Objectives: Suicide is one of the leading causes of death in adolescence, and the second most common cause of death among young people. The objective of this study was to identify trends in suicidal ideation by sex and ascertain factors associated with this outcome. Methods: Secular trend study with statewide coverage conducted at 5-year intervals, with 4,207 adolescents (2006), 6,264 adolescents (2011) and 6,026 adolescents (2016). Logistic regression was used to evaluate the secular trend of suicidal ideation. Multilevel logistic regressions evaluated the factors associated with suicidal ideation in the survey conducted in 2016. Results: There was a positive trend in suicidal ideation prevalence in 2016 compared to the prevalence in 2006 and 2011, in both boys and girls. Low social support, poor sleep quality, and low parental supervision were associated with suicidal ideation in boys and girls. Exposure to violence and bullying was associated with suicidal ideation only in girls. TV time and computer and videogame time were not associated with suicidal ideation in boys or girls. Conclusion: There is an alarming trend of increased suicidal ideation in adolescents. Several dimensions were associated with suicidal ideation in adolescents, especially social support, sleep quality, and parental supervision.

中文翻译：

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青少年自杀意念和相关因素的长期趋势

目的：自杀是青少年死亡的主要原因之一，也是年轻人第二大最常见的死亡原因。本研究的目的是确定不同性别的自杀意念趋势，并确定与这一结果相关的因素。方法：在全州范围内每 5 年进行一次长期趋势研究，涉及 4,207 名青少年（2006 年）、6,264 名青少年（2011 年）和 6,026 名青少年（2016 年）。Logistic回归用于评估自杀意念的长期趋势。在 2016 年进行的调查中，多级逻辑回归评估了与自杀意念相关的因素。 结果：与 2006 年和 2011 年的男孩和女孩的患病率相比，2016 年的自杀意念流行率呈正趋势。社会支持度低，睡眠质量差，和低父母监督与男孩和女孩的自杀意念有关。暴露于暴力和欺凌仅与女孩的自杀意念有关。看电视时间、电脑和电子游戏时间与男孩或女孩的自杀意念无关。结论：青少年自杀意念增加的趋势令人担忧。有几个方面与青少年的自杀意念有关，尤其是社会支持、睡眠质量和父母监督。