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西班牙青少年的自杀意念与自杀未遂:通过决策树分析确定的风险概况

Suicidal Ideation and Suicidal Attempt in Spanish Adolescents: Risk Profiles Identified Through Decision Tree Analysis.

作者信息

Jiménez Teresa I, Estévez-García Jesús F, Musitu Gonzalo, Estévez Estefanía

机构信息

University of Zaragoza Teruel Spain University of Zaragoza, Teruel, Spain.

University of Alicante Spain University of Alicante, Spain.

出版信息

Psychosoc Interv. 2025 Jul 29;34(3):161-173. doi: 10.5093/pi2025a13. eCollection 2025 Sep.

Abstract

Adolescent suicide has become a serious public health problem in Spain, especially after the COVID-19 pandemic. The research aims were twofold: (1) to explore the key risk factors for suicidality in adolescents in a pool of family, peer, and school relational factors and (2) to analyze specific interactions between them. These objectives involved differentiating suicidal ideation from suicidal attempt and participants' gender. Participants were 3,252 adolescents enrolled in Compulsory Secondary Education schools in Spain, aged between 11 and 17 years (49.3% boys). ANOVAs and chi-square tests were used for group comparisons, and conditional inference tree analysis was applied for multivariate analysis. Negative mother's and father's parental styles, gender, having a partner, child-to-mother violence, cybervictimization, and social media usage frequency were relevant predictors for, in that order. The tree model generated a series of useful decisions rules to identify subgroups of adolescents at elevated risk. The key predictors of suicidal attempt in girls were maternal negative parenting style along with an experience of cybervictimization. For suicidal ideation, key predictors in girls were having a partner, being violent toward their mothers, or having mothers with a negative parenting style, along with intensive social media use. For suicidal ideation in boys, cybervictimization in the absence of other relationship problems was the key predictor. These exploratory findings suggest different gender-based risk profiles to consider for targeted prevention strategies.

摘要

青少年自杀已成为西班牙一个严重的公共卫生问题,尤其是在新冠疫情之后。该研究有两个目标:(1)在一系列家庭、同伴和学校关系因素中探索青少年自杀倾向的关键风险因素;(2)分析这些因素之间的具体相互作用。这些目标涉及区分自杀意念和自杀未遂以及参与者的性别。研究参与者为3252名在西班牙义务制中学就读的青少年,年龄在11至17岁之间(49.3%为男生)。方差分析和卡方检验用于组间比较,条件推断树分析用于多变量分析。母亲和父亲的消极养育方式、性别、有伴侣、儿童对母亲的暴力行为、网络受害以及社交媒体使用频率依次为相关预测因素。树模型生成了一系列有用的决策规则,以识别高风险青少年亚组。女孩自杀未遂的关键预测因素是母亲的消极养育方式以及网络受害经历。对于自杀意念,女孩的关键预测因素是有伴侣、对母亲有暴力行为、母亲有消极养育方式以及频繁使用社交媒体。对于男孩的自杀意念,在没有其他关系问题的情况下网络受害是关键预测因素。这些探索性发现表明,在制定针对性预防策略时需要考虑不同的基于性别的风险概况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e30a/12319605/aa12922a466e/1132-0559-pi-34-3-0161-gf01.jpg

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