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自我报告的脑震荡史与中学生自杀完成的风险因素有关:一项横断面研究。

Self-reported history of concussions is associated with risk factors for suicide completion among middle school students: A cross-sectional study.

机构信息

Department of Health Promotion and Behavioral Science, University of Texas School of Public Health, USA.

Department of Health Promotion and Behavioral Science, University of Texas School of Public Health, USA.

出版信息

J Psychiatr Res. 2021 Jan;132:191-194. doi: 10.1016/j.jpsychires.2020.10.022. Epub 2020 Oct 21.

DOI:10.1016/j.jpsychires.2020.10.022
PMID:33126012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7780371/
Abstract

PURPOSE

This study aims to examine the relationship between self-reported history of concussion and risk factors for completed suicide among middle school students.

METHODS

We analyzed state-level data from the 2017 YRBS. The study sample was n = 19,254 middle school students in 7 States: Delaware, Florida, Hawaii, Kentucky, Nevada, Rhode Island, and Virginia. We conducted multi-level, multivariate logistic regression models to assess the relationship between self-reported concussions and suicidal ideations, planned suicide attempt, and past suicide attempt.

RESULTS

Approximately 17.8% of the sample self-reported a history of concussion. Self-reported history of concussion was significantly associated with greater odds for history of suicidal ideation (Adj OR: 1.31), planned suicide attempt (Adj OR: 1.36), and past suicide attempt (Adj OR: 1.67).

CONCLUSIONS

This is the first study to examine the relationship between self-reported concussion and risk factor for completed suicide among middle school students. Research findings mirror similar study done among high school students and young adults. Findings suggest the need to expand prevention programs, intervention strategies and education campaigns to include middle school students.

摘要

目的

本研究旨在探讨中学生自我报告的脑震荡史与自杀完成风险因素之间的关系。

方法

我们分析了来自 2017 年 YRBS 的州级数据。研究样本为来自 7 个州(特拉华州、佛罗里达州、夏威夷州、肯塔基州、内华达州、罗得岛州和弗吉尼亚州)的 19254 名中学生。我们进行了多层次、多变量逻辑回归模型,以评估自我报告的脑震荡与自杀意念、计划自杀企图和过去自杀企图之间的关系。

结果

约 17.8%的样本自我报告有脑震荡史。自我报告的脑震荡史与自杀意念史(调整后的优势比:1.31)、计划自杀企图(调整后的优势比:1.36)和过去自杀企图(调整后的优势比:1.67)的可能性显著相关。

结论

这是第一项研究自我报告的脑震荡与中学生自杀完成风险因素之间关系的研究。研究结果与在高中生和年轻人中进行的类似研究相吻合。研究结果表明,有必要扩大预防计划、干预策略和教育活动,将中学生纳入其中。

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J Neurotrauma. 2020 Jun 15;37(12):1401-1407. doi: 10.1089/neu.2018.5721. Epub 2020 Mar 25.
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