odds of suicide ideation. In addition, there was a graded relationship between the number of assets at each level (individual, family and community) and the odds of suicide ideation. For example, compared with youth with 0-2 family assets, those with 3 (OR 0.61; 95% CI 0.42 to 0.90) or 4 (OR 0.32; 95% CI 0.21 to 0.51) family assets had lower odds of suicide ideation.
This prospective analysis showed a protective relationship between youth assets and suicide ideation, with the greatest protection among youth with the most assets. Interventions designed to build youth assets may be a useful strategy for reducing adolescent suicide ideation.
研究发现，青年资产对许多风险行为具有保护作用。然而，青年资产与青少年自杀意念之间的关系还了解甚少。本研究的目的是确定青年资产是否与自杀意念存在前瞻性关联。
从居住在按收入和种族/民族分层的随机抽样普查区内的 1111 名青年及其父母那里收集了四波数据，这些数据是根据人口普查数据收集的。使用计算机辅助的现场数据收集方法，从个人（6 项资产）、家庭（4 项资产）和社区（6 项资产）层面测量资产。使用广义线性混合模型，在控制已知混杂因素的情况下，前瞻性评估个人层面、家庭层面和社区层面资产数量与自杀意念之间的关系。
样本中有一半（53%）为女性。参与者的种族/民族多种多样（白人（41%）、西班牙裔（29%）和黑人（24%））。16 项资产中有 11 项与自杀意念的几率降低有关。此外，每个层面（个人、家庭和社区）的资产数量与自杀意念的几率之间存在梯度关系。例如，与家庭资产为 0-2 的青年相比，家庭资产为 3 项（OR 0.61；95%CI 0.42 至 0.90）或 4 项（OR 0.32；95%CI 0.21 至 0.51）的青年自杀意念的几率较低。
这项前瞻性分析显示，青年资产与自杀意念之间存在保护关系，资产最多的青年受到的保护最大。旨在建立青年资产的干预措施可能是减少青少年自杀意念的有效策略。
