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审视美国亚裔美国人自杀的病因。

Examining the Etiology of Asian American Suicide in the United States.

作者信息

DiBenedetti Cassie, Zimmerman Gregory M, Fridel Emma E

机构信息

School of Criminology and Criminal Justice, Northeastern University, 204 Churchill Hall 360 Huntington Avenue, 02115, Boston, MA, USA.

College of Criminology and Criminal Justice, Florida State University, 112 S. Copeland Street, Tallahassee, FL, 32304, USA.

出版信息

J Racial Ethn Health Disparities. 2024 Jun 3. doi: 10.1007/s40615-024-02039-4.

DOI:10.1007/s40615-024-02039-4
PMID:38829567
Abstract

Research highlights racial and ethnic disparities in suicide, but Asian American suicide receives very little attention in the literature. This is the first comprehensive, large-scale, nationally representative study of completed suicide among Asian Americans in the United States. Descriptive and multilevel regression techniques compared the risk factors for completed suicide across 227,786 Asian American, White, African American, Hispanic, and American Indian suicide decedents from 2003 to 2019. Results indicated that Asian American suicide decedents were significantly less likely than their counterparts to have several risk factors for suicide. Asian Americans were less likely to be male, uneducated, and unmarried. Asian Americans were less likely to use alcohol and drugs, to have mental health problems, and to die by firearm, relative to other suicide methods. Asian Americans were less likely to have a history of prior suicide attempts, to have intimate partner problems, and to have criminal legal problems. Conversely, Asian Americans were more likely to reside in places with higher levels of concentrated disadvantage, residential instability, racial and ethnic heterogeneity, and population density. The results underscore the need for race-specific suicide prevention strategies that, for Asian Americans in particular, take into account cultural values and barriers to help-seeking behavior.

摘要

研究突出了自杀方面的种族和族裔差异,但日裔美国人的自杀在文献中很少受到关注。这是美国首次针对日裔美国人自杀身亡情况进行的全面、大规模、具有全国代表性的研究。描述性和多层次回归技术比较了2003年至2019年间227,786名日裔美国人、白人、非裔美国人、西班牙裔和美国印第安人自杀死亡者的自杀风险因素。结果表明,日裔美国人自杀死亡者出现多种自杀风险因素的可能性明显低于其他群体。日裔美国人男性、未受过教育和未婚的可能性较小。与其他自杀方式相比,日裔美国人使用酒精和毒品、有心理健康问题以及死于枪支的可能性较小。日裔美国人有过自杀未遂史、有亲密伴侣问题以及有刑事法律问题的可能性较小。相反,日裔美国人更有可能居住在劣势集中程度较高、居住不稳定、种族和族裔异质性以及人口密度较高的地方。研究结果强调了制定针对特定种族的自杀预防策略的必要性,特别是对于日裔美国人,这些策略要考虑到文化价值观以及寻求帮助行为的障碍。

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本文引用的文献

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Fam Syst Health. 2024 Mar;42(1):101-115. doi: 10.1037/fsh0000835. Epub 2023 Aug 24.
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"Keep up the messages, sometimes it was a lifesaver": Effects of cultural adaptation on a suicide prevention clinical trial in American Indian/Alaska Native communities.“保持这些信息的传递,有时它们是救命稻草”:美国印第安人/阿拉斯加原住民社区预防自杀临床试验中的文化适应性影响。
Behav Res Ther. 2023 Jul;166:104333. doi: 10.1016/j.brat.2023.104333. Epub 2023 May 12.
3
Longitudinal patterns and predictors of suicidal ideation in African American adolescents.
非裔美国青少年自杀意念的纵向模式和预测因素。
Am J Community Psychol. 2023 Jun;71(3-4):453-464. doi: 10.1002/ajcp.12663. Epub 2023 Apr 12.
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Reasons for Suicide in Black Young Adults: A Latent Class Analysis.黑人青年自杀的原因:潜在类别分析。
J Racial Ethn Health Disparities. 2024 Feb;11(1):425-440. doi: 10.1007/s40615-023-01530-8. Epub 2023 Mar 3.
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Is anybody there? A longitudinal examination of help-seeking and suicidal risk among Latino, Black, and non-Hispanic white adolescents.有人在吗?一项针对拉丁裔、非裔和非西班牙裔白人群体青少年寻求帮助和自杀风险的纵向研究。
Suicide Life Threat Behav. 2023 Jun;53(3):385-398. doi: 10.1111/sltb.12951. Epub 2023 Feb 20.
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Notes from the Field: Recent Changes in Suicide Rates, by Race and Ethnicity and Age Group - United States, 2021.实地记录:2021年美国按种族、族裔和年龄组划分的自杀率近期变化
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Using natural language processing to improve suicide classification requires consideration of race.利用自然语言处理来提高自杀分类的准确性需要考虑种族因素。
Suicide Life Threat Behav. 2022 Aug;52(4):782-791. doi: 10.1111/sltb.12862. Epub 2022 Apr 6.