SUICIDAL IDEATION IN ADOLESCENCE - DEPRESSION, SUBSTANCE USE, AND OTHER RISK-FACTORS

被引:212
作者
KANDEL, DB
RAVEIS, VH
DAVIES, M
机构
[1] NEW YORK STATE PSYCHIAT INST & HOSP, NEW YORK, NY 10032 USA
[2] MEM SLOAN KETTERING CANC CTR, DEPT SOCIAL WORK RES UNIT, NEW YORK, NY 10021 USA
关键词
D O I
10.1007/BF01537613
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
The interrelationships of depression and suicide with adolescent drug use, delinquency, eating disorders, and the risk factors for these different problems were investigated among 597 9th and 11th graders in an urban high school. There is a strong association of drug use with suicidal ideation among girls, and a stronger relationship with attempts among girls and boys. Suicidal youths are ill-adjusted and display a lack of attachment and commitment to family and school. Causal models indicate that poor interpersonal interactions with parents, absence of peer interactions, and life events lead to depression, which in turn leads to suicidal ideation. Depressive symptoms are the strongest predictors of suicidal ideation. Among females, depression predicts drug involvement, and in turn, drug use increases suicidal ideation. Drug use is only one class of problem behaviors that constitutes a risk factor for suicidal behavior in adolescence. Delinquency and eating disorders also have direct effects on suicidal ideation beyond those of depressive affect. As for drug involvement, these problem behaviors are more predictive of suicidal behavior among girls than boys. Similarity and specificity of the predictors for problem behaviors within and between the sexes are discussed. Although young women use drugs to handle feelings of depression, drug use appears ineffective in the long run in relieving these depressive feelings. Understanding the dynamics of suicidal ideation in adolescence has important public health implications, since ideation is a strong predictor of attempts, especially among females. © 1991 Plenum Publishing Corporation.
引用
收藏
页码:289 / 309
页数:21
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