Children and Youth Services Review最新文献_第9页

Lifelines of young people with a history in residential care: A qualitative investigation from a complex systems perspective 有住宿护理历史的年轻人的生命线：从复杂系统的角度进行定性调查

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2025-12-11 DOI: 10.1016/j.childyouth.2025.108720

Rineke Bossenbroek , Jan-Ole H. Gmélin , Merlijn Olthof , Jana Knot-Dickscheit , Fred Hasselman , Evelien Poelen , Anna Lichtwarck-Aschoff

Care for youngsters in residential settings is often disorder focused rather than based on a holistic understanding of their unique developmental histories. In this study, we used a lifeline drawing method, inspired by complex systems theory, to map the life histories and broader developmental contexts of young people with residential living experience. Lifelines of wellbeing were analyzed for distinct dynamic patterns to arrive at a process explanation of how person-environment interactions shape the onset and maintenance of psychological suffering and recovery. Lifeline interviews were conducted with seven adolescents with residential living experience. Each lifeline was segmented and coded for the functioning of the person and their environment. We then sought for dynamic patterns that were repeated within and across cases. The overall line shape showed that youth experienced the majority of their lives as hardship and that their psychological problems worsened over time. While idiosyncratic in content, we found general dynamics (patterns of stability, fluctuations, and diverse change patterns) that could be linked to distinct developmental mechanisms. Fluctuating patterns pointed towards periods of instability (or crisis), during which youth appeared more sensitive to external stressors, and which typically marked the start of recovery. Whereas the worsening of youths’ problems typically occurred fast, recovery was a much slower process which required an autonomy-supported living environment, psychological interventions, and/or changes in youths’ school or living environment. We call for an interaction-based approach to diagnosis and care, in which psychological suffering is understood in the light of a person’s history and developmental context.

在寄宿环境中对青少年的照顾往往以障碍为重点，而不是基于对他们独特发展历史的全面了解。在这项研究中，我们使用生命线绘制方法，受复杂系统理论的启发，绘制具有居住生活经历的年轻人的生活史和更广泛的发展背景。幸福感的生命线被分析为不同的动态模式，以达到一个过程的解释，即人与环境的相互作用如何塑造心理痛苦和恢复的开始和维持。生命线访谈对7名有住宿生活经历的青少年进行。每条生命线都是分段的，并根据人及其环境的功能进行编码。然后，我们寻找在案例内部和案例之间重复的动态模式。整体的线条形状表明，年轻人的大部分生活都是艰难的，他们的心理问题随着时间的推移而恶化。虽然内容不同，但我们发现了与不同的发展机制相关的一般动态（稳定、波动和多样化变化模式的模式）。波动的模式指向不稳定（或危机）时期，在此期间，青年对外部压力更敏感，这通常标志着恢复的开始。虽然青少年问题的恶化通常发生得很快，但恢复的过程要慢得多，这需要一个自主支持的生活环境、心理干预和/或改变青少年的学校或生活环境。我们呼吁以互动为基础的诊断和护理方法，根据一个人的历史和发展背景来理解心理痛苦。

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引用次数: 0

‘Caring for the carers’: Compassion fatigue and associated factors in foster and kinship carers “照顾照顾者”：寄养和亲属照顾者的同情疲劳及其相关因素

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2025-12-10 DOI: 10.1016/j.childyouth.2025.108692

Christine Clark, Emily P. Taylor

Foster and kinship carers often care for traumatised children, and thus may be at risk of compassion fatigue (comprising burnout and secondary traumatic stress). This study aims to add to the emerging literature around whether compassion fatigue is present in foster and kinship carers and explore potential factors that may be associated with it. An online cross-sectional survey of 180 foster and kinship carers from the United Kingdom included measures of compassion fatigue, attachment, reflective functioning, self-efficacy, and social support. Results suggest higher levels of compassion fatigue amongst foster and kinship carers compared to helping professionals, and equivalent levels of compassion satisfaction, confirming previous findings. Regression analysis showed higher compassion fatigue was associated with lower levels of parenting satisfaction, higher attachment avoidance and higher discrepancies between perceived and enacted emotional support. Post hoc analysis showed a significant difference between source of social support for alternative caregivers with formal supports less likely to meet expectations. Descriptive statistics also highlighted low levels of reflective functioning training and low levels of household income of kinship carers within the sample. The findings are discussed in light of the timing of data collection and sampling strategy during COVID-19 restrictions. Associations between social support and attachment avoidance in relation to accessing entitled supports has implications for clinical and social services.

寄养和亲属照顾者经常照顾受创伤的儿童，因此可能面临同情疲劳的风险（包括倦怠和继发性创伤压力）。本研究旨在补充关于寄养和亲属照顾者是否存在同情疲劳的新兴文献，并探讨可能与之相关的潜在因素。一项对来自英国的180名寄养和亲属照顾者的在线横断面调查包括同情疲劳、依恋、反思功能、自我效能和社会支持的测量。结果表明，与帮助专业人士相比，寄养和亲属照顾者的同情疲劳程度更高，而同情满意度水平相同，证实了之前的发现。回归分析显示，较高的同情疲劳与较低的养育满意度、较高的依恋回避和较高的感知和实际情感支持差异相关。事后分析显示，替代照顾者的社会支持来源与不太可能满足期望的正式支持之间存在显著差异。描述性统计还强调，样本中亲属照顾者的反思功能培训水平低，家庭收入水平低。根据COVID-19限制期间的数据收集时间和抽样策略，讨论了这些发现。在获得有资格的支持方面，社会支持与依恋回避之间的关联对临床和社会服务都有影响。

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引用次数: 0

Children’s voices in disaster recovery: Lessons from the 2023 Turkey-Syria earthquake 儿童在灾后恢复中的声音：2023年土耳其-叙利亚地震的教训

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2025-12-09 DOI: 10.1016/j.childyouth.2025.108715

Ayse Yildiz , Nurcan Simsek , Aysegul Boluk

Disasters have a devastating impact on populations, with children being one of the most at-risk groups. Although their vulnerability in disasters is widely recognised, children’s own voices are still largely missing from disaster recovery research and planning. This study aims to address that gap by listening directly to the experiences and perspectives of children aged 11 to 14 in Nurdağı, Gaziantep, one of the hardest-hit areas in Türkiye, on disaster relief and recovery. Using a qualitative, child-centred approach, grounded in a socio-ecological, rights-based framework, we conducted interviews with 58 children, alongside 47 additional interviews with parents, teachers, and first responders, to understand how young people coped with life after the earthquake, what challenges they faced, and what they believe would support recovery. The findings show that children struggled with difficult living conditions, trauma, disrupted education, and changing social relationships, but they also demonstrated remarkable insight, emotional intelligence, and a desire to be involved in rebuilding their communities. Many children questioned the fairness of aid distribution and called for more attention to mental health and safer schools. Rather than portraying children as passive victims, the study highlights their capacity to reflect, adapt, and contribute. It calls for more inclusive, responsive recovery strategies that treat children as active participants in disaster planning and post-disaster rebuilding. The study offers actionable recommendations for policymakers, educators, and humanitarian practitioners to better integrate children’s perspectives into long-term recovery planning and resilience-building initiatives.

灾害对人口有着毁灭性的影响，儿童是最危险的群体之一。虽然人们普遍认识到儿童在灾害中的脆弱性，但在灾后恢复研究和规划中，儿童自己的声音仍然在很大程度上被忽视。本研究旨在通过直接倾听基耶省受灾最严重的地区之一Nurdağı加济安泰普11至14岁儿童在救灾和恢复方面的经验和观点，解决这一差距。我们采用定性的、以儿童为中心的方法，以社会生态学和权利为基础的框架为基础，对58名儿童进行了访谈，同时对47名家长、老师和急救人员进行了访谈，以了解年轻人如何应对地震后的生活，他们面临哪些挑战，以及他们认为什么可以支持恢复。研究结果表明，孩子们在艰难的生活条件、创伤、中断的教育和不断变化的社会关系中挣扎，但他们也表现出非凡的洞察力、情商和参与重建社区的愿望。许多儿童质疑援助分配的公平性，并呼吁更多关注心理健康和更安全的学校。这项研究没有把儿童描绘成被动的受害者，而是强调了他们反思、适应和贡献的能力。它呼吁制定更具包容性和响应性的恢复战略，将儿童视为灾害规划和灾后重建的积极参与者。该研究为政策制定者、教育工作者和人道主义从业者提供了可行的建议，以更好地将儿童的观点纳入长期恢复规划和复原力建设倡议。

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引用次数: 0

Family support in Europe: theory, policy and practice 欧洲的家庭支持：理论、政策与实践

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2025-12-09 DOI: 10.1016/j.childyouth.2025.108716

Lucía Jiménez, John Canavan

This special issue, Family Support in Europe: Theory, Policy and Practice, brings together contributions from the European Family Support Network (EurofamNet), a bottom-up and multidisciplinary initiative that connects researchers, practitioners, policymakers, children and family representatives across Europe to strengthen evidence-informed family support. Building on EurofamNet’s collaborative work, the collection examines development on key challenges currently shaping the field, such as mapping policies and provision at national and EU levels, developing shared conceptual frameworks, promoting quality standards and evidence-based programmes and tools, identifying the core competencies of the family support workforce, and improving the dissemination of knowledge to bridge research, policy and practice.

Across the papers, common trends and contextual differences emerge in how family support is conceptualised, implemented and evaluated. The studies highlight persistent gaps between policy aspirations and practice realities, and together offer valuable insights into the ongoing efforts to enhance quality, responsiveness and inclusiveness in family support across Europe. Taken together, these contributions outline a vision of family support that is collaborative, grounded in evidence, and committed to social justice. They also show that advancing this vision requires both local responsiveness and European cooperation, an ongoing dialogue that EurofamNet continues to foster in its mission to inform family support policy and practice across Europe.

本期特刊《欧洲家庭支持：理论、政策和实践》汇集了欧洲家庭支持网络（EurofamNet）的贡献，这是一个自下而上的多学科倡议，将欧洲各地的研究人员、从业人员、政策制定者、儿童和家庭代表联系起来，以加强循证家庭支持。在欧洲家庭网合作工作的基础上，该系列研究了目前影响该领域的主要挑战的发展情况，例如绘制国家和欧盟层面的政策和规定，制定共享的概念框架，促进质量标准和基于证据的计划和工具，确定家庭支持工作人员的核心能力，以及改善知识传播以弥合研究、政策和实践。在这些论文中，在家庭支持如何概念化、实施和评估方面出现了共同趋势和背景差异。这些研究突出了政策期望与实践现实之间的持续差距，并共同为提高整个欧洲家庭支持的质量、响应能力和包容性的持续努力提供了宝贵的见解。综上所述，这些贡献勾勒出一种协作、以证据为基础、致力于社会正义的家庭支持愿景。它们还表明，推进这一愿景既需要当地的响应能力，也需要欧洲的合作，这是欧洲家庭支持网在其使命中继续促进的一种持续对话，即为整个欧洲的家庭支持政策和实践提供信息。

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引用次数: 0

Building knowledge across borders: the first twenty years of iaOBERfcs 建立跨国界的知识：国际奥委会的头二十年

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2025-12-08 DOI: 10.1016/j.childyouth.2025.108714

Robin Spath , Patricia McNamara , Cinzia Canali , Devis Geron

引用次数: 0

Persistent poverty, poverty mobility, and young adults’ material hardship 持续贫困、贫困流动性和年轻人的物质困难

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2025-12-08 DOI: 10.1016/j.childyouth.2025.108713

Yoonzie Chung , Kathryn Maguire-Jack

Financial wellbeing during childhood shapes long-term outcomes into adulthood. This study used data from the Future of Families and Child Wellbeing Study (FFCWS) to examine inter- and intragenerational poverty among mothers in persistent poverty (n = 654), defined as living below the federal poverty threshold at least 50 % of the time through their child’s age 15. Using logistic regression, we analyzed the associations between maternal weeks worked, government assistance, and poverty mobility—both within a generation and across generations—as well as young adults’ material hardship at age 22. Independent variables included maternal employment and public benefit receipt; dependent variables included maternal poverty status change, child poverty status, and young adult material hardship. Results indicated that mothers who received public assistance had lower odds of remaining in poverty and of passing poverty to their children. Maternal factors were more predictive of intergenerational than intragenerational mobility. However, young adults who worked more weeks and received benefits were also more likely to face material hardship. These findings suggest that although assistance targets vulnerable populations, it may fall short in addressing basic needs. Further research is needed to explore persistent material hardship among young adults raised by unmarried mothers.

童年时期的财务状况会影响成年后的长期业绩。本研究使用来自未来家庭和儿童福利研究（FFCWS）的数据来检查持续贫困母亲（n = 654）的代际和代际贫困，定义为在孩子15岁之前至少有50%的时间生活在联邦贫困线以下。使用逻辑回归，我们分析了母亲工作周数、政府援助和贫困流动性之间的关系——包括一代人和跨代人——以及年轻人在22岁时的物质困难。自变量包括产妇就业和公共福利收入；因变量包括母亲贫困状况变化、儿童贫困状况和青年物质困难。结果表明，接受公共援助的母亲保持贫困和将贫困传给子女的几率较低。与代内流动性相比，母亲因素更能预测代际流动性。然而，工作时间更长并领取福利的年轻人也更有可能面临物质困难。这些发现表明，虽然援助针对的是弱势群体，但可能无法满足基本需求。需要进一步的研究来探讨未婚母亲抚养的年轻人持续的物质困难。

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引用次数: 0

Mentalization-based group intervention for parents of autistic children: insights and case studies 自闭症儿童父母心理化的团体干预：见解与个案研究

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2025-12-06 DOI: 10.1016/j.childyouth.2025.108705

Yael Enav, Natalia Kirsman, Dana Erhard-Weiss

Interventions designed to support families with autistic children often center on the child as the primary agent of change. However, growing research highlights the critical role of parental mental health in shaping both the mental and physical well-being of children. In response to this, we developed Thinking Emotions: a short-term, online, group-based intervention targeting parents as key figures in fostering change. The intervention consisted of four weekly 1.5-hour sessions conducted via Zoom with groups of 8–12 parents of autistic children (ages 2–18) recruited through social media. The sessions focused on fostering parental camaraderie, enhancing parental reflective functioning, and strengthening emotion regulation—skills that are particularly vital for autistic children, who often require additional support in developing their own mentalization and emotional regulation abilities. Parents reported noticeable improvements in their parenting approaches and a deeper understanding of their autistic children as early as the third session. To illustrate the depth of the intervention and the transformative processes parents undergo, we present two detailed case studies: one examining the dynamics and therapeutic impact of the group setting, and another offering an in-depth look at the journey of an individual parent. These case studies provide qualitative insights into the effectiveness of parental interventions in fostering emotional growth and improved parent–child relationships. Findings suggest that interventions targeting parents can serve as a powerful means of supporting families with autistic children. Future research should explore the long-term impact of such interventions and further refine strategies for sustaining parental and familial well-being.

为支持有自闭症儿童的家庭而设计的干预措施通常以儿童为中心，将其作为改变的主要动因。然而，越来越多的研究强调了父母的心理健康在塑造儿童身心健康方面的关键作用。为此，我们开发了“思考情绪”（Thinking Emotions）：一种短期的、在线的、基于群体的干预方式，目标是将父母作为促进变革的关键人物。干预包括通过社交媒体招募的8-12名自闭症儿童（2-18岁）的父母，通过Zoom进行每周四次1.5小时的会议。会议的重点是培养父母的同志情谊，增强父母的反思功能，加强情绪调节技能，这对自闭症儿童尤其重要，他们经常需要额外的支持来发展自己的心智和情绪调节能力。早在第三次治疗中，父母们就报告说，他们的育儿方法有了明显的改善，对自闭症孩子的理解也有了更深入的了解。为了说明干预的深度和父母经历的转变过程，我们提出了两个详细的案例研究：一个研究小组设置的动态和治疗影响，另一个提供了一个深入的观察父母个人的旅程。这些案例研究为父母干预在促进情感成长和改善亲子关系方面的有效性提供了定性的见解。研究结果表明，针对父母的干预措施可以作为支持自闭症儿童家庭的有力手段。未来的研究应该探索这些干预措施的长期影响，并进一步完善维持父母和家庭幸福的策略。

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引用次数: 0

The role of family environment and school climate in shaping adolescent well-being: The mediating role of positive youth development 家庭环境和学校氛围在塑造青少年幸福感中的作用：青少年积极发展的中介作用

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2025-12-02 DOI: 10.1016/j.childyouth.2025.108700

Gangxuan Yuan , Ying Tang , Bettina F. Piko

This study explores how family environment and school climate shape adolescents’ psychological well-being (EPOCH: engagement, perseverance, optimism, connectedness, happiness), with Positive Youth Development (PYD) serving as a mediating factor. Participants were Chinese adolescents (N = 2101). Latent variable Structural Equation Modeling (SEM) findings demonstrate that family environment (β = 0.14, p < 0.001) and school climate (β = 0.18, p < 0.001) significantly contribute to adolescent well-being. Additionally, family environment and school climate have positive effects on PYD (β = 0.31 and β = 0.51, respectively, ps < 0.001), which in turn has a significant role in enhancing EPOCH (β = 0.54 and p < 0.001). The mediation effect of family environment on EPOCH through PYD was 0.17 (95 % CI [0.14, 0.20], and the indirect effect of school climate on EPOCH through PYD was 0.27 (95 % CI [0.22, 0.33]), emphasizing the role of family and school settings.

本研究探讨家庭环境和学校氛围如何影响青少年的心理健康（EPOCH：投入、毅力、乐观、连通性、幸福感），并以正向青少年发展（PYD）为中介因素。参与者为中国青少年（N = 2101）。潜在变量结构方程模型（SEM）的研究结果表明，家庭环境（β = 0.14, p < 0.001）和学校氛围（β = 0.18, p < 0.001）显著影响青少年的幸福感。此外，家庭环境和学校氛围对PYD有正向影响（β = 0.31, β = 0.51, ps < 0.001）， PYD对EPOCH有显著促进作用（β = 0.54, p < 0.001）。家庭环境通过PYD对EPOCH的中介效应为0.17 (95% CI[0.14, 0.20])，学校气候通过PYD对EPOCH的间接效应为0.27 (95% CI[0.22, 0.33])，强调家庭和学校环境的作用。

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引用次数: 0

Evaluation of the Merseyside Navigator Programme: A hospital-based violence intervention programme for young people affected by or at risk of violence 对默西塞德郡领航员方案的评价：针对受暴力影响或有暴力风险的年轻人的以医院为基础的暴力干预方案

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2025-12-02 DOI: 10.1016/j.childyouth.2025.108701

Chloe R. Smith, Jane Harris, Zara A. Quigg

Youth violence is a major public health issue with profound effects on children, families, and communities. Hospital Navigator Programmes typically combine brief in-hospital interventions with intensive community-based case management to reduce risk factors for reinjury while cultivating protective factors. Such programmes are built on the concept of a “teachable moment” − periods following violent injuries when individuals are more likely to be open to adopting risk-reducing behavioural changes. Evidence for Hospital Navigator programmes is limited, and there is a lack of robust estimates of their impact within the UK context. This study aimed to describe the reach, effectiveness, adoption, implementation, and maintenance of the Merseyside Navigator Programme; a hospital-based violence intervention programme for young people affected by or at risk of violence at three hospital sites in Merseyside, England. Data was collected using qualitative interviews (n = 16) and a focus group (n = 1) with programme implementers and wider partners (n = 20). Young people (n = 14) participated through semi-structured interviews (n = 11) and qualitative questionnaires (n = 4). Online or phone interviews were conducted with parents/carers of young people (n = 3). Our findings suggest that Hospital Navigator programmes can effectively engage some young people at critical moments, increasing access to support services and improving physical and mental wellbeing, educational and employment outcomes, family relationships, and future aspirations. Key facilitators included a youth worker-led model, parental engagement, safeguarding support, flexible working hours, and ongoing awareness activities among hospital staff. Integrating Hospital Navigator Programmes into hospital structures and cultures requires significant preparatory work, complicated by UK-specific factors like short-term funding and commissioning cycles, and financial and staffing pressures within the UK health service.

青少年暴力是一个重大的公共卫生问题，对儿童、家庭和社区产生深远影响。医院导航员方案通常将简短的院内干预与密集的社区病例管理相结合，以减少再次受伤的风险因素，同时培养保护性因素。此类规划建立在“教育时刻”的概念之上，即暴力伤害之后个人更有可能采取降低风险的行为改变的时期。医院导航员计划的证据有限，并且缺乏对其在英国范围内的影响的可靠估计。本研究旨在描述默西塞德郡领航员计划的范围、有效性、采用、实施和维护；在英格兰默西塞德郡的三个医院为受暴力影响或有暴力风险的年轻人实施了以医院为基础的暴力干预方案。数据收集采用定性访谈（n = 16）和焦点小组（n = 1）与方案实施者和更广泛的合作伙伴（n = 20）。年轻人（n = 14）通过半结构化访谈（n = 11）和定性问卷（n = 4）参与。对青少年的父母/照顾者进行了在线或电话访谈（n = 3）。我们的研究结果表明，医院导航计划可以在关键时刻有效地吸引一些年轻人，增加获得支持服务的机会，改善身心健康、教育和就业成果、家庭关系和未来抱负。主要的促进因素包括青年工作者主导的模式、父母参与、保障支持、灵活的工作时间以及医院工作人员正在开展的提高认识活动。将医院导航员计划整合到医院结构和文化中需要大量的准备工作，英国特有的因素，如短期资金和调试周期，以及英国卫生服务部门的财政和人员压力，使其复杂化。

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引用次数: 0

Suicidal ideation and self-harming behaviors in treatment-seeking young children 寻求治疗的幼儿的自杀意念和自残行为

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2025-12-01 DOI: 10.1016/j.childyouth.2025.108704

Meeyoung O. Min , Devon Musson Rose , Chloe Lehman , Malinda Freitag , Jennifer Mitchell

Preschool age suicidal thoughts and self-harming behaviors (STB) is the strongest predictor of school age STB, but very little research has been conducted. The present clinical record review study of 51 children ages 2–6, mostly male and White, explored 1) the ways in which early childhood STB manifests; and 2) whether the demographic, contextual, and clinical correlates may differ by the nature and identified timing of STB. About one-third of the sample (n = 17) exhibited suicidal behaviors; 35 children (69 %) expressed either active (n = 11) or passive (n = 24) suicide ideation; 19 (37 %) demonstrated non-suicidal self-injury; and 7 (14 %) exhibited a preoccupation with death. Children with suicidal self-harming behaviors and/or active suicide ideation (n = 23, 45 %), compared to those without such suicidal manifestation (n = 28, 55 %), were more verbally aggressive (83 % vs. 61 %, p = 0.08), yet less likely diagnosed with an anxiety disorder (52 % vs. 82 %, p = 0.02). Children identified as suicidal at the initial mental health assessment (n = 25, 49 %), compared to those identified during treatment (n = 26, 51 %), were older (5.75 years vs. 4.5 years), tended to be more physically aggressive (96 % vs. 73 %, p < 0.05), endorse sadness (56 % vs. 31 %, p = 0.07), exhibit negative self-talk (24 % vs. 4 %, p < 0.05), and be affected by trauma (88 % vs. 69 %, p = 0.10). Clinical interventions focusing on the reduction of aggression and anxiety may alter the trajectory of STB across childhood, adolescence, and adulthood.

学龄前自杀念头和自残行为（STB）是学龄期STB的最强预测因子，但相关研究很少。本文对51例2-6岁儿童（主要为男性和白人）的临床记录进行回顾研究，探讨1)幼儿性传播感染的表现方式；2)人口统计学、背景和临床相关因素是否会因性传播感染的性质和确定的时间而有所不同。约三分之一的样本（n = 17）表现出自杀行为；35名儿童（69%）表现出主动（n = 11）或被动（n = 24）自杀意念；19例（37%）表现出非自杀性自残；7例（14%）表现出对死亡的关注。有自杀自残行为和/或积极自杀意念的儿童（n = 23,45 %），与没有自杀表现的儿童（n = 28,55 %）相比，言语攻击性更强（83%对61%，p = 0.08），但被诊断为焦虑症的可能性更低（52%对82%，p = 0.02）。孩子在最初认定为自杀心理健康评估(n = 25日49%),相比确定治疗期间(n = 26日51%),被老(5.75年和4.5年),往往是更多的身体侵犯(96%比73%,p & lt; 0.05),支持悲伤(56%比31%,p = 0.07),表现出消极的自我对话(24%比4%,p & lt; 0.05),和受创伤(88%比69%,p = 0.10)。注重减少攻击性和焦虑的临床干预可能会改变儿童期、青春期和成年期性传播疾病的发展轨迹。

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引用次数: 0