Arch Suicide Res. 2022 Apr-Jun;26(2):500-519. doi: 10.1080/13811118.2020.1795018. Epub 2020 Jul 23.
Disclosure of one's suicidal thoughts is a pivotal but under-investigated mechanism for preventing suicide among young adults experiencing homelessness (YAEH). In a sample of 527 YAEH, we adopted a multi-level perspective to assess patterns and correlates of disclosure in their friendship networks. Less than one-third of YAEH disclosed their suicidal thoughts-half of them doing so during a suicidal crisis-and only disclosed to 21% of their friends. Multilevel modeling showed that YAEH who reported a history of unmet mental health needs were more likely to have disclosed to a friend, and friends who were sources of social support were most highly sought out for disclosures. Our findings highlight the need for cultivating safe environments that promote disclosures among YAEH.
公开自杀想法是预防无家可归的年轻成年人（YAEH）自杀的一个关键但研究不足的机制。在 527 名 YAEH 样本中，我们采用多层次视角评估了他们友谊网络中公开的模式和相关性。不到三分之一的 YAEH 公开了他们的自杀想法——其中一半是在自杀危机期间——并且只向 21%的朋友公开。多层次建模表明，报告有未满足的心理健康需求的 YAEH 更有可能向朋友公开，而提供社会支持的朋友则是最受欢迎的公开对象。我们的研究结果强调了需要营造安全的环境，以促进 YAEH 之间的公开。
