Perez-Rodriguez M Mercedes, Baca-Garcia Enrique, Oquendo Maria A, Blanco Carlos
Department at Ramón y Cajal University Hospital, Madrid, Spain.
Prim psychiatry. 2008 Jan 1;15(2):44-53.
Suicide is one of the leading causes of death, and suicidal ideation and attempts are a major public health problem. However, little is known about the relationship between ethnicity and suicidal behaviors.The goal of this article is to provide an update on the relationship between ethnicity and suicidal ideation and attempts. We review the rates of suicide ideation/attempts across ethnic groups in the US, and the risk factors associated with suicide attempts in each ethnic group.The results of published studies have been inconsistent. Some studies have suggested that non-Hispanic Whites have significantly higher suicide attempt risk than other ethnic groups, while two studies using national data did not find any significant relationship between race/ethnicity and suicide ideation or attempts. From the epidemiological point of view, these findings underscore the need to conduct large studies in general population samples that include enough individuals from all ethnic groups and that are large enough to detect significant effects among those groups. From the clinical point of view, mental health professionals should focus on factors that have been consistently found to be strongly associated with suicide attempts across different populations, including major depression and other psychiatric disorders, female gender, and young age.
自杀是主要死因之一,自杀意念和自杀未遂是一个重大的公共卫生问题。然而,关于种族与自杀行为之间的关系,人们了解甚少。本文的目的是提供有关种族与自杀意念及自杀未遂之间关系的最新情况。我们回顾了美国不同种族群体的自杀意念/未遂率,以及每个种族群体中与自杀未遂相关的风险因素。已发表研究的结果并不一致。一些研究表明,非西班牙裔白人的自杀未遂风险显著高于其他种族群体,而两项使用全国数据的研究未发现种族/民族与自杀意念或自杀未遂之间存在任何显著关系。从流行病学角度来看,这些发现强调了有必要在一般人群样本中开展大规模研究,这些样本应包括来自所有种族群体的足够个体,并且规模要大到足以检测出这些群体之间的显著影响。从临床角度来看,心理健康专业人员应关注那些在不同人群中一直被发现与自杀未遂密切相关的因素,包括重度抑郁症和其他精神疾病、女性以及年轻年龄。