青少年自杀风险相关因素的环境系统分析

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摘要

目的 本研究旨在探讨影响青少年自杀风险的因素,并对初中生和高中生进行比较,为制定有针对性的计划提供依据。方法 以忠清南道日外郡(Ilgae-gun)527 名青少年的安全感调查结果为基础,对相关变量进行测量和分析。使用t检验和方差分析法分析了个人系统、环境系统和社会系统因素的自杀风险。使用层次回归分析比较了模型 1、模型 2 和模型 3 中的风险因素。结果 青少年自杀的风险因素包括个人、环境和社会系统因素,即抑郁、学校不适应、性暴力经历和暴力受害经历。在初中生中,抑郁、性暴力、受害经历和学校不适应是最重要的自杀风险因素,其次是与教师的负面关系。对于高中生来说,抑郁、暴力受害、学校不适应、性暴力受害和消极的同伴关系依次是自杀风险的消极预测因素,而校园暴力的实施则是自杀风险的消极预测因素。结论 作为青少年自杀的风险因素,环境和社会关系比个人偏差更具影响力。抑郁和性侵害是初中生和高中生自杀的主要风险因素,但在初中阶段尤为突出。在高中阶段,学校中的人际关系冲突被认为是自杀的主要风险因素,其中校园暴力和学校不适应的受害程度较高,同时还有负面的同伴关系。由于性暴力因素在初中生和高中生中都是高危因素,因此建议有必要对青少年进行性别敏感性教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Environmental Systematic Analysis of factors associated with adolescent suicide risk
Objectives The purpose of this study was to explore the factors affecting adolescent suicide risk and to compare middle and high school students as a basis for developing targeted programs. Methods Based on the results of the safety perception survey of 527 adolescents in Ilgae-gun, Chungcheongnam-do, relevant variables were measured and used in the analysis. The suicide risk for individual system, environmental system, and social system factors were analyzed using t-test and analysis of variance. Hierarchical regression analysis was used to compare the risk factors in Model 1, Model 2, and Model 3. Results The risk factors for suicide among adolescents that included individual, environmental, and social system factors were depression, school maladjustment, experience of sexual violence, and experience of being victimized by violence. In middle school students, depression, sexual violence, victimization, and school maladjustment were the most important risk factors for suicide, followed by negative relationships with teachers. For high school students, depression, victimization of violence, school maladjustment, victimization of sexual violence, and negative peer relationships, in that order, and perpetration of school violence were negative predictors of suicide risk. Conclusions The environment and social relationships are more influential than individual deviance as risk factors for suicide in youth. Depression and sexual victimization were major risk factors for both middle and high school students, but were particularly strong in middle school. In high school, relationship conflicts at school were identified as a major risk factor for suicide, with victimization of school violence and school maladjustment being high, along with negative peer relationships. As sexual violence factors were high risk factors in both middle and high school students, it is suggested that gender sensitivity education for adolescents is necessary.
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