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种族/民族歧视与成年早期自杀意念:创伤应激和抑郁症状的作用因性别而异,而与种族/民族无关。

Racial/Ethnic Discrimination and Suicidal Ideation in Emerging Adults: The Role of Traumatic Stress and Depressive Symptoms Varies by Gender not Race/Ethnicity.

机构信息

The Graduate Center, CUNY, New York, NY, 10016, USA.

City College of New York, CUNY, New York, NY, 10016, USA.

出版信息

J Youth Adolesc. 2019 Oct;48(10):2023-2037. doi: 10.1007/s10964-019-01097-w. Epub 2019 Sep 20.

Abstract

Drawing from Race-Based Traumatic Stress theory, the present study examined whether traumatic stress and depressive symptoms differentially help explain the relation between racial/ethnic discrimination and suicidal ideation across gender and racial/ethnic groups. A racially/ethnically diverse group of emerging adults (N = 1344; M = 19.88, SD = 2.25; 72% female; 46% Hispanic) completed a battery of self-report measures. A cross-sectional design was employed with a series of hierarchical linear regression models and bootstrapping procedures to examine the direct and indirect relation between racial/ethnic discrimination and suicidal ideation through traumatic stress and depressive symptoms across gender and race/ethnicity. The findings suggest an indirect relation through depressive symptoms, but not traumatic stress, and a serial indirect relation through traumatic stress to depressive symptoms in young women and young men, the latter of which was stronger in young women. The indirect relations did not vary by racial/ethnic group. Cumulative experiences of racial/ethnic discrimination may impact suicide-related risk via increases in psychiatric symptomology (i.e., traumatic stress and depressive symptoms), particularly in young women. Racial/ethnic discrimination experiences should be accounted for as a potential source of psychological distress in the assessment, diagnosis, and treatment of suicidal thoughts and behavior, especially among young women endorsing traumatic stress and depressive symptoms. Further research is warranted to better understand the gender difference in the relation between racial/ethnic discrimination and suicide-related risk.

摘要

本研究借鉴基于种族的创伤后应激理论,考察了创伤后应激和抑郁症状是否在性别和种族/族裔群体中不同程度地有助于解释种族/族裔歧视与自杀意念之间的关系。一个种族/族裔多样化的新兴成年人群体(N=1344;M=19.88,SD=2.25;72%为女性;46%为西班牙裔)完成了一系列自我报告的测量。采用横断面设计,通过一系列层次线性回归模型和自举程序,检验了创伤后应激和抑郁症状在性别和种族/族裔之间通过种族/族裔歧视与自杀意念之间的直接和间接关系。研究结果表明,在年轻女性和男性中,通过抑郁症状存在间接关系,而通过创伤后应激则没有间接关系,并且通过创伤后应激到抑郁症状存在串联间接关系,后者在年轻女性中更强。这些间接关系不因种族/族裔群体而异。种族/族裔歧视的累积经历可能通过增加精神症状(即创伤后应激和抑郁症状)对与自杀相关的风险产生影响,尤其是在年轻女性中。在评估、诊断和治疗自杀意念和行为时,应将种族/族裔歧视经历视为潜在的心理困扰来源,尤其是在报告创伤后应激和抑郁症状的年轻女性中。需要进一步的研究来更好地理解种族/族裔歧视与自杀相关风险之间的性别差异。

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