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城市非裔美国青少年中从受欺凌到自杀念头的路径:对执业护士的启示

Pathways from bullying victimization to suicidal thoughts among urban African American adolescents: Implications for nurse practitioners.

作者信息

Lee Jeoung Min, Hong Jun Sung, Resko Stella M, Gonzalez-Prendes A Antonio, Voisin Dexter R

机构信息

School of Social Work, Wichita State University, Wichita, Kansas, USA.

School of Social Work, Wayne State University, Detroit, Michigan, USA.

出版信息

J Child Adolesc Psychiatr Nurs. 2021 Aug;34(3):153-163. doi: 10.1111/jcap.12321. Epub 2021 Apr 26.

DOI:10.1111/jcap.12321
PMID:33904207
Abstract

PURPOSE

Children and adolescents who are victimized by their peers are at an elevated risk of suicidal thoughts and behaviors. Bullying and suicide are major public health concerns; however, studies have not fully addressed the link between peer victimization and suicidal behavior among urban African American youth. The current study proposed and explored the pathways from peer victimization to suicidal thoughts via internalizing behaviors (i.e., low self-esteem, depression, and hopelessness).

DESIGN AND METHODS

The sample consisted of 638 African American adolescents (aged 12-22) from low-income communities in Chicago's Southside. A path model using the structural equation model was employed, controlling for biological sex, age, and government assistance.

RESULTS

The study found that victims of bullying are likely to develop low self-esteem and depression, and depression can contribute to feelings of hopelessness, thereby increasing suicidal risks.

CONCLUSIONS

Understanding the pathways from bullying victimization to suicidal thoughts is beneficial for nurse practitioners who assess and provide services and treatment to adolescents.

PRACTICE IMPLICATIONS

Because of limited resources in urban schools, anti-bullying programs need to be cost-effective.

摘要

目的

遭受同伴侵害的儿童和青少年出现自杀念头和行为的风险更高。欺凌和自杀是重大的公共卫生问题;然而,研究尚未充分探讨城市非裔美国青少年中同伴侵害与自杀行为之间的联系。本研究提出并探讨了从同伴侵害经由内化行为(即低自尊、抑郁和绝望)到自杀念头的途径。

设计与方法

样本包括来自芝加哥南区低收入社区的638名非裔美国青少年(年龄在12 - 22岁之间)。采用了使用结构方程模型的路径模型,对生物性别、年龄和政府援助进行了控制。

结果

研究发现,受欺凌的受害者很可能会产生低自尊和抑郁,而抑郁会导致绝望感,从而增加自杀风险。

结论

了解从欺凌受害到自杀念头的途径,对评估并为青少年提供服务及治疗的执业护士有益。

实践意义

由于城市学校资源有限,反欺凌项目需要具有成本效益。

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