University of Wyoming, Laramie, WY, United States.
Wyoming Survey and Analysis Center, Laramie, WY, United States.
Psychiatry Res. 2020 Feb;284:112773. doi: 10.1016/j.psychres.2020.112773. Epub 2020 Jan 7.
Few studies have examined risk factors associated with suicidal ideation and attempts among younger adolescents compared to their high-school aged counterparts. To gain a better understanding of unique risk factors associated with suicidal ideation and attempts among middle-school aged students, the current study employed secondary data analyses on a statewide sample of middle school (6th and 8th grade; n = 7,453) and high school students (10th and 12th grade; n = 5,996) in the United States. Logistic regression analyses were used to determine the effects of fourteen empirically derived risk factors on odds of reporting suicidal ideation (SI) and suicide attempts (SA) in the past year. Results indicated unique factors associated with risk for SI and SA among middle and high school students. For middle-school aged students, female sex, lower perceptions of school safety, sensation seeking, psychological distress, bullying victimization, early initiation of drug use, and community disorganization predicted past year SI. Female sex, white race, perceptions of school safety, bullying victimization, aggregate drugs used, psychological distress, and community disorganization predicted SA. Conversely, sex, age, perceptions of school safety, and community disorganization were not associated with suicidal behavior in high school students. Developmental explanations and avenues for future research are discussed.
很少有研究比较青少年和高中生的自杀意念和尝试的风险因素。为了更好地了解与中学生自杀意念和尝试相关的独特风险因素，本研究对美国全州范围内的中学生（6 年级和 8 年级；n=7453）和高中生（10 年级和 12 年级；n=5996）进行了二次数据分析。逻辑回归分析用于确定 14 个经验衍生风险因素对过去一年报告自杀意念（SI）和自杀企图（SA）的几率的影响。结果表明，中学生和高中生的 SI 和 SA 风险存在独特的因素。对于中学生来说，女性性别、对学校安全的较低感知、感觉寻求、心理困扰、被欺凌受害、早期开始使用毒品以及社区混乱与过去一年的 SI 有关。女性性别、白种人、对学校安全的感知、被欺凌受害、使用的毒品总量、心理困扰和社区混乱与 SA 有关。相反，性别、年龄、对学校安全的感知和社区混乱与高中生的自杀行为无关。讨论了发展解释和未来研究的途径。
