Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, CA.
Department of Psychological Sciences, Texas Tech University.
J Am Coll Health. 2024 Oct;72(7):2295-2305. doi: 10.1080/07448481.2022.2109039. Epub 2022 Aug 23.
Suicide is the second leading cause of death among college-age students in the U.S., with disparities in suicide ideation and attempts among Latinas. The current study aims to examine if depression severity predicts suicide ideation and attempts and to examine if caregiver intergeneration acculturation conflict (IAC) moderates this link.
A sample of 246 Mexican-descent female college students.
Self-reported measures for depression severity, male and female caregiver IAC, and suicide ideation and attempts in the previous 12-months were ascertained.
In our sample, 31.1% endorsed suicide ideation and 15.9% suicide attempts. Controlling for age, both male and female caregiver IAC moderated the relationship between depression severity and suicide ideation. A similar moderation pattern emerged for the suicide attempts outcome.
Understanding this exacerbating contextual factor can help inform prevention/intervention efforts targeting Mexican-descent college students who are experiencing depressive symptoms by focusing on decreasing IAC with both caregivers.Suicide is the second leading cause of death among emerging adults, defined as 18-29-year-olds, in the United States (U.S.) and is responsible for more deaths than any single major medical illness. Significant gender and ethnic/racial disparities have been well-documented and highlight that Latina emerging adults experience some of the highest rates of suicide ideation (SI) and suicide attempts (SA) and the greatest increases in SA over time, when compared to non-Latinx White, female emerging adults. In fact, recent research suggests that Latina college students report a 1.7% prevalence rate of suicide attempts compared to 1.2% among non-Latina White college students and data trends report a nearly double increase in the percent of suicide attempts from 2011 to 2015 (from 0.9% to 1.7%) for Latinas versus a minimal change (from 1.1% to 1.2%) among non-Latina White college students. Key research examining this disparity have cited that elevated depressive symptoms, which are also experienced at higher levels among Latinx groups in the U.S., are strongly linked to SI and SA among Latinx college students and emerging adults. Developmentally, the highest risk period for the onset of SI and SA is during late adolescence or emerging adulthood and deaths due to suicide increase as adolescents move into emerging adulthood. Emerging adulthood is an even riskier developmental period for minoritized college students, like Latinx college students, because this period is marked by identity formation processes that are exacerbated by intercultural interactions on college campuses and cultural expectations at home. These data underscore the significance of detecting how unique contextual factors may interact with elevated depressive symptoms, and importantly, how these factors are associated with the increased suicide risk among Latinx college-age youth, as they represent a high-risk developmental and ethnic group.
自杀是美国大学生群体中第二大主要死因,拉丁裔群体在自杀意念和尝试方面存在差异。本研究旨在检验抑郁严重程度是否预测自杀意念和尝试,并检验照顾者代际文化适应冲突(IAC)是否调节这种关联。
246 名墨西哥裔女性大学生。
通过自我报告的抑郁严重程度、男性和女性照顾者 IAC 以及过去 12 个月的自杀意念和尝试来确定。
在我们的样本中,31.1%的人有自杀意念,15.9%的人有自杀尝试。控制年龄后,男性和女性照顾者 IAC 均调节了抑郁严重程度与自杀意念之间的关系。对于自杀尝试的结果,出现了类似的调节模式。
了解这种加剧的情境因素可以帮助针对经历抑郁症状的墨西哥裔大学生开展预防/干预工作,重点是通过减少与两个照顾者的 IAC 来减轻这种情况。自杀是美国 18-29 岁成年早期人群的第二大主要死因,其导致的死亡人数超过任何一种主要疾病。性别和种族/民族差异已得到充分记录,并突出表明,与非拉丁裔白人女性成年早期人群相比,拉丁裔成年早期人群的自杀意念(SI)和自杀尝试(SA)发生率最高,且随着时间的推移 SA 发生率增加幅度最大。事实上,最近的研究表明,拉丁裔大学生报告的自杀尝试发生率为 1.7%,而非拉丁裔白人大学生为 1.2%,而且数据趋势显示,从 2011 年到 2015 年,拉丁裔大学生的自杀尝试百分比几乎翻了一番(从 0.9%到 1.7%),而非拉丁裔白人大学生的变化最小(从 1.1%到 1.2%)。研究这一差异的关键研究表明,在美国,拉丁裔群体中也经历更高水平的抑郁症状,与拉丁裔大学生和成年早期人群的 SI 和 SA 密切相关。从发展的角度来看,SI 和 SA 发病的最高风险期是在青少年晚期或成年早期,随着青少年进入成年早期,自杀导致的死亡人数会增加。对于少数族裔大学生来说,尤其是拉丁裔大学生来说,成年早期是一个更具风险的发展时期,因为这一时期的身份形成过程因大学校园的跨文化互动和家庭的文化期望而加剧。这些数据强调了检测特定的情境因素如何与升高的抑郁症状相互作用的重要性,以及这些因素如何与拉丁裔大学生自杀风险的增加相关,因为他们代表了一个高风险的发展和种族群体。