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家庭环境中的自杀意念和自杀企图:父母支持、亲子关系以及同伴经历与自杀行为的作用。

Suicidal ideations and Attempts Within the Family Context: The Role of Parent Support, Bonding, and Peer Experiences with Suicidal Behaviors.

机构信息

College of Social Work, The Ohio State University, Columbus, OH, USA.

School of Social Work, University of Washington, Seattle, WA, USA.

出版信息

J Racial Ethn Health Disparities. 2022 Oct;9(5):1740-1749. doi: 10.1007/s40615-021-01111-7. Epub 2021 Jul 30.

Abstract

The rate of suicidality is increasing faster in Black American youth than in any other group in the USA. Researchers have found that family-level factors are important environmental factors for predicting depression and anxiety among Black youth, but less is known about how family- and friendship-level factors are associated with suicidal ideation and attempts among Black youth. This secondary analysis used the data from the National Longitudinal Study of Adolescents to Adult Health with a sample of Black adolescents (N = 4232) with a mean age of 16 years. The predictors included parental and other contextual factors on the outcome, which was suicidal behaviors. A multinomial analysis was employed to assess which factors contributed to or prevented suicidal behaviors. Our results indicated that parental support was significantly and positively associated with reporting suicidal ideation and attempts. The results indicated that Black youth with a decrease in parental support were 41% more likely to report ideation and 68% more likely to report attempting suicide compared to those reporting no parental support. Findings from our study support the assertion that the influence from the familial microsystem is pronounced in modifying suicidal behavior of Black youth.

摘要

自杀率在美国黑人青年中增长速度比任何其他群体都快。研究人员发现,家庭层面的因素是预测黑人青年抑郁和焦虑的重要环境因素,但对于家庭和友谊层面的因素如何与黑人青年的自杀意念和尝试相关知之甚少。这项二次分析使用了来自青少年到成年健康的全国纵向研究的数据,样本为黑人青少年(N=4232),平均年龄为 16 岁。预测因素包括对结局(自杀行为)有影响的父母和其他背景因素。采用多项分析来评估哪些因素促成或预防自杀行为。我们的结果表明,父母的支持与报告自杀意念和尝试显著正相关。结果表明,与没有父母支持的青少年相比,父母支持减少的黑人青少年报告有自杀意念的可能性增加了 41%,报告尝试自杀的可能性增加了 68%。我们的研究结果支持这样一种观点,即来自家庭微系统的影响在改变黑人青年的自杀行为方面是显著的。

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