Seattle-Denver Center of Innovation for Veteran-Centered Value-Driven Care, VA Puget Sound Health Services, Seattle, WA, USA.
University of Washington, Seattle, WA, USA.
J Racial Ethn Health Disparities. 2022 Oct;9(5):1783-1793. doi: 10.1007/s40615-021-01115-3. Epub 2021 Jul 21.
Evaluate suicide attempt prevalence and potentially related sociodemographic and psychiatric factors among racial and ethnic groups.
Between 2012 and 2013, the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) conducted semi-structured interviews with 36,309 adults in the USA. We identified lifetime suicide attempt prevalence and significant predictors for each racial/ethnic group using stratified logistic regressions. Analyses were exploratory without a priori hypotheses.
Asian/Native Hawaiian/other Pacific Islander and Black individuals had the lowest prevalence of suicide attempts while Alaska Native/American Indian and White individuals had the highest prevalence. Identifying as female and meeting criteria for psychiatric diagnoses featuring mood regulation difficulties (depression, borderline personality disorder, bipolar I disorder) were consistently related to a suicide attempt history across racial and ethnic groups, whereas substance abuse disorders and other sociodemographic factors differed between racial and ethnic groups in their associations with suicide attempt history.
Although several factors were consistently related to suicide risk across racial and ethnic groups, the prevalence of suicide attempts and overall pattern of related factors were not uniform between racial and ethnic groups.
Study findings highlight the importance of considering suicide risk within the context of race and ethnicity both regarding the overall prevalence of risk and in determining personal factors associated with elevated risk. A failure to appreciate experiences related to race and ethnicity may adversely impact suicide risk assessment and treatment, ultimately contributing to health disparities. Results suggest that additional research is warranted.
评估不同种族和族裔群体中自杀未遂的流行率以及可能与之相关的社会人口学和精神卫生因素。
2012 年至 2013 年期间，美国全国酒精和相关情况流行病学调查-III（NESARC-III）对 36309 名成年人进行了半结构化访谈。我们使用分层逻辑回归识别了每个种族/族裔群体的终生自杀未遂流行率和显著预测因素。分析是探索性的，没有先验假设。
亚裔/夏威夷原住民/其他太平洋岛民和黑人的自杀未遂率最低，而阿拉斯加原住民/美洲印第安人和白人的自杀未遂率最高。在不同种族和族裔群体中，女性和符合情绪调节困难（抑郁、边缘型人格障碍、双相 I 障碍）特征的精神科诊断标准的个体自杀未遂史的发生率始终较高，而物质滥用障碍和其他社会人口学因素与自杀未遂史的关联在不同种族和族裔群体中存在差异。
尽管几个因素在不同种族和族裔群体中与自杀风险始终相关，但自杀未遂的流行率和相关因素的总体模式在不同种族和族裔群体之间并不一致。
研究结果强调了在考虑种族和族裔背景时，既要考虑到风险的总体流行率，也要考虑到与风险增加相关的个人因素，关注自杀风险的重要性。如果不了解与种族和族裔相关的经历，可能会对自杀风险评估和治疗产生不利影响，最终导致健康差距。研究结果表明需要进一步研究。
