Maru Mihoko, Saraiya Tanya, Lee Christina S, Meghani Ozair, Hien Denise, Hahm Hyeouk Chris
Boston University School of Social Work, Boston, Massachusetts.
Gordon F. Derner School of Psychology, Adelphi University, Garden City, New York.
Women Ther. 2018;41(3-4):339-355. doi: 10.1080/02703149.2018.1430381. Epub 2018 Feb 16.
High depression and suicide rates are critical problems that have a significant impact on the lives of young Asian American women. Intimate partner violence (IPV) has been identified as a predictor of suicidality in general female samples, but no research study has examined the relationship between IPV and suicidality in a sample of 1.5 and second-generation Chinese, Korean, and Vietnamese American women. We used data collected from 173 women (aged 18-35 years) who were screened for eligibility to participate in the development and efficacy study of Asian American Women's Action for Resilience and Empowerment (AWARE). We measured the prevalence of (a) IPV, (b) lifetime suicidal ideation/intent, and (c) childhood abuse and tested the association between IPV and lifetime suicidal ideation/intent among study participants who completed the clinical screening assessments. The results indicated that seven out of 10 women in our sample experienced lifetime suicidal ideation/intent, psychological aggression was the most commonly reported form of IPV during the last six months, followed by sexual coercion, and history of physical and/or sexual partner violence had the most robust association with lifetime suicidal ideation/intent after controlling for demographic factors and childhood abuse. Our study suggests that suicide prevention and intervention programs for young 1.5 and second-generation Asian American women should not only address experiences of childhood abuse, but also incorporate culturally adapted behavioral health approaches to identify and target physical and sexual partner violence. Furthermore, any such programs need to integrate a systemic approach in addressing IPV within the context of various marginalized experiences of Asian American women.
高抑郁率和自杀率是严重问题,对年轻的亚裔美国女性的生活产生重大影响。亲密伴侣暴力(IPV)已被确定为一般女性样本中自杀倾向的一个预测因素,但尚无研究考察1.5代及第二代华裔、韩裔和越南裔美国女性样本中IPV与自杀倾向之间的关系。我们使用了从173名年龄在18至35岁之间的女性收集的数据,这些女性经过筛选符合参与“亚裔美国女性增强恢复力与赋权行动”(AWARE)的开发和疗效研究的资格。我们测量了(a)亲密伴侣暴力、(b)终生自杀意念/意图以及(c)童年期受虐情况的发生率,并在完成临床筛查评估的研究参与者中测试了亲密伴侣暴力与终生自杀意念/意图之间的关联。结果表明,我们样本中的十分之七的女性有过终生自杀意念/意图,心理攻击是过去六个月中最常报告的亲密伴侣暴力形式,其次是性胁迫,在控制了人口统计学因素和童年期受虐情况后,身体和/或性伴侣暴力史与终生自杀意念/意图的关联最为强烈。我们的研究表明,针对年轻的1.5代及第二代亚裔美国女性的自杀预防和干预项目不仅应关注童年期受虐经历,还应纳入文化适应的行为健康方法,以识别和针对身体和性伴侣暴力。此外,任何此类项目都需要在亚裔美国女性各种边缘化经历的背景下,采用系统方法来解决亲密伴侣暴力问题。