American Indians and suicide - A neglected area of research
American Indians and suicide - A neglected area of research
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DOI：
10.1177/1524838005283005
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发表时间：
2006-01-01
影响因子：
6.4
通讯作者：
Wahab, S
中科院分区：
文献类型：
--
作者：
Olson, LM;Wahab, S
自杀是美国印第安人面临的主要公共卫生问题。发表的研究表明，美国印第安人的自杀率是美国所有种族中最高的。本文综合了美洲印第安人中与自杀相关的流行病学和危险因素、研究障碍、预防、心理健康服务以及研究和实践建议。作者的建议来自当前的文献以及对自杀预防领域的从业者和学者的采访。作者提出了重要的实质性和方法论问题，为美国印第安人社区自杀研究提供信息，以及现有的当代干预措施。总体而言，社会经济特征、药物滥用、心理健康服务障碍和文化适应在美洲印第安人社区发生自杀事件中发挥了作用。这些发现表明自杀是美国印第安人需要解决的一个重要的公共卫生问题。
Suicide is a major public health problem for American Indians in the United States. Published studies indicate that American Indians experience the highest rate of suicide of all ethnic groups in the United States. This article synthesizes the epidemiology and risk factors associated with suicide among American Indians, barriers to research, prevention, mental-health services, and recommendations for research and practice. The authors' recommendations arise from the current literature as well as interviews with practitioners and academics in the field of suicide prevention. The authors present significant substantive and methodological issues that inform research on suicide in American Indian communities, as well as existing contemporary interventions. Overall, socioeconomic characteristics, substance abuse, barriers to mental health services and acculturation play a role in the occurrence of suicide in American Indian communities. These findings suggest suicide is an important public health problem that needs to be addressed for American Indians.