Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, 1800 Orleans Street/Bloomberg 12N, Baltimore, MD, 21287-3335, USA.
Graduate School, University of Maryland Baltimore, Baltimore, MD, USA.
Child Psychiatry Hum Dev. 2023 Oct;54(5):1425-1437. doi: 10.1007/s10578-022-01347-2. Epub 2022 Mar 26.
Depression and suicide constitute major public health problems, and their prevalence has been increasing among adolescents in the United States. More research is needed to understand the association between multilevel risk factors and depression and suicidal ideation in adolescents, particularly factors related to perceived social rank and environmental stress. The present study examined relationships among family mental history of mental illness, in-utero and perinatal complications, social rank factors, environmental factors, and depression and suicidal ideation in the past month in a clinical population of adolescents. A cross-sectional survey was administered in outpatient clinics to 197 adolescents ages 12-18 who were primarily Black and female. Findings from structural equation modeling showed the largest effects for the social rank factor on depression and suicidal ideation in the past month. These findings highlight the importance of preventive interventions for coping with social hierarchies to prevent depression and suicidal ideation.
抑郁和自杀是重大的公共卫生问题，其在美国青少年中的发生率一直在上升。需要更多的研究来了解多层次风险因素与青少年抑郁和自杀意念之间的关系，特别是与感知社会等级和环境压力相关的因素。本研究在一个青少年临床人群中，调查了家族精神病史、宫内和围产期并发症、社会等级因素、环境因素与过去一个月的抑郁和自杀意念之间的关系。在门诊诊所对 197 名 12-18 岁的青少年进行了横断面调查，这些青少年主要是黑人，且女性居多。结构方程模型的研究结果表明，社会等级因素对过去一个月的抑郁和自杀意念的影响最大。这些发现强调了预防干预措施应对社会等级制度的重要性，以预防抑郁和自杀意念。
