School of Social Work, The University of Texas at Arlington, 211 S. Cooper St, Box 19129, Arlington, TX, 76019, USA.
Department of Psychological and Brain Sciences, University of Louisville, Room 317 Life Sciences Building, Louisville, KY, 40292, USA.
J Racial Ethn Health Disparities. 2023 Aug;10(4):1856-1868. doi: 10.1007/s40615-022-01369-5. Epub 2022 Jul 21.
Although some studies have examined the association between prescription opioid misuse and mental health outcomes, few have investigated the effects of prescription opioid misuse on suicidal behaviors among Black adolescents. The objective of this study was to investigate the cross-sectional association between prescription opioid misuse and suicidal ideation, suicide plan, and suicide attempt among Black adolescents.
Data for this study came from the 2017 and 2019 Youth Risk Behavior Survey. An analytic sample of 4798 Black adolescents aged 14-18 years (51.2% female) was analyzed using binary logistic regression. The outcome variables investigated were suicidal ideation, suicide plan, and suicide attempt, and the main explanatory variable was prescription opioid misuse.
Of the 4798 Black adolescents, 15% reported ever misusing prescription opioids; 16.2% experienced suicidal ideation; 14% made a suicide plan; and 11.3% attempted suicide during the past 12 months. In the multivariate logistic regression models, Black adolescents who misused prescription opioids had 1.39 times higher odds of making a suicide plan and 1.65 times higher odds of making a suicide attempt during the past 12 months when compared to their counterparts who did not misuse prescription opioids. Other significant factors associated with suicidal behaviors include female sex, school bullying, cyberbullying, depressive symptoms, and illicit drug use. In addition, physical activity had a protective effect on suicide attempt.
The findings of the present study demonstrate the effects of prescription opioid misuse and its association with suicidal behaviors among Black adolescents.
尽管已有一些研究探讨了处方阿片类药物滥用与心理健康结果之间的关系，但很少有研究调查处方阿片类药物滥用对黑青少年自杀行为的影响。本研究的目的是调查黑青少年中处方阿片类药物滥用与自杀意念、自杀计划和自杀企图之间的横断面关联。
本研究的数据来自 2017 年和 2019 年的青少年风险行为调查。使用二元逻辑回归分析了 4798 名年龄在 14-18 岁（51.2%为女性）的黑青少年的分析样本。调查的结果变量是自杀意念、自杀计划和自杀企图，主要解释变量是处方阿片类药物滥用。
在 4798 名黑青少年中，15%报告曾经滥用处方阿片类药物；16.2%有过自杀意念；14%制定了自杀计划；11.3%在过去 12 个月内尝试过自杀。在多变量逻辑回归模型中，与未滥用处方阿片类药物的同龄人相比，滥用处方阿片类药物的黑青少年在过去 12 个月内制定自杀计划的可能性高 1.39 倍，尝试自杀的可能性高 1.65 倍。与自杀行为相关的其他重要因素包括女性、学校欺凌、网络欺凌、抑郁症状和非法药物使用。此外，体育活动对自杀企图有保护作用。
本研究的结果表明，处方阿片类药物滥用及其与黑青少年自杀行为之间存在关联。
