Dylan B. Jackson is with the Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Alexander Testa is with the Department of Criminology and Criminal Justice, College for Health, Community, and Policy, the University of Texas at San Antonio. Rebecca L. Fix and Tamar Mendelson are with the Department of Mental Health, Johns Hopkins Bloomberg School of Public Health.
Am J Public Health. 2021 Oct;111(10):1885-1893. doi: 10.2105/AJPH.2021.306434. Epub 2021 Sep 23.
To explore associations between police stops, self-harm, and attempted suicide among a large, representative sample of adolescents in the United Kingdom. Data were drawn from the 3 most recent sweeps of the UK Millennium Cohort Study (MCS), from 2012 to 2019. The MCS is an ongoing nationally representative contemporary birth cohort of children born in the United Kingdom between September 2000 and January 2002 (n = 10 345). Weights were used to account for sample design and multiple imputation for missing data. Youths experiencing police stops by the age of 14 years (14.77%) reported significantly higher rates of self-harm (incidence rate ratio = 1.52; 95% confidence interval [CI] = 1.35, 1.69) at age 17 years and significantly higher odds of attempted suicide (odds ratio = 2.25; 95% CI = 1.84, 2.76) by age 17 years. These patterns were largely consistent across examined features of police stops and generally did not vary by sociodemographic factors. In addition, 17.73% to 40.18% of associations between police stops and outcomes were explained by mental distress. Police-initiated encounters are associated with youth self-harm and attempted suicide. Youths may benefit when school counselors or social workers provide mental health screenings and offer counseling care following these events. (. 2021;111(10):1885-1893. https://doi.org/10.2105/AJPH.2021.306434).
探讨英国大样本代表性青少年中警察拦截、自残和自杀未遂之间的关联。数据来自英国千禧年队列研究(MCS)的最近三次调查,时间范围为 2012 年至 2019 年。MCS 是一项正在进行的全国代表性当代出生队列研究,涵盖了 2000 年 9 月至 2002 年 1 月期间在英国出生的儿童(n=10345)。研究采用权重来考虑样本设计,并采用多重插补来处理缺失数据。在 14 岁之前经历过警察拦截的青少年(14.77%),在 17 岁时报告的自残发生率显著更高(发生率比=1.52;95%置信区间[CI]:1.35,1.69),在 17 岁时报告的自杀未遂的可能性也显著更高(比值比=2.25;95%CI:1.84,2.76)。这些模式在警察拦截的各种特征中基本一致,且通常不受社会人口因素的影响。此外,警察拦截与结果之间的关联有 17.73%至 40.18%可以用精神困扰来解释。警察主动介入与青少年自残和自杀未遂有关。当学校辅导员或社会工作者在这些事件发生后提供心理健康筛查和咨询护理时,青少年可能会受益。(doi.org/10.2105/AJPH.2021.306434)