Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Int J Inj Contr Saf Promot. 2022 Mar;29(1):112-122. doi: 10.1080/17457300.2021.2007406. Epub 2021 Nov 29.
To examine the association between child neglect and adult suicide risk as well as the underlying mechanism. Adults aged 18 or older from the National Epidemiological Survey on Alcohol and Related Conditions Wave 3 who did not have suicide attempts before 18 were included (N = 35,275). Child neglect was categorized into emotional and physical neglect. Suicide risk was captured by suicide attempt. Mediators included internalizing and externalizing symptoms. Natural effect models along with regression analyses were used to estimate the mediated models. Respondents who reported child emotional neglect had greater odds of attempting suicide than those who did not report child emotional neglect. This association was partially mediated by internalizing symptoms. Child emotional neglect is associated with greater odds of suicide attempt and internalizing symptoms partially mediate this association. These results highlight the importance of a comprehensive approach to suicide prevention which includes providing safe, stable, nurturing relationships and environments to prevent child neglect.
为了检验儿童忽视与成年人自杀风险之间的关联，以及潜在的机制。本研究纳入了来自国家酒精与相关状况流行病学调查第 3 波、年龄在 18 岁及以上且在 18 岁之前没有自杀企图的成年人（N=35275）。儿童忽视分为情感忽视和身体忽视。自杀风险通过自杀企图来捕捉。中介包括内化和外化症状。使用自然效应模型和回归分析来估计中介模型。报告儿童情感忽视的受访者自杀企图的可能性高于未报告儿童情感忽视的受访者。这种关联部分是通过内化症状介导的。儿童情感忽视与自杀企图的可能性增加有关，内化症状部分介导了这种关联。这些结果强调了采取综合方法预防自杀的重要性，包括提供安全、稳定、有教养的关系和环境，以预防儿童忽视。
