在少数种族和族裔青少年中,与自杀意念、自杀未遂和重复性非自杀性自伤有关的结构性不良童年经历。

IF 2.7 3区 医学 Q2 PSYCHIATRY
Patricia I Jewett, Lindsay A Taliaferro, Iris W Borowsky, Michelle A Mathiason, Eunice M Areba
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引用次数: 0

摘要

导言:在美国一些少数民族青少年群体中,自杀意念(SI)、自杀未遂(SA)和重复性非自杀性自伤(NSSI)的高发率可能与具有结构性根源的不良童年经历(ACEs)有关:我们使用 2013-2019 年明尼苏达州学生调查,评估了学生报告的结构性 ACE(父母入狱、住房不稳定、食品不安全和寄养)与过去 12 个月内的 SI、SA 和重复性 NSSI 的关联,并使用多层次逻辑回归对种族群体进行分层(美国印第安人/阿拉斯加原住民 [AIAN]、苗族、其他亚裔、黑人和其他亚裔)、苗族、其他亚裔、黑人拉丁裔、其他拉丁裔、索马里人、其他黑人/非洲裔美国人 [AA]、夏威夷原住民/太平洋岛民 [NHPI] 和多种族)进行分层,并根据性别、年级、家庭中的 ACE、心理健康治疗和安全感进行调整。结果显示结构性 ACE 与 SI、SA 和 NSSI 的增加密切相关。当结构性 ACE ≥2 时,重复性 NSSI 率为 7%至 29%(女性),8%至 20%(男性);SA 率为 13%至 35%(女性),10%至 22%(男性);SI 率为 31%至 50%(女性),20%至 32%(男性)。拉丁裔黑人、非华裔印度人、亚裔美国人和黑人/非裔美国人学生最常报告结构性 ACE 暴露:结论:减少结构性 ACE 可减少少数民族青少年群体中的 SI、SA 和重复性 NSSI。对不同的青少年群体进行分类,发现了这些结果中的差异,而这些差异在对亚群体进行汇总时仍然是隐性的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Structural adverse childhood experiences associated with suicidal ideation, suicide attempts, and repetitive nonsuicidal self-injury among racially and ethnically minoritized youth.

Introduction: High rates of suicidal ideation (SI), suicide attempts (SA), and repetitive nonsuicidal self-injury (NSSI) among some ethnoracially minoritized United States youth populations may be related to adverse childhood experiences (ACEs) with structural roots.

Methods: Using the 2013-2019 Minnesota Student Surveys, we assessed associations of student-reported structural ACEs (parental incarceration, housing instability, food insecurity, and foster care involvement) with SI, SA, and repetitive NSSI within the past 12 months using multilevel logistic regression stratified by ethnoracial group (American Indian/Alaskan Native [AIAN], Hmong, other Asian, Black Latino, other Latino, Somali, other Black/African American [AA], Native Hawaiian/Pacific Islander [NHPI], and multiracial), and adjusted for sex, grade, ACEs experienced within one's household, mental health treatment, and perceived safety.

Results: Structural ACEs were strongly associated with increasing SI, SA, and NSSI. At ≥2 structural ACEs, repetitive NSSI rates ranged from 7% to 29% (female), 8% to 20% (male); SA rates ranged from 13% to 35% (female), 10% to 22% (male); and SI rates ranged from 31% to 50% (female), 20% to 32% (male). Black Latino, NHPI, AIAN, and Black/AA students most often reported structural ACE exposures.

Conclusion: Reducing structural ACEs may reduce SI, SA, and repetitive NSSI among ethnoracially minoritized youth populations. Disaggregating diverse youth groups revealed variations in these outcomes that remain hidden when subpopulations are aggregated.

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来源期刊
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
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.
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