Arisoyin Abimbola E, Adeyemi Ayomide H, Okobi Okelue E, Alaga Adeyemi H, Adekunle Oluwabukola J, Ajayi Olamide O, Aladeniyi Funmi, Oni Esther O, Okobi Emeka, Okeaya-Inneh Matayebi, Young Claire-Louise
Internal Medicine, College of Medicine, University of Lagos, Lagos, NGA.
Medicine, VN Karazin Kharkiv National University, Kharkov, UKR.
Cureus. 2023 Aug 25;15(8):e44099. doi: 10.7759/cureus.44099. eCollection 2023 Aug.
Background Suicide is a significant public health concern among the pediatric population in the United States. This study aims to comprehensively analyze suicide attempts among adolescents using data from the Youth Risk Behavior Surveillance System (YRBSS) maintained by the Centers for Disease Control and Prevention (CDC). Methods The pediatric population of grades 9-12 students (13-17 years old) was included in the study population, and data were collected from multiple cycles of the YRBSS survey. Descriptive statistics and time-trend analyses were conducted to examine attempted suicide rates based on location, gender, race/ethnicity, school grade level, and sexual orientation. Results Significant variations in attempted suicide rates were observed among different demographic groups. In 2021, of the subset with suicide attempt, females reported a higher prevalence of attempted suicide (13.3%, n=211), while males exhibited a lower rate (6.6%, n=104). Of the total studied population in 2021, Palau had the highest attempted suicide rate (25.2%, n=3924), followed by the Northern Mariana Islands (17.6%, n=2740). Over 1991-2021, no significant location-based variations were observed. In 2021, American Indian/Alaska Native adolescents had the highest attempted suicide rate at 16% (n=2491), followed by Black adolescents (14.5%, n=2258). Ninth-grade students reported higher rates in 2021 (11.6%, n=1806). Adolescents reporting both opposite-sex (36.7%, n=5715) and same-sex-only sexual contacts or both (32.9%, n=5123) exhibited notably higher rates in 2021. Conclusion This study highlights alarming attempted suicide rates in the US pediatric population, emphasizing the need for tailored prevention efforts and mental health support. It offers essential guidance for policymakers, researchers, and mental health professionals in developing evidence-based strategies to promote youth well-being and combat the impact of suicide attempts.
背景
自杀是美国儿科人群中一个重大的公共卫生问题。本研究旨在利用疾病控制与预防中心(CDC)维护的青年风险行为监测系统(YRBSS)的数据,全面分析青少年的自杀未遂情况。
方法
研究人群纳入了9至12年级(13至17岁)的儿科学生,数据来自YRBSS调查的多个周期。进行描述性统计和时间趋势分析,以检查基于地点、性别、种族/族裔、学校年级水平和性取向的自杀未遂率。
结果
不同人口群体的自杀未遂率存在显著差异。2021年,在有自杀未遂情况的子集中,女性报告的自杀未遂患病率较高(13.3%,n = 211),而男性的患病率较低(6.6%,n = 104)。在2021年的总研究人群中,帕劳的自杀未遂率最高(25.2%,n = 3924),其次是北马里亚纳群岛(17.6%,n = 2740)。在1991 - 2021年期间,未观察到基于地点的显著差异。2021年,美国印第安/阿拉斯加原住民青少年的自杀未遂率最高,为16%(n = 2491),其次是黑人青少年(14.5%,n = 2258)。九年级学生在2021年报告的自杀未遂率较高(11.6%,n = 1806)。报告有异性性接触(36.7%,n = 5715)以及同性性接触或两者皆有(32.9%,n = 5123)的青少年在2021年的自杀未遂率显著更高。
结论
本研究凸显了美国儿科人群中令人担忧的自杀未遂率,强调了针对性预防措施和心理健康支持的必要性。它为政策制定者、研究人员和心理健康专业人员制定基于证据的策略以促进青少年福祉和应对自杀未遂的影响提供了重要指导。