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社会融合与原住民自杀。

Social Integration and Indigenous Suicidality.

出版信息

Arch Suicide Res. 2020;24(sup1):86-101. doi: 10.1080/13811118.2019.1572556. Epub 2019 Mar 24.

DOI:10.1080/13811118.2019.1572556
PMID:30734647
Abstract

Aspects of social integration including religion and residential stability have often been found to serve as protective factors against suicide in sociological analyses. However, empirical research on Canadian indigenous suicidality has neglected these dimensions of integration. The present study fills this gap, while controlling for other major predictors of suicide ideation (SI). Data are from a national representative sample (N = 15,294) from the 2012 Aboriginal Peoples Survey. The dependent variable is a dichotomy: lifetime prevalence of SI. Measures of social integration include religious affiliation, marital status, family ties, and residential stability. Controls are incorporated for alternative predictors of SI including psychiatric symptoms (e.g., mood disorder), economic strain, ethnicity, and demographics. Findings from a multivariate logistic regression analysis confirmed an association between SI and most measures of social integration (e.g., married persons were 14% less apt to report SI than non married persons), but not with religious affiliation. Further, each unit increase in income reduced the risk of SI by 3.8%. Psychiatric symptoms increased risk of SI (e.g., mood disorder, OR = 3.16, substance abuse, OR = 2.38), and Inuit ethnicity increased SI risk by 57% (OR = 1.57). The model explained 26.1% of the variance in SI. Generally, measures of social integration, psychiatric symptoms, and economic strain predicted SI. However, there was no evidence that religion acted as a protective factor against SI. Future research is needed on other dimensions of religion such as self-reported religiousness, which may protect against suicidality.

摘要

社会融合的各个方面,包括宗教和居住稳定性,在社会学分析中经常被发现是预防自杀的保护因素。然而,对加拿大土著自杀率的实证研究忽略了这些融合维度。本研究填补了这一空白,同时控制了自杀意念(SI)的其他主要预测因素。数据来自 2012 年原住民调查的全国代表性样本(N=15294)。因变量是二分法:终生 SI 患病率。社会融合的衡量标准包括宗教信仰、婚姻状况、家庭关系和居住稳定性。纳入了替代 SI 预测因素的控制,包括精神症状(例如,情绪障碍)、经济压力、族裔和人口统计学。多元逻辑回归分析的结果证实,SI 与大多数社会融合衡量标准(例如,已婚者报告 SI 的可能性比未婚者低 14%)之间存在关联,但与宗教信仰无关。此外,收入每增加一个单位,SI 的风险就会降低 3.8%。精神症状增加了 SI 的风险(例如,情绪障碍,OR=3.16,物质滥用,OR=2.38),因纽特族裔使 SI 的风险增加了 57%(OR=1.57)。该模型解释了 SI 方差的 26.1%。一般来说,社会融合措施、精神症状和经济压力预测了 SI。然而,没有证据表明宗教是预防 SI 的保护因素。需要对宗教的其他方面进行进一步研究,例如自我报告的宗教信仰,这可能有助于预防自杀。

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