Freedenthal Stacey
Graduate School of Social work at the University of Denver, Denver, CO 80208, USA.
Suicide Life Threat Behav. 2007 Feb;37(1):22-34. doi: 10.1521/suli.2007.37.1.22.
Differences in rates and predictors of mental health service use among 2,226 Black, Hispanic, and White adolescents (aged 12-17) who reported recent suicidal thoughts or an attempt were examined. Black adolescents were 65% (OR = .65, p < .05), and Hispanic adolescents were 55% (OR = .55, p < .001), as likely as White adolescents to report service use, even when controlling for need for care and ability to secure services. Suicide attempt and psychiatric symptoms each interacted with race to increase the odds of service use uniquely for White adolescents. Results indicate that racial disparities characterize adolescents' mental health service use even when suicide risk increases.
对2226名报告近期有自杀念头或曾有过自杀企图的黑人、西班牙裔和白人青少年（年龄在12至17岁之间）的心理健康服务使用率及预测因素差异进行了研究。即使在控制了护理需求和获得服务的能力后，黑人青少年报告使用服务的可能性比白人青少年低65%（比值比=0.65，p<0.05），西班牙裔青少年比白人青少年低55%（比值比=0.55，p<0.001）。自杀企图和精神症状与种族相互作用，使得白人青少年使用服务的几率独特增加。结果表明，即使自杀风险增加，青少年心理健康服务使用情况仍存在种族差异。
