Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Injury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Suicide Life Threat Behav. 2021 Aug;51(4):646-656. doi: 10.1111/sltb.12723. Epub 2020 Dec 6.
Material hardship is unique facet of economic distress and may be a risk factor for suicidal behavior. Parents are more likely to experience both material hardship and suicidal behavior than non-parents. The aims of this study were to (a) examine the association of material hardship with suicidal behavior and (b) assess whether associations differed for parents and non-parents.
We used data from Waves IV and V of the National Longitudinal Study of Adolescent to Adult Health (N = 10,685). We conducted logistic regression to examine the association of one and two or more material hardships at Wave IV with suicidal behavior at Wave V.
Overall, 38.8% of participants reported material hardship at Wave IV and 7.5% reported suicidal ideation or attempts at Wave V. In the total sample, one material hardship (OR = 1.57, 95% CI 1.20, 2.06) and two or more material hardships (OR = 1.52, 95% CI 1.04, 2.21) were associated with an increased likelihood of suicidal behavior. Among parents, two or more material hardships (OR = 1.86, 95% CI 1.17, 2.94) were associated with an increased likelihood of suicidal behavior. Among non-parents, one material hardship (OR = 1.81, 95% CI 1.26, 2.59) was associated with an increased likelihood of suicidal behavior.
Programs and policies aimed at addressing material hardship, particularly accumulating material hardships among parents, may be an effective suicide prevention strategy.
物质困难是经济困境的一个独特方面,可能是自杀行为的一个风险因素。父母比非父母更有可能经历物质困难和自杀行为。本研究的目的是:(a) 研究物质困难与自杀行为的关系;(b) 评估这种关系在父母和非父母之间是否存在差异。
我们使用了青少年至成人健康纵向研究(National Longitudinal Study of Adolescent to Adult Health,NLAH)第四波和第五波的数据。我们进行了逻辑回归分析,以检验第四波的一种和两种或更多种物质困难与第五波的自杀行为之间的关联。
总体而言,38.8%的参与者在第四波报告了物质困难,7.5%的参与者在第五波报告了自杀意念或自杀企图。在总样本中,一种物质困难(OR=1.57,95% CI 1.20,2.06)和两种或更多种物质困难(OR=1.52,95% CI 1.04,2.21)与自杀行为的可能性增加相关。在父母中,两种或更多种物质困难(OR=1.86,95% CI 1.17,2.94)与自杀行为的可能性增加相关。在非父母中,一种物质困难(OR=1.81,95% CI 1.26,2.59)与自杀行为的可能性增加相关。
旨在解决物质困难的计划和政策,特别是解决父母中积累的物质困难,可能是一项有效的自杀预防策略。