Department of Psychology, The New School.
Department of Psychology, Hunter College, CUNY.
Psychol Trauma. 2021 Oct;13(7):759-767. doi: 10.1037/tra0001076. Epub 2021 Jul 15.
Drawing on race-based trauma models, the present study examined common reactions to trauma exposure (i.e., stress sensitivity, dissociative symptoms, depressive symptoms), as potential explanatory factors in the relation between racial/ethnic discrimination and suicide-related risk among racial and ethnic minority young adults. A group of racial and ethnic minority ( = 747; 61% women; 63% U.S.-born; 34% Asian American) young adults, ages 18-29 ( = 19.84; = 2.22), completed a battery of self-report measures online. Accounting for demographics and other trauma exposures, direct and indirect associations between racial/ethnic discrimination and suicide attempt (SA) through stress sensitivity, dissociative symptoms, depressive symptoms, and suicide ideation (SI) were examined using hierarchical linear regression models and bootstrapping methods. There was a direct association between racial/ethnic discrimination and stress sensitivity, dissociative symptoms, and depressive symptoms, but not SI or SA, after accounting for demographics and trauma exposures. There was also an indirect association between racial/ethnic discrimination and SI and SA through stress sensitivity, dissociative symptoms, and depressive symptoms. Experiences of racial/ethnic discrimination may function as a source of traumatic stress in racial and ethnic minority young adults to confer risk for SI and SA via stress sensitivity, dissociation, and depressive symptoms. Addressing racial/ethnic discrimination may help reduce suicide-related risk by targeting stress-related exposures particularly relevant to racial and ethnic minority young adults. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
本研究借鉴基于种族的创伤模型，考察了创伤暴露的常见反应（即压力敏感性、分离症状、抑郁症状），作为种族/民族歧视与少数族裔年轻成年人自杀相关风险之间关系的潜在解释因素。一组少数族裔（=747；61%为女性；63%为美国出生；34%为亚裔美国人）年轻成年人，年龄在 18-29 岁之间（=19.84；=2.22），在线完成了一系列自我报告的测量。在考虑人口统计学和其他创伤暴露因素后，使用分层线性回归模型和自举方法，检验了种族/民族歧视与自杀企图（SA）之间的直接和间接关联，通过压力敏感性、分离症状、抑郁症状和自杀意念（SI）。在考虑人口统计学和创伤暴露因素后，种族/民族歧视与压力敏感性、分离症状和抑郁症状直接相关，但与 SI 或 SA 不相关。种族/民族歧视与 SI 和 SA 之间也存在间接关联，通过压力敏感性、分离症状和抑郁症状。种族/民族歧视的经历可能是少数族裔年轻成年人创伤性应激的一个来源，通过压力敏感性、分离和抑郁症状来增加 SI 和 SA 的风险。解决种族/民族歧视问题可能有助于通过针对与少数族裔年轻成年人特别相关的压力相关暴露来降低自杀相关风险。（PsycInfo 数据库记录（c）2021 APA，保留所有权利）。
