assistant professor, Rutgers University School of Social Work, New Brunswick, NJ 08901.
Health Soc Work. 2021 Apr 3;45(4):240-248. doi: 10.1093/hsw/hlaa028.
In the United States, suicidal ideation is an issue for high school-age youths. Research supports that youths who have learning difficulties and who are at risk of high school dropout are at greater risk for suicidal ideation. Although alternative high schools address both student academics and emotional health, they are underused, nonclinical settings for understanding and addressing suicidal ideation. This study aimed to examine the impact of student identity, external stressors, and academic self-concept on suicidal ideation among sexual and ethnic minority and underserved students enrolled in an alternative education public high school. The student sample (N = 103) completed a onetime survey comprised of the Suicidal Ideation Questionnaire-Junior, the Cultural Assessment of Risk of Suicide, the Coddington Life Events Scale for Adolescents, and the Piers Harris 2. Results of hierarchical linear regression indicated that identifying as nonheterosexual and experiencing discrimination were associated with greater student reporting of suicidal ideation. Identifying as Latino and other non-White was associated with lower reporting of suicidal ideation. Controlling for student demographics and external stressors, positive academic self-concept was associated with a lower reporting of suicidal ideation. Findings have future implications for health social work, suicide prevention and intervention, and education policy.
在美国，自杀意念是青少年面临的一个问题。研究表明，有学习困难和有高中辍学风险的青少年自杀意念的风险更高。虽然替代高中同时关注学生的学业和情绪健康，但它们是理解和处理自杀意念的未被充分利用的非临床环境。本研究旨在探讨学生身份、外部压力源和学业自我概念对性少数群体和少数民族以及服务不足的学生在参加替代教育公立高中时的自杀意念的影响。学生样本（n=103）完成了一次调查，包括青少年自杀意念问卷-初级版、自杀风险文化评估、科丁顿青少年生活事件量表和皮尔斯-哈里斯 2 版。分层线性回归的结果表明，认定为非异性恋和经历歧视与学生报告的自杀意念更强烈相关。认定为拉丁裔和其他非白人与较低的自杀意念报告相关。控制学生人口统计学和外部压力源后，积极的学业自我概念与较低的自杀意念报告相关。研究结果对健康社会工作、自杀预防和干预以及教育政策具有未来意义。
