Quinn Camille R, Liu Chang, Kothari Catherine, Cerulli Catherine, Thurston Sally W
The Ohio State University, College of Social Work, Ohio, USA.
Department of Biostatistics and Computational Biology, School of Medicine & Dentistry, University of Rochester Medical Center, USA.
Adolesc Psychiatry (Hilversum). 2017;7(2):89-104. doi: 10.2174/2210676607666170317143345.
For youth probationers, it is important to understand how mental health and substance use predict their suicidal thoughts and behaviors (STB) to identify interventions to reduce their psychological distress.
In this study, risk and protective factor indicators based on the Youth Assessment and Screening Instrument (YASI) Full Assessment were used to explore STB of youth probationers. The study's overarching aim was to examine the associations of psychological distress and other risk and protective factors with youth probationers' STB based on a Social Determinants of Health framework.
This cross-sectional secondary analysis reviewed YASI records from a sample of 11,607 probationers of age 12-18 years within a large urban setting.
The study used logistic regression models to assess risk and protective factors for STB odds (5.79%, = 672 positive endorsement). African Americans were less likely to report STB, and girls were much more likely than boys to report STB across risk factors. Mental health disorders and substance use increased STB risk.
The findings underscore the need for screening and treatment of psychological distress for youth probationers. This study discussed these findings, strengths and limitations, and directions for future research.
对于青少年缓刑犯而言，了解心理健康和物质使用如何预测其自杀念头和行为（STB）以确定减轻其心理困扰的干预措施至关重要。
在本研究中，基于青少年评估与筛查工具（YASI）全面评估的风险和保护因素指标被用于探究青少年缓刑犯的STB情况。该研究的总体目标是基于健康的社会决定因素框架，考察心理困扰及其他风险和保护因素与青少年缓刑犯STB之间的关联。
这项横断面二次分析回顾了来自一个大城市环境中11607名12至18岁缓刑犯样本的YASI记录。
该研究使用逻辑回归模型评估STB几率的风险和保护因素（5.79%，=672例阳性认可）。非裔美国人报告STB的可能性较小，且在各风险因素中，女孩报告STB的可能性比男孩大得多。心理健康障碍和物质使用会增加STB风险。
研究结果强调了对青少年缓刑犯进行心理困扰筛查和治疗的必要性。本研究讨论了这些发现、优势和局限性以及未来研究的方向。
