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Hành Vi Tự Tử Ở Lứa Tuổi Vị Thành Niên: Tương Tác Giữa Sự Kết Nối Với Trường Học Và Sức Khỏe Tâm Thần
Tóm tắt
Nghiên cứu trước đây đã xác định các triệu chứng sức khỏe tâm thần như trầm cảm và hành vi hung hăng là những yếu tố góp phần liên quan đến ý định tự tử và những nỗ lực tự tử ở lứa tuổi vị thành niên. Tuy nhiên, phần lớn công trình này đã tập trung vào những thanh thiếu niên lớn tuổi (trên 14 tuổi), dẫn đến sự thiếu hiểu biết về tình trạng của những thanh thiếu niên dưới 12 tuổi. Hơn nữa, còn ít thông tin về sự kết nối với trường học như một yếu tố bảo vệ trong mối quan hệ giữa triệu chứng sức khỏe tâm thần và hành vi tự tử. Nghiên cứu này đã xem xét hiệu ứng tương tác giữa sự kết nối với trường học và triệu chứng sức khỏe tâm thần đối với hành vi tự tử ở những thanh thiếu niên đầu tuổi (từ 9–12 tuổi). Dữ liệu được lấy từ Nghiên cứu Gia Đình Mong manh và Sức khỏe Trẻ em, mang lại một mẫu phân tích (n = 2826) với đa số là nam giới (52%), người da đen (53%) và có độ tuổi trung bình là 9.3 năm. Dữ liệu được phân tích bằng hồi quy logistic đa biến. Trong số những người tham gia, 2% có ý định tự tử và 2% đã từng cố gắng tự tử. Những thanh niên da đen có khả năng tự tử cao gấp hơn năm lần so với các bạn đồng trang lứa da trắng (AOR = 5.37; 95% CI = 1.71–16.95; p = .004). Có một hiệu ứng tương tác đáng kể giữa các triệu chứng trầm cảm rút lui và sự kết nối trường học (AOR = .95; 95% CI = .91–98; p = .006), và giữa hành vi hung hăng và sự kết nối trường học (AOR = 1.02; 95% CI = 1.01–1.03; p = .001) về những nỗ lực tự tử. Sự kết nối gần gũi với trường học không làm trung hòa mối quan hệ giữa triệu chứng sức khỏe tâm thần và ý định tự tử. Các phát hiện có ý nghĩa thực tiễn quan trọng, sẽ được thảo luận.
Từ khóa
#sức khỏe tâm thần #hành vi tự tử #kết nối với trường học #thanh thiếu niênTài liệu tham khảo
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