Garcia Carolyn, Skay Carol, Sieving Renee, Naughton Sandy, Bearinger Linda H
School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA.
J Sch Health. 2008 Sep;78(9):487-95. doi: 10.1111/j.1746-1561.2008.00334.x.
Latino youth experience disproportionate rates of mental health problems including suicide and depression. Better understanding of underlying risk and protective factors on the part of school-based health professionals, teachers, and health care providers in their lives is warranted. The aims of this secondary analysis of 2004 Minnesota Student Survey data were to (1) describe the mental health status of a statewide sample of Latino 9th- and 12th-grade students; (2) explore relationships of family protective factors (communication, caring, and connection) with suicidal ideation, suicidal attempts, and emotional distress; and (3) highlight similarities and differences in family protective factors among subgroups of Latino students.
Parallel analyses were completed for Latino-only and Latino-mixed students. Bivariate logistic regression models were used to examine associations between each family variable and each study outcome.
Nearly 1 in 5 Latino high school students have had suicidal thoughts in the past year; past year suicide attempts ranged from 6% to 18.5% across grade and gender subgroups. Most concerning are ninth-grade Latino girls, a group in which 30-40% reported suicidal thoughts and 14-19% reported attempting suicide in the past year.
An important study finding is the high rate of suicidal ideation, suicide attempts, and emotional distress among students who self-identified as being of mixed ethnicity. Study findings can be used to inform mental health promotion initiatives and culturally tailor interventions with Latino students.
拉丁裔青少年面临着包括自杀和抑郁在内的心理健康问题的高比例风险。学校健康专业人员、教师和医疗服务提供者更好地了解他们生活中的潜在风险和保护因素是很有必要的。对2004年明尼苏达学生调查数据进行二次分析的目的是:(1)描述全州范围内拉丁裔九年级和十二年级学生样本的心理健康状况;(2)探讨家庭保护因素(沟通、关爱和联系)与自杀意念、自杀未遂和情绪困扰之间的关系;(3)突出拉丁裔学生亚组之间家庭保护因素的异同。
对仅拉丁裔学生和拉丁裔与其他族裔混合的学生进行了平行分析。使用二元逻辑回归模型来检验每个家庭变量与每个研究结果之间的关联。
近五分之一的拉丁裔高中生在过去一年中有过自杀念头;过去一年中,各年级和性别亚组的自杀未遂率在6%至18.5%之间。最令人担忧的是九年级的拉丁裔女孩,该群体中30%至40%的人报告有自杀念头,14%至19%的人报告在过去一年中曾试图自杀。
一项重要的研究发现是,自我认同为混血族裔的学生中自杀意念、自杀未遂和情绪困扰的发生率很高。研究结果可用于为心理健康促进倡议提供信息,并针对拉丁裔学生进行文化定制干预。