Abstract：
Commercial sexual exploitation (CSE) is a significant public health concern disproportionately affecting ethnoracially minoritized girls. Despite strong associations of CSE with suicide attempts, little is known about correlates of suicide among girls with CSE histories. Elevated rates of externalizing disorders (i.e., attention-deficit/hyperactivity disorder [ADHD], disruptive behavior disorders [DBD], conduct disorder [CD]) were observed among CSE youth, particularly in ethnoracially minoritized samples. Youth with CSE histories are frequently affected by parental incarceration, which is correlated with risk for suicide attempts. We tested cross-sectional simultaneous associations of externalizing disorders and parental incarceration with number of suicide attempts among 360 ethnoracially diverse girls affected by CSE (Mean age = 18.86). ADHD, DBD, and maternal incarceration were positively associated with number of suicide attempts. Findings implicate clinical/familial correlates of suicide attempts in this marginalized group, suggesting early suicide prevention efforts may improve traction on this problem by focusing on individual and family level factors.
摘要：
商业性性剥削（CSE）是一个重大的公共卫生问题，不成比例地影响了少数民族化的女孩。尽管CSE与自杀企图有很强的关联，对有CSE历史的女孩自杀的相关性知之甚少。外部化障碍的发生率升高(即，注意缺陷/多动障碍[ADHD]，破坏性行为障碍[DBD]，行为障碍[CD])在CSE青年中观察到，特别是在国家分类的样本中。有CSE历史的青少年经常受到父母监禁的影响，这与自杀未遂的风险相关。我们在360名受CSE影响的不同种族的女孩（平均年龄=18.86）中，测试了外部化障碍和父母监禁与自杀企图次数的横断面同时关联。多动症,DBD,产妇监禁与自杀未遂次数呈正相关。研究结果暗示了这个边缘化群体中自杀未遂的临床/家族相关性，建议早期预防自杀的努力可以通过关注个人和家庭水平的因素来改善对这个问题的关注。
