Brown School at Washington University in St. Louis, St. Louis, Missouri.
Brown School at Washington University in St. Louis, St. Louis, Missouri.
J Adolesc Health. 2022 Jan;70(1):91-98. doi: 10.1016/j.jadohealth.2021.07.012. Epub 2021 Aug 17.
Nearly 20% of U.S. adolescents have considered suicide. Yet, gaps remain in understanding correlates of resilience and suicide risk, especially among populations born outside the United States who may face unique migration- and acculturation-related stressors. This study adds to the literature by exploring correlates of suicide ideation among a diverse population.
This study analyzes quantitative data (N = 357) from the Study of Adolescent Lives after Migration to America, in Detroit and Harrisonburg. More than 40% of the sample was born outside the United States, with the majority born in the Middle East and North Africa. Path analysis was used to model dual outcomes of resilience and suicide ideation using measures of hope, school belonging, stressful life events, and being born outside the United States.
Suicide ideation and resilience were negatively correlated (ß = -.236[.069]; p < .001). Adolescents with greater hope (ß = .367; p < .001) and school belonging (ß = .407; p < .001) reported higher resilience, while lower levels of school belonging correlated with higher levels of suicide ideation (ß = -.248; p = .009). More stressful life events were associated with suicide ideation (ß = .243; p < .001), while fewer were correlated with resilience (ß = -.106; p = .003). Being born outside the United States was associated with suicide ideation (ß = .186; P-.015), with this finding driven by those from the Middle East and North Africa region, who faced significantly increased risk of suicide ideation (ß = .169; p = .036).
Findings suggest that adolescents born in the Middle East and North Africa region may represent a vulnerable group needing targeted and culturally responsive interventions to destigmatize mental health and psychosocial well-being, boost existing sources of resilience, and encourage help-seeking behaviors.
近 20%的美国青少年曾考虑过自杀。然而，人们对于韧性和自杀风险的相关因素仍存在理解上的差距，尤其是对于那些出生在美国境外的人群，他们可能面临着独特的移民和文化适应相关压力。本研究通过探索多元化人群的自杀意念相关因素，为文献增添了新的内容。
本研究分析了《美国移民青少年生活研究》（Detroit 和 Harrisonburg ）中定量数据（N=357）。样本中超过 40%的人出生在美国境外，其中大部分来自中东和北非。使用希望、学校归属感、生活压力事件和出生在美国境外等指标，通过路径分析来建模韧性和自杀意念的双重结果。
自杀意念和韧性呈负相关（ß=-0.236[0.069]；p<.001）。具有更高希望（ß=0.367；p<.001）和学校归属感（ß=0.407；p<.001）的青少年报告具有更高的韧性，而较低的学校归属感与更高的自杀意念相关（ß=-0.248；p=0.009）。更多的生活压力事件与自杀意念相关（ß=0.243；p<.001），而较少的生活压力事件与韧性相关（ß=-0.106；p=0.003）。出生在美国境外与自杀意念相关（ß=0.186；P<.015），这一发现主要归因于来自中东和北非地区的人群，他们自杀意念的风险显著增加（ß=0.169；p=0.036）。
研究结果表明，出生在中东和北非地区的青少年可能代表一个脆弱群体，需要有针对性和文化响应的干预措施，以消除心理健康和心理社会福祉方面的污名化，增强现有的韧性来源，并鼓励寻求帮助的行为。
