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辨别高危青少年中的自杀意念。

Discriminating suicide ideation among high-risk youth.

作者信息

Thompson E A, Moody K A, Eggert L L

机构信息

Reconnecting At-Risk Youth Research Program, University of Washington, Seattle 98195.

出版信息

J Sch Health. 1994 Nov;64(9):361-7. doi: 10.1111/j.1746-1561.1994.tb06205.x.

Abstract

This study examined the hypothesis that among one group of high-risk youth--potential high school dropouts--key psychosocial factors would distinguish adolescents endorsing high suicide ideation from those who do not. Survey data compared high-risk youth with high suicide ideation (n = 43) with randomly selected samples of high-risk (n = 43) and "typical" youth (n = 42) without high suicide ideation. Repeat sampling of comparison groups verified results. Compared to high-risk and typical youth without suicide ideation, high-risk youth with high suicide ideation reported more psychosocial distress, problems with drug involvement, and disrupted family relations. They also described more unmet school goals and perceived a greater likelihood of dropping out of school. Discriminant analysis revealed that depression and low self-esteem were most effective in distinguishing between high-risk youth with and without high suicide ideation; family strain, anger, stress, and drug involvement also were differentiating factors. Implications for school-based screening and prevention programs are discussed within the context of the findings.

摘要

本研究检验了这样一种假设

在一组高危青少年(即潜在的高中辍学者)中,关键的心理社会因素能够区分出有高自杀意念的青少年和没有自杀意念的青少年。调查数据将有高自杀意念的高危青少年(n = 43)与随机抽取的无高自杀意念的高危青少年样本(n = 43)以及“典型”青少年样本(n = 42)进行了比较。对对照组的重复抽样验证了结果。与无自杀意念的高危青少年和典型青少年相比,有高自杀意念的高危青少年报告了更多的心理社会困扰、药物滥用问题以及家庭关系破裂。他们还描述了更多未实现的学业目标,并认为辍学的可能性更大。判别分析显示,抑郁和低自尊在区分有无高自杀意念的高危青少年方面最为有效;家庭压力、愤怒、压力和药物滥用也是区分因素。研究结果的背景下讨论了对基于学校的筛查和预防项目的启示。

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