Temporal Trends in Correlates for Suicidal Thoughts and Behaviors Among Black High School Students in the United States, 1991-2021.

IF 2.7 3区医学 Q2 PSYCHIATRY

Suicide and Life-Threatening Behavior Pub Date : 2025-06-01 DOI:10.1111/sltb.70028

Xueqing Zhou, Xiafei Wang, Wenna Xi

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引用次数: 0

Abstract

Introduction: Suicide among Black youth has become a public health concern. To better understand the rapid increase in Black youth suicide, we aimed to determine whether there had been changes in the risk correlates and their impacts on suicidality among Black youth over the past three decades.

Methods: We analyzed four suicide-related outcomes-ideation, planning, attempts, and attempt-related injuries-using Black youth's responses from the 1991-2021 Youth Risk Behavior Survey (survey-adjusted n = 31667.12). Potential correlates considered were demographics, sexuality, injury, violence, bullying, diet, physical activity, mental health, substance use, school connectedness, and exposure to community violence. Correlate-by-year interactions were included to allow for time-varying effects of factors. Missing data were imputed five times, and logistic LASSO regressions were used to select important factors.

Results: Rates of suicidal ideation decreased from 22% (1991) to 12% (2005), then increased to 22% (2021). Suicide planning and attempts had similar trends, whereas rates of injuries remained stable (ranging from 2% to 4%). Correlates identified for all four outcomes were similar and consistent over time, including violent behaviors, substance use, body image concerns, and sex. All correlates' effects remained unchanged over time.

Conclusion: Although trends of suicidality in Black youth changed over time, correlates associated with them remained stable.

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1991-2021年美国黑人高中学生自杀念头和行为相关因素的时间趋势

黑人青年自杀已成为一个令人关注的公共卫生问题。为了更好地理解黑人青年自杀率的快速增长，我们的目的是确定在过去三十年中，黑人青年自杀的风险相关因素及其对自杀的影响是否发生了变化。方法：我们利用1991-2021年青少年危险行为调查（调查调整n = 31667.12）中黑人青年的回答，分析了四种与自杀相关的结果——意念、计划、企图和与自杀相关的伤害。考虑的潜在关联因素包括人口统计学、性行为、伤害、暴力、欺凌、饮食、体育活动、心理健康、药物使用、学校联系以及接触社区暴力。为了考虑因素的时变影响，还包括了逐年相关的相互作用。缺失数据输入5次，采用logistic LASSO回归选择重要因素。结果：自杀意念率从1991年的22%下降到2005年的12%，然后上升到2021年的22%。自杀计划和企图也有类似的趋势，而受伤率保持稳定（从2%到4%不等）。随着时间的推移，这四种结果的相关性是相似和一致的，包括暴力行为、物质使用、身体形象担忧和性。随着时间的推移，所有相关的影响都保持不变。结论：尽管黑人青年的自杀趋势随时间变化，但相关因素保持稳定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

期刊介绍： An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.