University of Michigan School of Social Work, Ann Arbor, MI USA; University of Michigan Department of Psychology, Ann Arbor, MI USA.
University of Michigan School of Public Health, Department of Health Management and Policy, Ann Arbor, MI USA.
J Affect Disord. 2020 Feb 1;262:1-7. doi: 10.1016/j.jad.2019.10.019. Epub 2019 Oct 12.
Suicide is the 2 leading cause of death among college students and 10 to 34-year-olds in the U.S. While rates of suicide among young people of color have increased, less is known about factors that contribute to suicidality among racial minority students who are sorely underrepresented within existing research. Thus, we sought to explore the association between perceived public stigma of receiving mental health treatment and suicidality among Black, Asian Domestic, Asian International, Latinx, Multiracial, Arab/Arab American, American Indian/Alaska Native, and White college students.
We analyzed cross-sectional survey responses from racially diverse sample of 153, 635 college students who participated in the Healthy Minds Study from years 2007-2018. Multivariable logistic regression was used to examine associations between perceived public stigma and suicide ideation, suicide planning, and suicide attempt.
Perceived public stigma was significantly associated with greater odds of suicide ideation, planning, and attempt. Odds of having attempted suicide within the past year were significantly greater among Asian International and Black college students. Sexual minority students broadly, and bisexual students specifically, were also at elevated risk for suicidal behavior.
Cross-sectional survey responses were assessed and causality cannot be determined.
Students who endorsed more perceived public stigma also reported significantly greater odds of having experienced suicide ideation, planning, and attempt within the past 12 months. Subsequent interventions should account for concerns surrounding public perceptions of stigma when working to prevent suicide among students of color.
自杀是美国大学生和 10 至 34 岁人群的第二大主要死因。虽然少数族裔年轻人的自杀率有所上升，但对于在现有研究中代表性严重不足的少数族裔学生中导致自杀意念的因素知之甚少。因此，我们试图探讨黑种人、亚裔美国人、亚裔国际学生、拉丁裔、多种族、阿拉伯/阿拉伯裔美国人、美洲印第安人/阿拉斯加原住民和白人大学生中感知接受心理健康治疗的公众耻辱感与自杀意念之间的关系。
我们分析了 2007 年至 2018 年参加“健康心灵研究”的 153635 名种族多样化的大学生的横断面调查响应。使用多变量逻辑回归来检验感知到的公众耻辱感与自杀意念、自杀计划和自杀企图之间的关联。
感知到的公众耻辱感与自杀意念、计划和企图的可能性显著相关。过去一年有过自杀企图的亚洲国际学生和黑种人大学生的可能性显著更高。性少数群体学生总体上，特别是双性恋学生，自杀行为的风险也更高。
横断面调查响应进行了评估，不能确定因果关系。
认为公众耻辱感更严重的学生也报告在过去 12 个月内经历自杀意念、计划和企图的可能性显著更高。后续干预措施在努力预防有色人种学生自杀时，应考虑到公众对耻辱感的看法。
