The association between thought disturbance and suicidal ideation within and across ethnoracial groups of juvenile legal system-involved youth

IF 2.4 2区 社会学 Q1 FAMILY STUDIES
Elizabeth C. Thompson , Kaitlin Sheerin , Kara A. Fox , Nazaret Suazo , Anthony Spirito , Kathleen Kemp
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Abstract

Introduction

Psychosis-spectrum symptoms are linked to markedly high risk for suicide among youth; however, the associations between these symptoms have not been well-explored in juvenile legal system (JLS)-involved youth or across Black and Hispanic/Latinx minoritized youth, who are overrepresented within the JLS.

Methods

Participants (n = 901, aged 10–18) were diverted youth who, upon JLS intake, completed the Massachusetts Youth Screening Inventory- 2 (MAYSI-2), which probes Thought Disturbance (TD), i.e. potential psychosis-spectrum symptoms, and Suicidal Ideation (SI). Linear regression examined the association between TD and SI. A series of two-way interactions tested whether the effect of TD on SI was moderated by sex within three ethnoracial groups: Black/non-Hispanic, Hispanic/Latinx, and White/non-Hispanic youth.

Results

TD was significantly associated with SI when controlling for demographics and other MAYSI-2 scales in a test of robustness. Significant TD x sex interactions were found in the Black/non-Hispanic and Hispanic/Latinx groups. TD was significantly associated with SI for White/non-Hispanic youth, Black/non-Hispanic females, and Hispanic/Latinx females. There was no significant association between TD and SI among Black/non-Hispanic and Hispanic/Latinx males.

Conclusions

Findings indicate that TD is a significant predictor of SI for some youth, and this scale may inform suicide risk assessment within a JLS setting.
思想障碍与自杀意念之间的关系在不同种族的青少年法律系统涉及的青少年群体
精神病谱系症状与青少年自杀风险显著增高有关;然而,这些症状之间的联系尚未在少年法律系统(JLS)参与的青年或黑人和西班牙裔/拉丁裔少数民族青年中得到很好的探讨,他们在JLS中代表性过高。方法研究对象(n = 901,年龄10-18岁)为被转移的青少年,在接受JLS治疗后,他们完成了马萨诸塞州青少年筛查量表-2 (MAYSI-2),该量表旨在调查思维障碍(TD),即潜在的精神病谱系症状和自杀意念(SI)。线性回归检验了TD与SI之间的关系。一系列的双向互动测试了在三个种族群体中:黑人/非西班牙裔,西班牙裔/拉丁裔和白人/非西班牙裔青年中,TD对SI的影响是否受到性别的调节。结果在稳健性检验中,当控制人口统计学和其他MAYSI-2量表时,std与SI显著相关。在黑人/非西班牙裔和西班牙裔/拉丁裔群体中发现了显著的TD x性别互动。白人/非西班牙裔青年、黑人/非西班牙裔女性和西班牙裔/拉丁裔女性的TD与SI显著相关。在黑人/非西班牙裔和西班牙裔/拉丁裔男性中,TD和SI之间没有显著关联。结论:研究结果表明,TD是一些青少年自杀的重要预测因素,该量表可以为JLS环境下的自杀风险评估提供信息。
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来源期刊
CiteScore
6.30
自引率
6.10%
发文量
303
期刊介绍: Children and Youth Services Review is an interdisciplinary forum for critical scholarship regarding service programs for children and youth. The journal will publish full-length articles, current research and policy notes, and book reviews.
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