Department of Psychological and Brain Sciences, George Washington University.
Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia.
Am Psychol. 2023 Oct;78(7):842-855. doi: 10.1037/amp0001140. Epub 2023 Mar 13.
The significance of youth suicide as a public health concern is underscored by the fact that it is the second-leading cause of death for youth globally. While suicide rates for White groups have declined, there has been a precipitous rise in suicide deaths and suicide-related phenomena in Black youth; rates remain high among Native American/Indigenous youth. Despite these alarming trends, there are very few culturally tailored suicide risk assessment measures or procedures for youth from communities of color. This article attempts to address this gap in the literature by examining the cultural relevancy of currently widely used suicide risk assessment instruments, research on suicide risk factors, and approaches to risk assessment for youth from communities of color. It also notes that researchers and clinicians should consider other, nontraditional but important factors in suicide risk assessment, including stigma, acculturation, and racial socialization, as well as environmental factors like health care infrastructure and exposure to racism and community violence. The article concludes with recommendations for factors that should be considered in suicide risk assessment for youth from communities of color. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
青年自杀作为一个公共卫生问题的重要性,突出表现在它是全球青年的第二大主要死因。尽管白人自杀率有所下降,但黑人青年的自杀死亡人数和与自杀相关的现象却急剧上升;美洲原住民/土著青年的自杀率仍然很高。尽管存在这些令人震惊的趋势,但针对有色人种社区的青年,几乎没有针对自杀风险的文化定制评估措施或程序。本文试图通过研究当前广泛使用的自杀风险评估工具、自杀风险因素的研究以及针对有色人种社区青年的风险评估方法来解决文献中的这一空白。文章还指出,研究人员和临床医生应该考虑在自杀风险评估中其他非传统但重要的因素,包括污名化、文化适应和种族社会化,以及医疗保健基础设施和种族主义及社区暴力等环境因素。文章最后提出了针对有色人种社区青年的自杀风险评估应考虑的因素的建议。