Goodwill Janelle R, Taylor Robert Joseph, Watkins Daphne C
Arch Suicide Res. 2021 Jan-Mar;25(1):74-93. doi: 10.1080/13811118.2019.1660287. Epub 2019 Oct 10.
Suicide has remained a leading cause of death among African American males, yet empirical investigations that focus on the experiences of this group are limited. Therefore, we aim to interrogate the impact of everyday discrimination as a risk factor for depressive symptoms and suicide ideation among African American men. Data were drawn from the African American male subsample of the National Survey of American Life ( = 1,271). Path analysis and tests for indirect effects were used to examine relationships between everyday discrimination, depressive symptoms, and suicide ideation. Three sources of everyday discrimination were examined (any everyday discrimination, race-based everyday discrimination, and other everyday discrimination). Study findings revealed that race-based everyday discrimination was the only type of discrimination that was significantly associated with both increased rates of depressive symptoms and suicide ideation. Further, the indirect effect from race-based everyday discrimination to suicide ideation via depressive symptoms was also statistically significant. Thus, the impact of daily encounters with discrimination extends beyond depressive symptoms and is related to higher rates of suicide ideation. Moreover, experiences with discrimination do not have to be overt to be harmful toward African American men's mental health. Culturally relevant suicide prevention interventions are needed to account for the role of discrimination in the lives of African American men.
自杀一直是美国非裔男性的主要死因之一，但针对该群体经历的实证研究却很有限。因此，我们旨在探究日常歧视作为美国非裔男性抑郁症状和自杀意念风险因素的影响。数据取自《美国生活全国调查》中的美国非裔男性子样本（n = 1271）。采用路径分析和间接效应检验来考察日常歧视、抑郁症状和自杀意念之间的关系。研究了日常歧视的三个来源（任何日常歧视、基于种族的日常歧视和其他日常歧视）。研究结果显示，基于种族的日常歧视是唯一一种与抑郁症状和自杀意念发生率增加均显著相关的歧视类型。此外，基于种族的日常歧视通过抑郁症状对自杀意念产生的间接效应在统计学上也具有显著性。因此，日常遭遇歧视的影响不仅限于抑郁症状，还与更高的自杀意念发生率有关。此外，歧视经历不一定是明显的才会对美国非裔男性的心理健康造成伤害。需要有与文化相关的自杀预防干预措施来考虑歧视在美国非裔男性生活中的作用。
