Prevalence and correlates of lifetime suicidal ideation and suicide attempts among Latino subgroups in the United States
Prevalence and correlates of lifetime suicidal ideation and suicide attempts among Latino subgroups in the United States
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DOI：
10.4088/jcp.v68n0413
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发表时间：
2007-04-01
影响因子：
5.3
通讯作者：
Alegria, Margarita
中科院分区：
文献类型：
--
作者：
Fortuna, Lisa R.;Perez, Debra Joy;Alegria, Margarita
目的：了解美国拉丁裔亚群中自杀行为的流行率及其相关性的数据有限。本文比较了美国主要拉美裔族群的终生自杀意念和自杀企图的流行率，并确定了与自杀行为相关的心理社会文化因素。全国拉丁裔和亚裔美国人研究包括说西班牙语和英语的墨西哥人、波多黎各人、古巴人和其他拉美人。2002年5月至2003年11月期间，训练有素的面试者共用英语和西班牙语进行了2554次面谈。终生精神障碍的测量使用世界卫生组织-综合国际诊断访谈。结果：拉美裔美国人的自杀意念和自杀企图的终生患病率分别为10.1%和4.4%。与其他拉丁裔亚群相比，波多黎各人更有可能报告思维方式，但在调整人口、精神和社会文化因素后，这种差异被消除。据报道，拉丁裔人描述的大多数终生自杀企图发生在他们18岁以下的时候。任何终生DSM-IV诊断，包括双重诊断，都与拉丁裔终身自杀意念和自杀企图的风险增加有关。此外，女性性别、文化适应程度(出生在美国，说英语)和高水平的家庭冲突与拉美裔人的自杀企图呈独立正相关，即使在没有任何精神障碍的人中也是如此。结论：这些发现加强了了解拉美裔自杀风险的文化适应过程、家庭角色和社会文化背景的重要性。在拉丁裔自杀研究、治疗和预防中，这些应该被考虑到精神诊断和症状之外，特别是在年轻人中。
Objective: Limited data are available to understand the prevalence and correlates of suicidal behavior among U.S. Latino subgroups. This article compares the prevalence of lifetime suicidal ideation and suicide attempts among major U.S. Latino ethnic subgroups and identifies psychosociocultural factors associated with suicidal behaviors.Method. The National Latino and Asian American Study includes Spanish- and English-speaking Mexicans, Puerto Ricans, Cubans, and other Latinos. A total of 2554 interviews were conducted in both English and Spanish by trained interviewers between May 2002 and November 2003. Lifetime psychiatric disorders were measured using the World Health Organization-Composite International Diagnostic Interview. Descriptive statistics and logistic models were used to determine demographic, clinical, cultural, and social correlates of lifetime suicidal ideation and suicide attempts.Results: The lifetime prevalence of suicidal ideation and suicide attempts among Latinos was 10.1% and 4.4%, respectively. Puerto Ricans were more likely to report ideation as compared with other Latino subgroups, but this difference was eliminated after adjustments for demographic, psychiatric, and sociocultural factors. Most lifetime suicide attempts described by Latinos were reported as occurring when they were under the age of 18 years. Any lifetime DSM-IV diagnoses, including dual diagnoses, were associated with an increased risk of lifetime suicidal ideation and suicide attempts among Latinos. In addition, female gender, acculturation (born in the United States and English speaking), and high levels of family conflict were independently and positively correlated with suicide attempts among Latinos, even among those without any psychiatric disorder.Conclusions: These findings reinforce the importance of understanding the process of acculturation, the role of family, and the sociocultural context for suicide risk among Latinos. These should be considered in addition to psychiatric diagnoses and symptoms in Latino suicide research, treatment, and prevention, especially among young individuals.