Hammami Nour, Katapally Tarun Reddy
Trent University Durham, 55 Thornton Road South, Oshawa, ON L1J 5Y1, Canada.
DEPtH Laboratory, Faculty of Health Sciences, Western University, 1151 Richmond St, London, ON N6A 5B9, Canada.
Prev Med Rep. 2022 Aug 10;29:101944. doi: 10.1016/j.pmedr.2022.101944. eCollection 2022 Oct.
The issues associated with mental health, substance misuse, and suicide ideation are complex and sensitive among youth. We sought to investigate the role that subjective health, internalizing and externalizing risk factors play in the association between victimization and suicide ideation among youth in Canada via used a custom-built digital epidemiological smartphone application (Smart Platform) on their personal smartphones. A sample of 818 youth citizen scientists in Saskatchewan, Canada downloaded the app to provide information on victimization, subjective health, internalizing problems (symptoms of stress, anxiety, and depression), externalizing behaviours (cannabis use, alcohol, smoking), and suicide ideation. Binary regression models were used to estimate associations and controlled for gender, age, perpetration, and ethnicity. From our sample, 23% of youth reported suicide ideation (i.e., thoughts) in the past year. Three types of victimization (cyberbullied, made fun or teased, or bullied via being left out) are associated with a two-times higher risk of suicide ideation. Although certain risk factors (anxiety, poor subjective health, and cannabis use) were associated with higher suicide ideation risk, they did not moderate the association between victimization and suicide ideation. Symptoms of depression were found to be protective against suicide ideation. Suicide ideation is high among this sample of youth in Canada. Certain types of victimization, internalizing and externalizing risk factors, and poor subjective health are associated with a higher risk of suicide ideation. However, our findings confirm that the pathway from victimization to suicide ideation is complex and is potentially moderated by factors other than the ones explored here.
在青少年中，与心理健康、物质滥用和自杀意念相关的问题复杂且敏感。我们试图通过让加拿大青少年在其个人智能手机上使用定制的数字流行病学智能手机应用程序（智能平台），来调查主观健康、内化和外化风险因素在加拿大青少年受害与自杀意念之间的关联中所起的作用。加拿大萨斯喀彻温省的818名青少年公民科学家样本下载了该应用程序，以提供有关受害情况、主观健康、内化问题（压力、焦虑和抑郁症状）、外化行为（使用大麻、饮酒、吸烟）以及自杀意念的信息。使用二元回归模型来估计关联，并对性别、年龄、犯罪行为和种族进行了控制。在我们的样本中，23%的青少年报告在过去一年中有自杀意念（即想法）。三种受害类型（网络欺凌、被取笑或戏弄、或因被排斥而受欺凌）与自杀意念风险高出两倍相关。尽管某些风险因素（焦虑、主观健康状况差和使用大麻）与较高的自杀意念风险相关，但它们并未调节受害与自杀意念之间的关联。发现抑郁症状对自杀意念有保护作用。在加拿大的这个青少年样本中，自杀意念发生率很高。某些类型的受害、内化和外化风险因素以及主观健康状况差与较高的自杀意念风险相关。然而，我们的研究结果证实，从受害到自杀意念的途径很复杂，可能受到此处未探讨的因素的调节。
