Droege Jocelyn R, Robinson W LaVome, Jason Leonard A
Center for Community Research, DePaul University, Chicago, IL 60614.
Department of Psychology, DePaul University, Chicago, IL 60614.
SOJ Nurs Health Care. 2017;3(2). doi: 10.15226/2471-6529/3/2/00130. Epub 2017 May 31.
Overall rates of African American adolescent suicide have been increasing for the past 50 years; however, the research literature examining factors related to suicide for these vulnerable youth is sparse. The shortage of research literature on suicidality protective factors is particularly significant. Little is known about the impact of protective factors on African American youth, especially within subgroups (e.g., gender and socioeconomic status). Approximately 40% of African American youth live in poverty, exposing them to contextual stressors that place them at increased risk for suicidality. Females are significantly more likely to have suicidal ideation and make attempts, whereas males surpass females in their rates of completions. To better understand suicidality protective factors, we conducted a systematic review of the research literature on protective factors for African American adolescents, with a focus on gender differences and urban, low-income youth. This review yielded 26 articles that met inclusion criteria and identified protective factors in the following categories: familial, religiosity-based, relational/social, personal, and socioecological. Gender differences and protective factors for urban, low-income youth are discussed, regarding their role in the prevention of suicidality. This review highlights a need for further research to identify and clarify suicidality protective factors for African American adolescents.
在过去50年里,非裔美国青少年的自杀率总体呈上升趋势;然而,研究这些脆弱青少年自杀相关因素的文献却很稀少。关于自杀保护性因素的研究文献短缺尤为明显。对于保护性因素对非裔美国青少年的影响,尤其是在亚组(如性别和社会经济地位)中的影响,人们知之甚少。大约40%的非裔美国青少年生活在贫困中,这使他们面临一些情境压力源,从而增加了自杀风险。女性出现自杀意念和尝试自杀的可能性明显更高,而男性的自杀完成率超过女性。为了更好地理解自杀保护性因素,我们对有关非裔美国青少年保护性因素的研究文献进行了系统综述,重点关注性别差异以及城市低收入青少年。这一综述产生了26篇符合纳入标准的文章,并确定了以下几类保护性因素:家庭、基于宗教信仰、人际关系/社会、个人以及社会生态方面的因素。文中讨论了性别差异以及城市低收入青少年的保护性因素在预防自杀方面的作用。这一综述强调需要进一步开展研究,以确定和阐明非裔美国青少年的自杀保护性因素。