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黑人大学生自杀风险较高:心理健康服务利用的障碍。

Black college students at elevated risk for suicide: Barriers to mental health service utilization.

机构信息

Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA.

Department of Informatics, University of California, Irvine, California, USA.

出版信息

J Am Coll Health. 2021 Apr;69(3):308-314. doi: 10.1080/07448481.2019.1674316. Epub 2019 Oct 29.

DOI:10.1080/07448481.2019.1674316
PMID:31662044
Abstract

To examine differences between Black students who do and do not screen positive for suicide risk; to describe barriers to mental health service utilization (MHSU) among participants with a positive screen and no current MHSU and; to determine if barriers vary by student characteristics. 1,559 Black students (66% female), ages 18 years and older ( = 21 years,  = 2.61) recruited from September 2015 to October 2017 across four universities. Participants completed an online survey assessing demographics, suicide risk, MHSU, and barriers to MHSU. Seventeen percent of students screened positive for risk; 66% of these students were not receiving MHS. Students who screened positive were female and younger. Perceived problem severity (74%) was reported most frequently. Efforts to improve MHSU among Black college students at risk for suicide should address students' awareness of treatable MH problems and time concerns.

摘要

目的

探讨有自杀风险和无自杀风险的黑人学生之间的差异;描述筛查阳性且当前未接受精神卫生服务的参与者的精神卫生服务利用障碍;并确定障碍是否因学生特征而异。

方法

从 2015 年 9 月至 2017 年 10 月,在四所大学共招募了 1559 名年龄在 18 岁及以上的黑人学生(66%为女性, = 21 岁, = 2.61)。参与者完成了一项在线调查,评估人口统计学、自杀风险、精神卫生服务利用情况以及精神卫生服务利用障碍。17%的学生筛查出有风险;这些学生中有 66%未接受 MHS。筛查阳性的学生为女性且年龄较小。感知到的问题严重程度(74%)是最常被报告的。

结论

为提高有自杀风险的黑人大学生的精神卫生服务利用,应关注学生对可治疗精神健康问题的认识以及对时间的关注。

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