Krishnamurti Lauren S, Monteith Lindsey L, Agha Aneeza Z, Chhatre Sumedha, Hoffmire Claire A, Dichter Melissa E
Rocky Mountain Mental Illness Research, Education and Clinical Center for Suicide Prevention, U.S. Department of Veterans Affairs.
Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, Colorado
Psychol Serv. 2025 Aug 4. doi: 10.1037/ser0000977.
Suicide rates have increased substantially among Asian American, Native Hawaiian, and Pacific Islander (AANHPI) veterans, as well as among women veterans. The Veterans Crisis Line (VCL) is a resource available to all veterans as part of the Department of Veterans Affairs' multifaceted suicide prevention strategy. Despite well-documented gender differences in suicide risk and reasons for contacting the VCL, little is known about AANHPI veterans' use of the VCL and whether their reasons for contacting the VCL differ by gender. This descriptive analysis examined the demographics, reasons for contacting the VCL, and suicide risk assessment ratings for AANHPI veterans who contacted the VCL, by gender, as a first step to better understand VCL use in this heterogenous population. Using VCL and Veterans Affairs administrative data, we examined demographics, reasons for contacting the VCL, and suicide risk assessment ratings for 1,645 AANHPI veterans who contacted the VCL in Calendar Year 2020, stratified by gender and disaggregated between Asian American (AA) and Native Hawaiian and Pacific Islander (NHPI) veterans. Mental health was indicated as the most frequent reason for VCL contact for AANHPI women (84.8% of contacts) and men (66.1% of contacts). Suicidal thoughts or crises (34.5% of women, 27.5% of men) were noted as the second most frequent reason for contact across groups, followed by relationship problems (23.7% of women, 21.4% of men). We observed some similar patterns across race/ethnicity and gender subgroups, with some variation between groups. Nearly three quarters (74.6%) of NHPI women endorsed suicide risk screen indicator(s), with lower proportions among AA women (69.1%), AA men (57.8%), and NHPI men (57.3%). Additionally, 12.7% of NHPI women, 9.8% of NHPI men, 8.1% of AA men, and 5.6% of AA women were rated by VCL responders as being at elevated suicide risk. These initial descriptive findings highlight the importance of disaggregating data both by gender and race/ethnicity among AANHPI veterans. Further study of suicide risk and protective factors salient to each subgroup of AANHPI veterans is a critical next step to suicide prevention among these veterans. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
在美国亚裔、夏威夷原住民和太平洋岛民（AANHPI）退伍军人以及女性退伍军人中，自杀率大幅上升。退伍军人危机热线（VCL）是退伍军人事务部多方面自杀预防策略的一部分，可供所有退伍军人使用。尽管有充分记录表明自杀风险和联系VCL的原因存在性别差异，但对于AANHPI退伍军人使用VCL的情况以及他们联系VCL的原因是否因性别而异，我们知之甚少。这项描述性分析按性别检查了联系VCL的AANHPI退伍军人的人口统计学特征、联系VCL的原因以及自杀风险评估等级，作为更好地了解这一异质群体中VCL使用情况的第一步。利用VCL和退伍军人事务部的行政数据，我们检查了2020日历年联系VCL的1645名AANHPI退伍军人的人口统计学特征、联系VCL的原因以及自杀风险评估等级，按性别分层，并在亚裔美国人（AA）退伍军人与夏威夷原住民和太平洋岛民（NHPI）退伍军人之间进行了细分。心理健康被表明是AANHPI女性（84.8%的联系）和男性（66.1%的联系）联系VCL最常见的原因。自杀念头或危机（女性为34.5%，男性为27.5%）被指出是各群体中第二常见的联系原因，其次是人际关系问题（女性为23.7%，男性为21.4%）。我们在种族/族裔和性别亚组中观察到了一些相似的模式，各群体之间也存在一些差异。近四分之三（74.6%）的NHPI女性认可自杀风险筛查指标，AA女性（69.1%）、AA男性（57.8%）和NHPI男性（57.3%）中的比例较低。此外，VCL应答者将12.7%的NHPI女性、9.8%的NHPI男性、8.1%的AA男性和5.6%的AA女性评为自杀风险较高。这些初步的描述性发现凸显了在AANHPI退伍军人中按性别和种族/族裔对数据进行细分的重要性。对AANHPI退伍军人每个亚组突出的自杀风险和保护因素进行进一步研究是这些退伍军人自杀预防的关键下一步。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
