Kwon Soyoung, Han Daehoon
Department of Psychology and Sociology, Texas A & M University, Kingsville, 700 University Blvd, MSC 177, Kingsville, TX, 78363, USA.
J Immigr Minor Health. 2019 Feb;21(1):143-150. doi: 10.1007/s10903-018-0726-5.
Experiences of discrimination and mental disorder have been recognized as risks for suicidality. Yet, few studies have examined the direct and indirect effects of discrimination on suicidal ideation through mental disorder among Latino adults in the U.S. This study aimed to examine whether everyday discrimination and racial/ethnic discrimination is associated with suicidal ideation and if mental disorder (i.e., DSM-IV depressive, anxiety, and substance use) mediates the association. Discrimination was operationalized with self-reported discriminatory experience. This study applied a mediation analysis to the data from National Latino and Asian American Survey, 2002-2003. The key findings are: (a) everyday discrimination had an independent association with suicidal ideation as well as exerted an indirect effect through anxiety disorder. (b) Racial/ethnic discrimination was not directly associated with suicidal ideation, but its adverse effect on suicidal ideation was mediated by the depressive disorder.
遭受歧视和患有精神障碍已被视为自杀倾向的风险因素。然而，在美国拉丁裔成年人中，很少有研究探讨歧视通过精神障碍对自杀意念产生的直接和间接影响。本研究旨在检验日常歧视和种族/民族歧视是否与自杀意念相关，以及精神障碍（即《精神疾病诊断与统计手册第四版》中的抑郁、焦虑和物质使用障碍）是否在这种关联中起中介作用。歧视通过自我报告的歧视经历来衡量。本研究对2002 - 2003年全国拉丁裔和亚裔美国人调查的数据进行了中介分析。主要研究结果如下：（a）日常歧视与自杀意念存在独立关联，并且通过焦虑症产生间接影响。（b）种族/民族歧视与自杀意念没有直接关联，但其对自杀意念的不利影响通过抑郁症起中介作用。
