Community Perspectives on Social Influences on Suicide Within a Native American Reservation
Community Perspectives on Social Influences on Suicide Within a Native American Reservation
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DOI：
10.1177/10497323211045646
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发表时间：
2021-11-26
影响因子：
3.2
通讯作者：
Craig, Mariddie
中科院分区：
文献类型：
--
作者：
Cwik, Mary;Doty, S. Benjamin;Craig, Mariddie
相对于一般人口，美洲原住民（NA）承受着不成比例的自杀相关死亡率负担。15至24岁的北美男性和女性的自杀率几乎是美国所有种族在这个年龄段自杀率的三倍。尽管已经做出了努力来了解和减少部落社区的自杀，但很大一部分都集中在个人特征上，而对可能导致自杀的社会因素的关注较少。本文旨在通过定性访谈考察其他潜在的社会因素，建立NA青年自杀的本地概念模型。专题分析的结果确定了七种可感知的社会影响：传染、暴力和虐待、歧视和欺凌、消极期望、精神、社会支持和文化优势。减少自杀的公共卫生方法应考虑与部落社区产生共鸣的当地社会因素，以建立复原力。
Relative to the general population, Native Americans (NA) bear a disproportionate burden of suicide-related mortality rates. NA males and females aged 15 to 24 years experience suicide rates nearly 3 times than the U.S. all races rates in this age group. Although efforts have been made to understand and reduce suicide in tribal communities, a large portion has focused on individual characteristics with less attention given to social factors that may also inform suicide. This article aims to build on a local conceptual model of NA youth suicide by examining additional potential social factors through qualitative interviews. Findings from the thematic analysis resulted in the identification of seven perceived social influences: contagion, violence and abuse, discrimination and bullying, negative expectations, spirituality, social support, and cultural strengths. Public health approaches to reduce suicide should consider local social factors that resonate with tribal communities to build resilience.