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年轻人的自杀意念和行为:潜在剖面分析。

Suicidal ideation and behaviors in young adults: A latent profile analysis.

机构信息

Human Development and Family Studies.

Applied Human Services.

出版信息

J Fam Psychol. 2021 Apr;35(3):345-355. doi: 10.1037/fam0000786. Epub 2020 Jul 16.

Abstract

Suicide rates in the United States are climbing; thus, sophisticated methods that identify how risk and protective factors are associated with suicide risk are necessary. Young adults face an especially tumultuous period as they are maintaining relationships, having children, and building careers. A sample of young adults ( = 4,208) from the National Longitudinal Study of Adolescent to Adult Health (Add Health) was included in a latent profile analysis based on hypothesized risk (depressive symptoms, job demands, isolation, alcohol use, and childhood abuse) and protective indicators (relationship quality with parents and other adults, friendships, job satisfaction and alignment with goals, and religiosity). A three-profile solution yielded the following distinct profiles: Childhood Isolation ( = 594), Flourishing ( = 2,974), and Adult Isolation and Burdensomeness ( = 628). Participants in the Childhood Isolation profile were associated with an increased risk for suicidal ideation ( = 1.61) but not for suicide attempts in the past year. Participants in the Adult Isolation and Burdensomeness profile were associated with high risk for suicidal ideation ( = 3.53) as well as suicide attempts in the past year ( = 2.70). The Flourishing profile was associated with a reduced risk for suicidal ideation ( = 0.45) and past year suicide attempts ( = 0.52). Results of this study emphasize the importance of understanding how risk and protective factors analyzed simultaneously provide new information about suicide risk in young adults. Prevention efforts addressing decreasing isolation and reducing burdensomeness are recommended for individuals at risk. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

美国的自杀率正在攀升;因此,需要采用复杂的方法来确定风险和保护因素与自杀风险的关联。年轻人在维持人际关系、生育子女和建立职业的过程中面临着特别动荡的时期。国家青少年健康纵向研究(Add Health)中的一个年轻人样本(n=4208),根据假设的风险(抑郁症状、工作要求、孤立、饮酒和童年虐待)和保护指标(与父母和其他成年人的关系质量、友谊、工作满意度和与目标的一致性、宗教信仰)进行了潜在剖面分析。三剖面解决方案产生了以下三个不同的剖面:童年孤立( = 594)、繁荣( = 2974)和成年孤立和负担( = 628)。童年孤立剖面的参与者自杀意念的风险增加( = 1.61),但过去一年自杀未遂的风险没有增加。成年孤立和负担剖面的参与者自杀意念的风险很高( = 3.53),过去一年自杀未遂的风险也很高( = 2.70)。繁荣剖面与自杀意念( = 0.45)和过去一年自杀未遂( = 0.52)的风险降低有关。这项研究的结果强调了同时分析风险和保护因素如何提供有关年轻人自杀风险的新信息的重要性。建议针对有风险的个人采取减少孤立和减轻负担的预防措施。(PsycInfo数据库记录(c)2021 APA,保留所有权利)。

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