Perceived racial discrimination on the change of suicide risk among ethnic minorities in the United States.
Perceived racial discrimination on the change of suicide risk among ethnic minorities in the United States.
复制标题
感知种族歧视对美国少数族裔自杀风险变化的影响。
DOI：
10.1080/13557858.2018.1557117
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发表时间：
2021
影响因子：
3.1
通讯作者：
Wong,YJoel
中科院分区：
文献类型：
--
作者：
Wang,Lei;Lin,Hsien-Chang;Wong,YJoel
目的：自杀意念和自杀企图是美国严重的公共卫生问题。以往的研究主要集中在导致自杀的个体因素上，因此，研究环境对自杀风险的影响是势在必行的。本研究使用具有全国代表性的纵向数据集，探讨了感知到的基于种族/民族的歧视(PD；感知到的制度歧视和感知到的人际歧视)对抑郁风险人群中自杀念头和自杀企图随时间的变化的影响。设计和方法：样本包括来自国家酒精及相关疾病流行病学调查的1253名REM参与者，第一波和第二波数据集。参与者被分类为三种情况：(1)在第一波没有自杀念头/企图，有在第二波发生自杀念头的风险；(2)在第一波没有自杀念头/企图，有在第二波发生自杀念头和企图的风险；(3)有自杀念头，但在第一波没有企图，有在第二波开始自杀企图的风险。进行了三次Logistic回归分析，以检查PD与三种自杀条件之间的关系。结果：回归结果显示，机构歧视对条件1(OR=1.67，95%CI：1.05~2.66)和条件2(OR=2.67，95%CI：1.30~5.48)的自杀意念的发生有预测作用，而人际歧视对条件1(OR=2.34，95%CI：1.17~4.66)的自杀念头和自杀企图的发生有预测作用。自杀预防计划的发展需要考虑到帕金森病，并针对不同的高危群体。这也突显了促进反歧视政策/方案作为对有抑郁症状的快速眼动患者的自杀预防干预的重要性。
Objective:Suicide ideation and attempts are serious public health concerns in the U.S. Previous studies focus mainly on individual factors that cause suicide and therefore, it is imperative to examine the impact of the environment on the onset of suicide risk. This study explored the effects of perceived race/ethnicity-based discrimination (PD; perceived institutional discrimination and perceived interpersonal discrimination) on the change in suicidal thoughts and attempts among racial/ethnic minority (REM) participants at risk for depression over time using a longitudinal nationally representative dataset.Design and methods:The sample consisted a total of 1,253 REM participants from the National Epidemiologic Survey on Alcohol and Related Conditions Wave 1 and 2 datasets. Participants were categorized into three conditions: (1) no suicidal thoughts/attempts at Wave 1, who were at risk for onset of suicidal thoughts at Wave 2, (2) no suicidal thoughts/attempts at Wave 1, who were at risk for onset of both suicidal thoughts and attempts at Wave 2, and (3) had suicidal thoughts but no attempts at Wave 1, who were at risk for initiating suicidal attempt at Wave 2. Three logistic regressions were performed to examine the associations between PD and the three suicidal conditions, controlling for sociodemographic factors.Results:Regression results showed that perceived institutional discrimination predicted onset of suicidal thoughts for Condition 1 (OR=1.67, 95% CI:1.05–2.66) and initiation of suicidal attempts for Condition 2 (OR=2.67, 95% CI:1.30–5.48), whereas perceived interpersonal discrimination predicted onset of suicidal thoughts and attempts for Condition 1 (OR=2.34, 95% CI:1.17–4.66).Conclusions:PD may have detrimental effects on suicidal behaviors among REM individuals with depressive symptoms. Development of suicide prevention programs needs to take into account PD and be specific for different at-risk groups. This also foregrounds the importance of promoting anti-discrimination policies/programs as a suicide preventive intervention for REM individuals with depressive symptoms.