The Role of Perceived Hyper-Surveillance in Adolescent Suicide Risk.

IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL
Franchesca Castro-Ramirez, Taylor C McGuire, Maha Al-Suwaidi, Jordyn R Ricard, Jocelyn A Ricard, Felipe Herrmann, Kilando Q Chambers, Melissa Shang, Grant Jones, Matthew K Nock
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Abstract

Objective: Adolescent suicide is a worsening public health crisis. Amid rising authoritarian policies that disproportionately target minoritized youth, the psychological costs of hyper-surveillance (targeted, punitive monitoring) remain unexamined. This study provides an initial operationalization of perceived hyper-surveillance to examine its relationship with suicide ideation (SI) severity, suicide attempts, and antisocial behavior, beyond the effects of discrimination and violence exposure.

Method: In a cross-sectional study of 476 adolescents (13-17 years; 63% Black; 55% male-identifying) recruited online and in community settings. Hyper-surveillance was operationalized using items from validated measures that captured experiences across community and school settings. Multivariable regression models tested associations between traumatic-stress symptoms, hyper-surveillance, SI severity, suicide attempts, and antisocial behavior. Thematic analysis explored how adolescents believed hyper-surveillance contributed to suicide risk.

Results: Traumatic-stress symptoms and hyper-surveillance were independently associated with increased SI severity and suicide attempts (ps < .001). Hyper-surveillance moderated associations between traumatic-stress symptoms and both SI severity and antisocial behavior. Those with darker skin tones experienced disproportionately more hyper-surveillance independent of antisocial behavior. Over half (58.3%) of adolescents with SI reported that hyper-surveillance contributed to their desire to die; qualitative themes reflected negative affect and beliefs about themselves, others, and the world.

Conclusion: Amid expanding surveillance infrastructure in schools and communities (with known disparities in how these systems operate), these findings provide initial evidence that perceived hyper-surveillance functions as a modifiable risk factor for youth suicide. Clinical assessment of punitive surveillance experiences should be integrated into suicide risk evaluation for adolescents.

知觉高度监视在青少年自杀风险中的作用。
目的:青少年自杀是一种日益恶化的公共卫生危机。随着越来越多的专制政策不成比例地针对少数族裔青年,过度监控(有针对性的惩罚性监控)的心理成本仍未得到检验。除了歧视和暴力暴露的影响外,本研究提供了感知性超监视的初步操作,以研究其与自杀意念(SI)严重程度、自杀企图和反社会行为的关系。方法:在一项横断面研究中,476名青少年(13-17岁,63%为黑人,55%为男性)在网上和社区环境中招募。利用从经过验证的措施中收集的项目,在社区和学校环境中进行超级监测。多变量回归模型检验了创伤应激症状、过度监视、SI严重程度、自杀企图和反社会行为之间的关联。专题分析探讨了青少年如何认为过度监控会增加自杀风险。结果:创伤应激症状和过度监控与SI严重程度的增加和自杀企图独立相关(ps结论:随着学校和社区监控基础设施的扩大(这些系统的运作方式已知存在差异),这些发现提供了初步证据,表明过度监控是青少年自杀的一个可改变的风险因素。惩罚性监视经历的临床评估应纳入青少年自杀风险评估。
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
CiteScore
9.70
自引率
4.80%
发文量
58
期刊介绍: The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.
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