University of Chicago Crown Family School of Social Work, Policy, and Practice, 969 E. 60th St, Chicago, IL, 60637, USA.
J Racial Ethn Health Disparities. 2024 Feb;11(1):425-440. doi: 10.1007/s40615-023-01530-8. Epub 2023 Mar 3.
Suicides have increased among Black youth in the US, though it remains unclear if these trends persist into young adulthood. Further, even less is known about the reasons why individuals begin to consider suicide as a viable option. The current study aims to redress these gaps by identifying specific reasons for suicide among a sample of 264 Black young adults who reported experiencing suicidal thoughts within the past 2 weeks.
Participants were recruited from an online panel. Reasons for suicide were measured using eight individual items/indicators. Latent class analysis was used to detect underlying patterns in Black young adults' reasons for considering suicide.
The most commonly reported reason for considering suicide among the entire sample was feeling hopeless about the future. Black women were more likely to report considering suicide because they could not live up to other's expectations and because they felt lonely and sad. Findings for the 3-class model were retained. The first class is described as the "Somewhat hopeless and other reasons" class (n = 85; 32%). The second class is "Accomplished but extremely lonely and sad" (n = 24; 9%). The third class is described as "Pronounced feelings of failure, hopelessness, being overwhelmed, and lack of accomplishment" and includes 59% of the sample (n = 155).
Culturally grounded clinical treatments and interventions are needed to meet the specific mental health needs of Black young adults. A particular focus on identifying factors that drive feelings of hopelessness and failure is warranted.
美国黑人青年的自杀率有所上升，但目前尚不清楚这些趋势是否会持续到成年早期。此外，人们对个人开始将自杀视为可行选择的原因知之甚少。本研究旨在通过在过去 2 周内报告有过自杀念头的 264 名黑人年轻成年人样本中确定自杀的具体原因来弥补这些空白。
参与者是从在线小组中招募的。使用八项个人项目/指标来衡量自杀原因。潜在类别分析用于检测黑人年轻成年人考虑自杀的原因中的潜在模式。
在整个样本中，报告考虑自杀的最常见原因是对未来感到绝望。黑人女性更有可能报告考虑自杀，因为她们无法达到他人的期望，因为她们感到孤独和悲伤。保留了 3 类模型的结果。第一类被描述为“有些绝望和其他原因”类（n=85；32%）。第二类是“有成就但极度孤独和悲伤”（n=24；9%）。第三类被描述为“明显的失败感、绝望感、不知所措感和缺乏成就感”，包括样本的 59%（n=155）。
需要针对黑人年轻成年人的特定心理健康需求提供基于文化的临床治疗和干预措施。特别需要关注确定导致绝望和失败感的因素。
