Arch Suicide Res. 2024 Apr-Jun;28(2):610-628. doi: 10.1080/13811118.2023.2199803. Epub 2023 Apr 13.
The present study asks: Is disability associated with suicidal ideation among Indigenous adults in Canada? And if so, do cultural resources-as measured by cultural identity affect, cultural group belonging, cultural engagement, and cultural exploration-modify this association?
Data were from a nationally representative sample of First Nations peoples living off-reserve, Métis, and Inuit across Canada-the 2017 Aboriginal Peoples Survey ( = 16,125). A series of weighted logistic regression models were performed.
Indigenous adults with disabilities were significantly more likely than those without disabilities to report suicidal ideation, even after controlling for socio-demographic characteristics and physical and mental health conditions. At the same time, people with multiple disabilities were at greater risk for suicidal ideation, with the largest association among those with five or more disabilities. Furthermore, the detrimental association between disability status and suicidal ideation attenuated among those who reported cultural group belonging. In a similar vein, the buffering role of cultural group belonging was also observed in the association between the number of disabilities and suicidal ideation.
This study provides compelling evidence that disability is a risk factor for suicidal ideation among Indigenous adults and that cultural group belonging plays a stress-buffering role in this relationship.
本研究提出了以下问题：残疾是否与加拿大原住民成年人的自杀意念有关？如果是，文化资源（通过文化认同、文化群体归属、文化参与和文化探索来衡量）会影响这种关联吗？
数据来自加拿大全国代表性样本的非保留地第一民族居民、梅蒂斯人和因纽特人——2017 年原住民调查（n=16125）。进行了一系列加权逻辑回归模型。
即使在控制了社会人口特征以及身体和心理健康状况后，残疾的原住民成年人报告自杀意念的可能性也显著高于没有残疾的成年人。与此同时，多重残疾的人自杀意念的风险更高，其中残疾程度达到或超过 5 级的人的关联最大。此外，残疾状况与自杀意念之间的不利关联在报告文化群体归属的人群中减弱。同样，文化群体归属在残疾数量与自杀意念之间的关联中也起到了缓冲作用。
这项研究提供了有力的证据，证明残疾是原住民成年人自杀意念的一个风险因素，而文化群体归属在这种关系中起到了减轻压力的作用。
