O'Donnell Lydia, O'Donnell Carl, Wardlaw Dana Meritt, Stueve Ann
Education Development Center, Inc., Newton, Massachusetts 02458, USA.
Am J Community Psychol. 2004 Mar;33(1-2):37-49. doi: 10.1023/b:ajcp.0000014317.20704.0b.
For decades, suicide rates among minority African American and Latino young people have been stable and, when compared with Whites, relatively low. This is no longer the case, underscoring the need for documenting and understanding the problem of suicidality in this population. We report on the prevalence and predictors of suicidality among 879 urban adolescents in the Reach for Health study. All youth resided in economically disadvantaged neighborhoods; 69% were African American, 16% Latino, and 15% reported mixed or other ethnicity. In the past year, 15% had seriously considered suicide; 13% had made a suicide plan, 11% had attempted suicide at least once, and 4% reported multiple attempts. Risk factors significantly related to suicidal ideation are being female, having basic needs unmet, engaging in same-gender sex, and depression. Resiliency factors include family closeness and, marginally, religiosity. Risk factors related to reports of suicide attempts are being female, being Hispanic, and depression; family closeness is strong resiliency factor. Family composition, ethnic identity, coping style, peer support, and school attachment are not significant correlates of suicidal ideation or attempts.
几十年来,非裔美国和拉丁裔少数族裔年轻人的自杀率一直保持稳定,与白人相比相对较低。但现在情况已非如此,这凸显了记录和了解该人群自杀问题的必要性。我们在“追求健康”研究中报告了879名城市青少年自杀倾向的患病率及预测因素。所有青少年都居住在经济条件不利的社区;69%是非裔美国人,16%是拉丁裔,15%报告为混合或其他种族。在过去一年中,15%的人曾认真考虑过自杀;13%的人制定了自杀计划,11%的人至少尝试过一次自杀,4%的人报告有多次自杀尝试。与自杀意念显著相关的风险因素包括女性、基本需求未得到满足、同性性行为和抑郁。复原力因素包括家庭亲密程度,宗教信仰的影响较小。与自杀未遂报告相关的风险因素包括女性、西班牙裔和抑郁;家庭亲密程度是很强的复原力因素。家庭构成、种族认同、应对方式、同伴支持和学校归属感与自杀意念或自杀未遂并无显著关联。