Johns Hopkins University, Baltimore, MD, USA.
Maine Medical Center, Portland, ME, USA.
Qual Health Res. 2022 Jan;32(1):16-30. doi: 10.1177/10497323211045646. Epub 2021 Nov 26.
Relative to the general population, Native Americans (NA) bear a disproportionate burden of suicide-related mortality rates. NA males and females aged 15 to 24 years experience suicide rates nearly 3 times than the U.S. all races rates in this age group. Although efforts have been made to understand and reduce suicide in tribal communities, a large portion has focused on individual characteristics with less attention given to social factors that may also inform suicide. This article aims to build on a local conceptual model of NA youth suicide by examining additional potential social factors through qualitative interviews. Findings from the thematic analysis resulted in the identification of seven perceived social influences: contagion, violence and abuse, discrimination and bullying, negative expectations, spirituality, social support, and cultural strengths. Public health approaches to reduce suicide should consider local social factors that resonate with tribal communities to build resilience.
与一般人群相比，美洲原住民（NA）的自杀相关死亡率不成比例。在 15 至 24 岁年龄段，NA 男性和女性的自杀率几乎是美国所有种族这一年龄组自杀率的 3 倍。尽管已经做出努力来了解和减少部落社区的自杀，但很大一部分注意力集中在个体特征上，而较少关注可能也与自杀有关的社会因素。本文旨在通过定性访谈，在当地 NA 青年自杀概念模型的基础上，进一步探讨其他潜在的社会因素。主题分析的结果确定了七个感知到的社会影响因素：感染、暴力和虐待、歧视和欺凌、负面期望、精神信仰、社会支持和文化力量。减少自杀的公共卫生方法应考虑与部落社区产生共鸣的当地社会因素，以增强他们的适应力。
