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青少年自杀和欺凌的风险因素:国际综合述评。

Risk factors for teen suicide and bullying: An international integrative review.

机构信息

Complex/semi-critical care unit, Verge de la Cinta Hospital, Tortosa, Spain.

Department and Faculty of Nursing, University of Rovira i Virgili, Tortosa, Spain.

出版信息

Int J Nurs Pract. 2021 Jun;27(3):e12930. doi: 10.1111/ijn.12930. Epub 2021 Apr 8.

Abstract

AIM

This study aimed to analyse risk and protective factors for teen suicide and bullying.

BACKGROUND

Research shows that high percentages of bully-victims report suicidal thinking or suicide attempts.

DESIGN

This was an international integrative review.

DATA SOURCES

Five databases including CINAHL, Scopus, PubMed, Google Scholar and Cuiden were searched between January 2010 and December 2020.

REVIEW METHODS

Review methods included problem identification; search, evaluation and analysis of literature; and presentation of results.

RESULTS

Eighteen studies were included. We grouped the selected articles into seven thematic categories. The most significant risk factors were being male, having a previous personal and/or family suicide attempt, mental health problems, substance abuse, previous physical and/or sexual abuse, low socio-economic level, belonging to a single-parent family, underachievement, family dysfunction and violent environment. The most common protective factors for both suicide and bullying were being female, having good mental health, belonging to a two-parent family, safe school environment, good family relationships and having an involved teacher.

CONCLUSION

Suicide resulting from bullying is a social and public health problem, so nurse practitioners and paediatric primary care nurses have a responsibility to educate teachers and parents in order to promote early detection and the development of more effective prevention and action plans.

摘要

目的

本研究旨在分析青少年自杀和欺凌的风险和保护因素。

背景

研究表明,高比例的受欺凌者报告有自杀想法或尝试自杀。

设计

这是一项国际综合回顾。

资料来源

2010 年 1 月至 2020 年 12 月期间,在 CINAHL、Scopus、PubMed、Google Scholar 和 Cuiden 五个数据库中进行了搜索。

综述方法

综述方法包括问题识别;文献搜索、评估和分析;以及结果呈现。

结果

纳入了 18 项研究。我们将选定的文章分为七个主题类别。最显著的风险因素包括男性、有个人和/或家庭自杀史、心理健康问题、药物滥用、以前的身体和/或性虐待、社会经济水平低、单亲家庭、成绩不佳、家庭功能障碍和暴力环境。自杀和欺凌的最常见保护因素是女性、良好的心理健康、来自双亲家庭、安全的学校环境、良好的家庭关系和有参与的老师。

结论

欺凌导致的自杀是一个社会和公共卫生问题,因此执业护士和儿科初级保健护士有责任教育教师和家长,以促进早期发现,并制定更有效的预防和行动计划。

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