酒精和大麻使用与青少年在精神科住院前自杀意念和自杀企图的每日预测。
Alcohol and marijuana use as daily predictors of suicide ideation and attempts among adolescents prior to psychiatric hospitalization.
机构信息
Boston Children's Hospital, Department of Psychiatry, 300 Longwood Ave Boston, MA 02115, USA.
Boston College, School of Social Work, 140 Commonwealth Ave Chestnut Hill, MA 02467, USA; Society and Health Research Center, Facultad de Humanidades, Universidad Mayor, Badajoz 130, Oficina 1305, Las Condes, Santiago 750000 Chile.
出版信息
Psychiatry Res. 2019 Mar;273:672-677. doi: 10.1016/j.psychres.2019.02.006. Epub 2019 Feb 3.
OBJECTIVE
Little research has been conducted on alcohol use, marijuana use, and suicide ideation and attempts on a daily level, and specifically among adolescents prior to inpatient hospitalization. The purpose of this study was to examine the within (over time) and between (between adolescents) effects of alcohol use and marijuana use on suicide ideation and attempts.
METHODS
Participants included 50 adolescents (80% female; M = 15.8). All participants reported drinking alcohol in the prior three months and were receiving treatment in an inpatient psychiatric hospital. Random and mixed-effect models were used to test study hypotheses.
RESULTS
Results from the random effect model indicated that alcohol use, marijuana use, hospitalization and sexual orientation were significant predictors of suicide attempts. Results from the mixed-effect model indicated that marijuana use, hospitalization, and sexual orientation were significant predictors of suicide ideation.
CONCLUSIONS
Study findings extend current knowledge about the longitudinal and day-to-day relationship between alcohol and marijuana use and suicide ideation and attempts. Results underscore the importance of addressing alcohol and marijuana use in interventions with suicidal adolescents, recognizing that sexual minority youth may be at elevated risk for suicide ideation.
目的
鲜有研究关注日常层面，特别是在住院之前，青少年的饮酒、大麻使用与自杀意念和自杀企图之间的关系。本研究旨在检验酒精使用和大麻使用对自杀意念和自杀企图的日内（随时间）和日间（青少年间）影响。
方法
参与者包括 50 名青少年（80%为女性；平均年龄=15.8 岁）。所有参与者报告在过去三个月内饮酒，并在住院精神病院接受治疗。采用随机和混合效应模型检验研究假设。
结果
随机效应模型的结果表明，饮酒、大麻使用、住院和性取向是自杀企图的显著预测因素。混合效应模型的结果表明，大麻使用、住院和性取向是自杀意念的显著预测因素。
结论
研究结果扩展了当前关于酒精和大麻使用与自杀意念和自杀企图之间的纵向和日常关系的知识。研究结果强调了在针对自杀青少年的干预措施中解决酒精和大麻使用问题的重要性，同时认识到性少数青年可能面临更高的自杀意念风险。
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