University of California Riverside, Riverside, CA, USA.
University of California Davis, Davis, CA, USA.
Child Adolesc Ment Health. 2024 May;29(2):136-144. doi: 10.1111/camh.12708. Epub 2024 Mar 25.
Limited studies have focused on recent trends in Asian American and Pacific Islander (AAPI) youth suicide. This study aimed to evaluate epidemiological trends in AAPI youth suicide and reports of depressive symptoms among Asian and Pacific Islander youth in the USA.
This cross-sectional study analyzed mortality data from the Centers for Disease Control Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) and reports of depressive symptoms from the Youth Risk Behaviour Surveillance System (YRBSS). Data from 1999 to 2021 were analyzed for suicide rates and methods used among AAPI youth aged 5-24 years. YRBSS data from 1991 to 2021 were analyzed for depressive symptoms reported by Asian American (AA) 9th-12th graders.
From 1999 to 2021, 4747 AAPI youth died by suicide in the USA. Rates of suicide doubled from 3.6 to 7.1 per 100,000 during 1999-2021, with an increasing trend observed from 2014 onwards. The most common methods of suicide deaths in this population were suffocation, firearms and poisoning. Rates of suicide were higher among AA males than females, although more AA females reported depressive symptoms, including suicidal planning and attempts.
This study shows a concerning increase in suicide rates among AAPI youth over 1999-2021. Suffocation, firearms and poisoning were the most common methods used. While more AAPI males died by suicide, AA females reported higher rates of depressive symptoms. These findings highlight the urgent need for targeted prevention strategies and clinical interventions for this vulnerable population. The study also emphasizes the importance of addressing mental health stigma to improve reporting and support for Asian American, Native Hawaiian and Pacific Islander (AANHPI) youth.
针对亚裔美国人和太平洋岛民 (AAPI) 青年自杀的近期趋势，相关研究有限。本研究旨在评估美国 AAPI 青年自杀的流行病学趋势，以及亚裔和太平洋岛民青年报告的抑郁症状。
本横断面研究分析了疾病控制与预防中心广域在线流行病学研究数据系统 (CDC WONDER) 的死亡率数据和青年风险行为监测系统 (YRBSS) 中报告的抑郁症状数据。分析了 1999 年至 2021 年期间，5-24 岁 AAPI 青年的自杀率和使用的自杀方法。分析了 1991 年至 2021 年期间，亚裔美国 9-12 年级学生报告的抑郁症状的 YRBSS 数据。
1999 年至 2021 年期间，美国有 4747 名 AAPI 青年自杀身亡。1999-2021 年间，自杀率从每 10 万人 3.6 例增加到 7.1 例，2014 年以来呈上升趋势。该人群中自杀死亡的最常见方法是窒息、枪支和中毒。在 AAPI 男性中，自杀率高于女性，尽管更多的 AAPI 女性报告了抑郁症状，包括自杀计划和尝试。
本研究表明，1999-2021 年间，AAPI 青年的自杀率令人担忧地增加。窒息、枪支和中毒是最常用的自杀方法。尽管 AAPI 男性自杀死亡人数更多，但 AAPI 女性报告的抑郁症状发生率更高。这些发现突显了针对这一弱势群体制定有针对性的预防策略和临床干预措施的迫切需要。该研究还强调了必须消除对心理健康的污名化，以改善对亚裔美国、夏威夷原住民和太平洋岛民 (AANHPI) 青年的报告和支持。
