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青少年自杀行为患病率的种族文化差异。

Ethnocultural differences in prevalence of adolescent suicidal behaviors.

作者信息

Roberts R E, Chen Y R, Roberts C R

机构信息

Department of Behavioral Sciences, School of Public Health, Medical School, University of Texas-Houston Health Science Center, USA.

出版信息

Suicide Life Threat Behav. 1997 Summer;27(2):208-17.

PMID:9260303
Abstract

Data from an ethnically diverse sample of middle school students (grades 6-8; n = 5,423) are analyzed for ethnic differences in suicidal ideation, thoughts about suicide in the past 2 weeks, suicide plans, and suicide attempts. Ideation was examined using a four-item scale and a single item on suicidal thoughts. Ideation was higher among females, older youths, and lower status youths. The same general pattern held for recent suicidal plans and attempts, with the exception of gender, where the trend was for males to report more attempts. Lifetime plans and attempts were higher for females, older youths, and lower status youths. Data were sufficient to compare nine ethnic groups. Multivariate logistic regression analyses, adjusting for the effects of age, gender, and socioeconomic status, yielded significant odds ratios using the Anglo groups as the reference, for suicidal ideation for the Mexican (OR = 1.76, p < .001), Pakistani (OR = 2.0, p < .01), and Vietnamese (OR = 1.48, p < .05) American groups. For thoughts about suicide in the past 2 weeks, only Pakistani and Mixed Ancestry youths had elevated risk. For suicidal plans in the past 2 weeks, Mixed Ancestry youths (OR = 2.02, p < .05) and Pakistani youths (OR = 3.20, p < .01) had elevated risk. For recent attempts, only the Pakistani American youths had elevated risk (OR = 3.19, p < .01). Future research needs to address whether these results hold in other ethnically diverse communities and, if so, what factors contribute to increased risk among some minority youth and not others.

摘要

对来自不同种族的中学生样本(6 - 8年级;n = 5423)的数据进行分析,以研究自杀意念、过去两周内的自杀想法、自杀计划和自杀未遂方面的种族差异。使用一个四项量表和一个关于自杀想法的单项指标来检测意念。女性、年龄较大的青少年和社会地位较低的青少年的意念水平较高。近期自杀计划和未遂情况也呈现出相同的总体模式,但性别方面除外,男性报告的未遂情况较多。终生计划和未遂情况在女性、年龄较大的青少年和社会地位较低的青少年中更高。数据足以对九个种族群体进行比较。在调整了年龄、性别和社会经济地位的影响后,多变量逻辑回归分析以盎格鲁群体作为参照,得出墨西哥裔美国人(OR = 1.76,p < .001)、巴基斯坦裔美国人(OR = 2.0,p < .01)和越南裔美国人(OR = 1.48,p < .05)自杀意念的显著优势比。对于过去两周内的自杀想法,只有巴基斯坦裔和混血青少年的风险有所升高。对于过去两周内的自杀计划,混血青少年(OR = 2.02,p < .05)和巴基斯坦裔青少年(OR = 3.20,p < .01)的风险有所升高。对于近期的自杀未遂情况,只有巴基斯坦裔美国青少年的风险有所升高(OR = 3.19,p < .01)。未来的研究需要探讨这些结果在其他种族多样化的社区是否成立,如果成立,哪些因素导致一些少数族裔青少年的风险增加而另一些则没有。

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