Johnson Micah E
Department of Epidemiology, College of Public Health and Health Professions, University of Florida, PO Box 100231, Gainesville, FL 32610, United States College of Medicine, University of Florida, PO Box 100231, Gainesville, FL 32610, United States.
Child Youth Serv Rev. 2017 Dec;83:80-84. doi: 10.1016/j.childyouth.2017.10.034. Epub 2017 Oct 31.
Justice-involved children (JIC) have higher rates of trauma exposure and suicidality than the general population. The Childhood Trauma Model predicts that children can accumulate multiple traumatic experiences that can be more harmful than a single traumatic event. The purpose of this study is to investigate the individual and cumulative effects of childhood trauma on suicidal distress among JIC. The study employs logistic regression to analyze panel data on 2367 12-16 year-olds from the Florida Department of Juvenile Justice (FLDJJ). The study shows that 9 types of individual traumatic experiences increased risk for suicidal ideation from 22 to 180%. For one unit increase in the trauma score, the risk for suicidal distress increased 25%, so that JIC who experienced 5 types of traumas were 2.4 times more likely to experience suicidal distress as JIC who experienced a single trauma. These findings illustrate the need to invest mental health services and suicide prevention resources in populations in the juvenile justice system. Intervention must be tailored to serve children who suffered specific traumatic events, as well as those who experience multiple types of trauma. Further, policies that manage JIC as kid criminals rather than as traumatized children may exacerbate their suicidality and problematic behavior.
涉司法儿童（JIC）遭受创伤和有自杀倾向的比例高于普通人群。儿童创伤模型预测，儿童可能会积累多种创伤经历，这些经历可能比单一创伤事件更具危害性。本研究的目的是调查儿童期创伤对涉司法儿童自杀性痛苦的个体影响和累积影响。该研究采用逻辑回归分析来自佛罗里达州少年司法部（FLDJJ）的2367名12至16岁青少年的面板数据。研究表明，9种个体创伤经历使自杀意念风险从22%增加到180%。创伤得分每增加一个单位，自杀性痛苦风险增加25%，因此，经历5种创伤的涉司法儿童出现自杀性痛苦的可能性是经历单一创伤的涉司法儿童的2.4倍。这些发现表明，有必要在少年司法系统人群中投入心理健康服务和自杀预防资源。干预措施必须量身定制，以服务于遭受特定创伤事件的儿童，以及经历多种创伤的儿童。此外，将涉司法儿童当作少年罪犯而非受创伤儿童来管理的政策，可能会加剧他们的自杀倾向和问题行为。
