Cheref Soumia, Lane Robert, Polanco-Roman Lillian, Gadol Erin, Miranda Regina
Department of Psychology.
Cultur Divers Ethnic Minor Psychol. 2015 Jan;21(1):31-40. doi: 10.1037/a0037139. Epub 2014 Aug 11.
Among emerging adults and college students, racial and ethnic minorities experience greater risk for suicidal ideation and behavior than their White counterparts. Research has identified numerous cognitive risk factors for suicidal ideation. However, they have not been well studied among racial and ethnic minorities. The present study examined the association between these factors (brooding rumination, reflective rumination, hopelessness, and depressive symptoms) and suicidal ideation among 690 Black, Latino, and biracial college students. Among all groups, hopelessness was positively associated with suicidal ideation. Brooding was negatively associated with suicidal ideation, after adjusting for reflection and hopelessness, although only at low levels of depressive symptoms. Black race/ethnicity and Latino race/ethnicity, compared with biracial race/ethnicity, each separately interacted with reflection to predict lower levels of suicidal ideation at moderate to high levels of reflection. Furthermore, Latino race/ethnicity, compared with biracial race/ethnicity, interacted with both reflection and depressive symptoms, such that reflection was negatively associated with suicidal ideation among Latino individuals reporting depressive symptoms above the 39th percentile. Biracial race/ethnicity, compared with monoracial race/ethnicity, also interacted with reflection and depressive symptoms, with reflection associated with greater amounts of suicidal ideation at depressive symptom levels above the 39th percentile. Our findings suggest reflective rumination differentially affects racial and ethnic groups and should be considered in conjunction with depressive symptoms among Latino and biracial individuals in suicide risk assessment and treatment.
在新兴成年人和大学生中,种族和少数族裔群体比白人同龄人有更高的自杀意念和自杀行为风险。研究已经确定了许多导致自杀意念的认知风险因素。然而,在种族和少数族裔群体中对这些因素的研究还不够充分。本研究调查了690名黑人、拉丁裔和混血大学生中这些因素(沉思反刍、反思性反刍、绝望感和抑郁症状)与自杀意念之间的关联。在所有群体中,绝望感与自杀意念呈正相关。在调整了反思和绝望感因素后,沉思与自杀意念呈负相关,不过仅在抑郁症状水平较低时如此。与混血种族/族裔相比,黑人种族/族裔和拉丁裔种族/族裔在中等至高水平的反思时,各自分别与反思相互作用,预测出自杀意念水平较低。此外,与混血种族/族裔相比,拉丁裔种族/族裔与反思和抑郁症状都存在相互作用,即对于报告抑郁症状高于第39百分位数的拉丁裔个体,反思与自杀意念呈负相关。与单一种族/族裔相比,混血种族/族裔也与反思和抑郁症状存在相互作用,在抑郁症状水平高于第39百分位数时,反思与更多的自杀意念相关。我们的研究结果表明,反思性反刍对不同种族和族裔群体有不同影响,在对拉丁裔和混血个体进行自杀风险评估和治疗时,应结合抑郁症状加以考虑。