Department of Psychology, Stanford University, 450 Jane Stanford Way, Stanford, CA, 94305, USA.
Departments of Psychological Science and Intercollegiate Chicana/o-Latina/o Studies, Pomona College, 647 N College Way, Claremont, CA, 91711, USA.
J Adolesc. 2021 Dec;93:161-176. doi: 10.1016/j.adolescence.2021.10.007. Epub 2021 Nov 13.
For the past several decades, Latina adolescents have consistently shown high rates of suicidal behaviors (i.e., suicidal ideation, planning, and attempts), higher than Latino adolescents and adolescents of most other ethnic groups. Yet, progress toward establishing evidence-based intervention efforts to address this urgent public health issue has been slow. The purpose of this narrative review is to summarize empirical findings on etiological factors associated with Latina adolescent suicidal behaviors using an ecodevelopmental, gender-specific framework that contextualizes Latina adolescent development.
To be included, peer reviewed empirical manuscripts had to focus on suicidal behaviors (i.e., suicide attempts, suicide plan, and/or suicidal ideation) of adolescents (ages 11-19 or in grades 7-12) who self-identified as either Latina or Hispanic and a girl in the United States.
A total of 19 studies met review criteria and focused on microsystemic and intrapersonal predictors. Microsystemic predictors included family (i.e., family-adolescent discrepancies in acculturation, family functioning, family-daughter interactions), peer (i.e., victimization, friendships), and school (i.e., functioning, achievement) factors, while intrapersonal predictors were emotional vulnerability, psychosocial functioning, and substance use.
Family-related phenomena were the most widely studied. Research on school and peer microsystems was comparatively sparse, and several promising intrapersonal development factors have been underexplored. A notable limitation of existing studies is that samples consisted primarily of U.S.-born adolescents living in urban areas. Additional research is needed to characterize factors on other ecodevelopmental levels, identify resilience processes, and examine within-group diversity among Latina adolescents. Implications for intervention and future directions are discussed.
过去几十年来,拉丁裔青少年的自杀行为(即自杀意念、计划和尝试)一直居高不下,高于拉丁裔青少年和大多数其他族裔群体的青少年。然而,在制定基于证据的干预措施以解决这一紧迫的公共卫生问题方面,进展缓慢。本叙述性综述的目的是总结与拉丁裔青少年自杀行为相关的病因因素的实证研究结果,使用一种生态发展、性别特定的框架,将拉丁裔青少年的发展置于背景之中。
为了被纳入,同行评审的实证文献必须集中于自杀行为(即自杀企图、自杀计划和/或自杀意念)的青少年(年龄 11-19 岁或 7-12 年级),他们自我认同为拉丁裔或西班牙裔,并且是美国的女孩。
共有 19 项研究符合审查标准,重点关注微观系统和个体内部预测因素。微观系统预测因素包括家庭(即家庭-青少年在文化适应、家庭功能、家庭-女儿互动方面的差异)、同伴(即受害、友谊)和学校(即功能、成就)因素,而个体内部预测因素是情绪脆弱性、心理社会功能和物质使用。
与家庭相关的现象是研究最多的。关于学校和同伴微观系统的研究相对较少,几个有前途的个体发展因素尚未得到充分探索。现有研究的一个显著局限性是,样本主要由居住在城市地区的美国出生的青少年组成。需要进一步的研究来描述其他生态发展层面的因素,确定恢复力过程,并检查拉丁裔青少年群体内的多样性。讨论了干预和未来方向的影响。