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社区吸引的未成年人慢性自杀意念的相关因素。

Correlates of Chronic Suicidal Ideation Among Community-Based Minor-Attracted Persons.

机构信息

Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Mount Sinai Beth Israel, New York, NY, USA.

出版信息

Sex Abuse. 2020 Apr;32(3):273-300. doi: 10.1177/1079063219825868. Epub 2019 Jan 25.

Abstract

Elevated suicidal risk has been documented in adults who are sexually attracted to minors but the topic has not been adequately investigated, particularly outside the context of the criminal justice system. In this study, risk factors for chronic suicidal ideation were assessed in 333 community-based minor-attracted persons (95% male) via an online survey. Chronic suicidal ideation was endorsed by 38.1% of the participants but was associated neither to history of sexually engaging with a child nor to prior contact with the criminal justice system. In bivariate logistic regression analyses, significant unadjusted correlates included young age, less education, prior mental health treatment, weaker attraction to adult women, history of sexual abuse in the participants' own childhood, and the psychosocial effect of perceived stigma against pedophilia. In multivariable analysis, all these factors except education were uniquely associated with suicidal ideation. These results identify meaningful clinical risk factors and treatment targets in this population.

摘要

有研究记录显示,性取向为未成年人的成年人自杀风险较高,但该主题尚未得到充分研究,特别是在刑事司法系统之外。在这项研究中,通过在线调查评估了 333 名基于社区的未成年人性吸引者(95%为男性)的慢性自杀意念的风险因素。38.1%的参与者表示存在慢性自杀意念,但与与儿童发生性行为的历史或与刑事司法系统的先前接触均无关。在双变量逻辑回归分析中,显著的未经调整的相关因素包括年龄较小、教育程度较低、先前的心理健康治疗、对成年女性的吸引力较弱、参与者自己童年时期的性虐待史,以及对恋童癖的感知耻辱感的心理社会影响。在多变量分析中,除教育程度外,所有这些因素都与自杀意念有独特的关联。这些结果确定了该人群中具有重要临床意义的风险因素和治疗靶点。

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