Maheen Humaira, Haregu Tilahun, Armstrong Gregory
Arch Suicide Res. 2025 Jan-Mar;29(1):189-205. doi: 10.1080/13811118.2024.2342912. Epub 2024 May 22.
Suicide is the 10th leading cause of death among Australian males. Despite the cultural diversity in Australia, there is a significant research gap in knowledge of suicidal behavior among Australian males from ethnically and culturally diverse backgrounds. The study aimed to estimate the prevalence and risk of suicidal behaviors among Australian males based on ethnicity, with an emphasis on those from ethnic-minority backgrounds.
We used data from the first wave of the Australian Longitudinal Study on Male Health. Multiple logistic regression models were used to determine the risk of suicidal behavior (lifetime suicide attempt, lifetime suicidal ideation, recent suicidal ideation) by ethnicity.
Among ethnic minority males, Pacific Islander males also had the highest prevalence of lifetime suicide attempts (12.2%), while Middle Eastern (2.3%) and South-/North-East Asian males (2.9%) had the lowest rates. South American males had the highest recent suicidal ideation (18.2%), followed by Pacific Islanders (14.2%). The highest prevalence of lifetime suicidal thoughts was reported among males of mixed ethnicity (23.0%), followed by South American (14.6%) and Pacific Islander (13.5%) males. Most ethnic-minority groups had a lower risk of lifetime suicidal ideation compared with Australian males. Evidence regarding differences in recent suicidal ideation and lifetime suicide attempts between ethnic-minority and Australian-background males was inconclusive.
Evidence was found of differences in suicidal behaviors among Australian males based on ethnicity. Future research should use inclusive methodologies to confirm these associations and explore the underlying factors contributing to higher rates of suicidal behavior in specific populations.
自杀是澳大利亚男性的第十大死因。尽管澳大利亚存在文化多样性，但在来自不同种族和文化背景的澳大利亚男性中，关于自杀行为的知识存在重大研究空白。该研究旨在根据种族估计澳大利亚男性自杀行为的患病率和风险，重点关注来自少数族裔背景的男性。
我们使用了澳大利亚男性健康纵向研究第一波的数据。多元逻辑回归模型用于确定按种族划分的自杀行为风险（终生自杀未遂、终生自杀意念、近期自杀意念）。
在少数族裔男性中，太平洋岛民男性终生自杀未遂的患病率也最高（12.2%），而中东男性（2.3%）和南亚/东北亚男性（2.9%）的患病率最低。南美洲男性近期自杀意念的患病率最高（18.2%），其次是太平洋岛民（14.2%）。据报告，混血男性中终生自杀念头的患病率最高（23.0%），其次是南美洲男性（14.6%）和太平洋岛民男性（13.5%）。与澳大利亚男性相比，大多数少数族裔群体终生自杀意念的风险较低。关于少数族裔男性与澳大利亚背景男性在近期自杀意念和终生自杀未遂方面的差异的证据尚无定论。
发现有证据表明澳大利亚男性的自杀行为因种族而异。未来的研究应采用包容性方法来证实这些关联，并探索导致特定人群自杀行为发生率较高的潜在因素。
