儿科

订阅

MedSci主页 / 所有栏目 / 儿科

JAMA子刊：“脑震荡”还会加重青少年自杀风险种族？不仅如此，这种影响还可能跟性别、种族相关！

2022-07-08 liangying MedSci原创

关注

临床医生在评估运动或娱乐相关的脑震荡对美国青少年自杀风险的作用时，应考虑种族、民族和性别因素的影响。

据报道，年轻人脑震荡发病率和自杀未遂率存在种族、种族和性别差异，但这些变量的相互作用的数据是缺乏的。了解种族和民族是如何与性别和脑震荡相互作用从而影响自杀企图的，可以获得有关美国青年脑损伤和心理健康的社会文化影响的关键信息。本研究的目的是研究脑震荡史、种族和民族、性别与青少年自杀企图之间的关系。

这项基于人群的横断面队列研究使用了2017年至2019年间美国青年风险行为监测系统（YRBSS）调查受访者的数据。数据分析时间为2021年5月至2022年1月。受访者报告了过去12个月内与运动或娱乐相关的脑震荡（是或否）、抑郁症（是或否）和自杀未遂（是或否），以及种族和民族（分类为美洲印第安人或阿拉斯加原住民、亚洲人、黑人、西班牙裔/拉丁裔、多种族、夏威夷原住民或其他太平洋岛民以及白人）和性别（男性或女性）。

建立了两个卡方自动交互检测(CHAID)决策树模型。第一组为有抑郁史的自杀未遂(SA-DEP)，第二组为无抑郁史的自杀未遂(SA–NO DEP)。CHAID利用危险因素(如脑震荡次数、种族和民族、性别)将研究样本划分为一系列相互嵌套的亚组。计算每个亚组的风险比(RRs)和95% CI，以提供疗效评估。

结果共有28442名年龄在18岁以下的青少年（平均[SD]年龄，14.6[3.0]岁；14411名[50.7%]女性）参与了调查。CHAID决策树揭示了种族、性别和试图自杀的脑震荡史之间的复杂交互作用，这与抑郁症史不同（总体准确率为84.4%-97.9%）。

与报告前一年自杀企图相关变量的单变量逻辑回归模型

总的来说，抑郁史是与SA最密切相关的变量。脑震荡是与SA-DEP最密切相关的变量。与其他人相比，黑人、西班牙裔/拉丁裔或多种族和族裔与SA-DEP风险增加相关，美国印第安或阿拉斯加土著、黑人、西班牙裔/拉丁裔种族和种族与SA-NO DEP风险增加相关。

总之，这些发现表明，临床医生在评估运动或娱乐相关的脑震荡对美国青少年自杀风险的作用时，应考虑种族、民族和性别因素的影响。

参考文献：Eagle SR, Brent D, Covassin T, et al. Exploration of Race and Ethnicity, Sex, Sport-Related Concussion, Depression History, and Suicide Attempts in US Youth. JAMA Netw Open. 2022;5(7):e2219934. doi:10.1001/jamanetworkopen.2022.19934

版权声明：
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料，版权均属于梅斯医学所有。非经授权，任何媒体、网站或个人不得转载，授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章，或“梅斯号”自媒体发布的文章，仅系出于传递更多信息之目的，本站仅负责审核内容合规，其内容不代表本站立场，本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系，我们将立即进行删除处理。
在此留言
评论区 (4)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1776656, encodeId=5aec1e76656d9, content=<a href='/topic/show?id=457f8622190' target=_blank style='color:#2F92EE;'>#自杀风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86221, encryptionId=457f8622190, topicName=自杀风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65df38986519, createdName=Eleven24, createdTime=Sat Jul 16 13:03:13 CST 2022, time=2022-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1231322, encodeId=1c1a12313229b, content=好文章，值得一读。, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Fri Jul 08 13:54:13 CST 2022, time=2022-07-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1316281, encodeId=de41131628111, content=<a href='/topic/show?id=654a85168c0' target=_blank style='color:#2F92EE;'>#脑震荡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85168, encryptionId=654a85168c0, topicName=脑震荡)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0041445, createdName=TZF0804, createdTime=Thu Jul 07 12:03:13 CST 2022, time=2022-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1243593, encodeId=6e111243593de, content=JAMA上文章都是顶级的，谢谢梅斯及时上新, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=肿瘤克星, createdTime=Wed Jul 06 00:03:13 CST 2022, time=2022-07-06, status=1, ipAttribution=)]
    2022-07-16 Eleven24

    #自杀风险#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1776656, encodeId=5aec1e76656d9, content=<a href='/topic/show?id=457f8622190' target=_blank style='color:#2F92EE;'>#自杀风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86221, encryptionId=457f8622190, topicName=自杀风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65df38986519, createdName=Eleven24, createdTime=Sat Jul 16 13:03:13 CST 2022, time=2022-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1231322, encodeId=1c1a12313229b, content=好文章，值得一读。, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Fri Jul 08 13:54:13 CST 2022, time=2022-07-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1316281, encodeId=de41131628111, content=<a href='/topic/show?id=654a85168c0' target=_blank style='color:#2F92EE;'>#脑震荡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85168, encryptionId=654a85168c0, topicName=脑震荡)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0041445, createdName=TZF0804, createdTime=Thu Jul 07 12:03:13 CST 2022, time=2022-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1243593, encodeId=6e111243593de, content=JAMA上文章都是顶级的，谢谢梅斯及时上新, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=肿瘤克星, createdTime=Wed Jul 06 00:03:13 CST 2022, time=2022-07-06, status=1, ipAttribution=)]
    2022-07-08 yangchou

    好文章，值得一读。

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1776656, encodeId=5aec1e76656d9, content=<a href='/topic/show?id=457f8622190' target=_blank style='color:#2F92EE;'>#自杀风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86221, encryptionId=457f8622190, topicName=自杀风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65df38986519, createdName=Eleven24, createdTime=Sat Jul 16 13:03:13 CST 2022, time=2022-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1231322, encodeId=1c1a12313229b, content=好文章，值得一读。, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Fri Jul 08 13:54:13 CST 2022, time=2022-07-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1316281, encodeId=de41131628111, content=<a href='/topic/show?id=654a85168c0' target=_blank style='color:#2F92EE;'>#脑震荡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85168, encryptionId=654a85168c0, topicName=脑震荡)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0041445, createdName=TZF0804, createdTime=Thu Jul 07 12:03:13 CST 2022, time=2022-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1243593, encodeId=6e111243593de, content=JAMA上文章都是顶级的，谢谢梅斯及时上新, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=肿瘤克星, createdTime=Wed Jul 06 00:03:13 CST 2022, time=2022-07-06, status=1, ipAttribution=)]
    2022-07-07 TZF0804

    #脑震荡#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1776656, encodeId=5aec1e76656d9, content=<a href='/topic/show?id=457f8622190' target=_blank style='color:#2F92EE;'>#自杀风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86221, encryptionId=457f8622190, topicName=自杀风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65df38986519, createdName=Eleven24, createdTime=Sat Jul 16 13:03:13 CST 2022, time=2022-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1231322, encodeId=1c1a12313229b, content=好文章，值得一读。, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Fri Jul 08 13:54:13 CST 2022, time=2022-07-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1316281, encodeId=de41131628111, content=<a href='/topic/show?id=654a85168c0' target=_blank style='color:#2F92EE;'>#脑震荡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85168, encryptionId=654a85168c0, topicName=脑震荡)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0041445, createdName=TZF0804, createdTime=Thu Jul 07 12:03:13 CST 2022, time=2022-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1243593, encodeId=6e111243593de, content=JAMA上文章都是顶级的，谢谢梅斯及时上新, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=肿瘤克星, createdTime=Wed Jul 06 00:03:13 CST 2022, time=2022-07-06, status=1, ipAttribution=)]
    2022-07-06 肿瘤克星

    JAMA上文章都是顶级的，谢谢梅斯及时上新

    0