Racial/Ethnic Differences in Preceding Circumstances of Suicide and Potential Suicide Misclassification Among US Adolescents
Racial/Ethnic Differences in Preceding Circumstances of Suicide and Potential Suicide Misclassification Among US Adolescents
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DOI：
10.1007/s40615-020-00957-7
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发表时间：
2021-01-07
影响因子：
3.9
通讯作者：
Leonardo, Jennifer B.
中科院分区：
文献类型：
--
作者：
Ali, Bina;Rockett, Ian R. H.;Leonardo, Jennifer B.
目的：关于10-19岁青少年自杀前情况的种族/民族差异以及由此导致的自杀死亡的潜在错误分类（即，被归类为未确定意图的伤害的死亡方式）。本研究（1）检查了非西班牙裔白色人、非西班牙裔黑人、非西班牙裔亚洲/太平洋岛民（A/PI）、非西班牙裔美国印第安人/阿拉斯加原住民（AI/AN）和西班牙裔青少年死者的自杀前情况;和（2）调查潜在的自杀错误分类的种族/少数民族死者。方法我们使用的数据从2006年-2015年国家暴力死亡报告系统限制访问数据库。多变量逻辑回归分析检查了抑郁情绪，心理健康问题和治疗，过去2周的危机，学校，亲密伴侣，家庭关系和其他关系（例如，与白色死者相比，种族/少数民族死者中的死亡率（朋友）。一个单独的逻辑回归分析评估潜在的自杀错误分类的种族/少数民族死者相对于白色people.Results调整性别和自杀史和情况下，所有种族/少数民族死者有显着降低的几率记录的心理健康问题和治疗相比，白色死者。还确定了关系问题中的种族/民族差异。黑人死者有显着更高的几率的死亡方式分类为不确定的意图比白色死者，自杀misclassification.Conclusions的可能性更大的情况下，青少年之间的自杀不同的种族/民族，这表明需要有针对性的文化自杀预防工作。
Purpose There is a paucity of research on racial/ethnic differences in preceding circumstances of suicide among adolescents aged 10-19 years and consequential potential misclassification of suicide deaths (i.e., manner of death classified as injury of undetermined intent). This study (1) examined preceding circumstances of suicide among non-Hispanic White, non-Hispanic Black, non-Hispanic Asian/Pacific Islander (A/PI), non-Hispanic American Indian/Alaskan Native (AI/AN), and Hispanic adolescent decedents; and (2) investigated potential suicide misclassification of racial/ethnic minority decedents.Methods We used data from the 2006-2015 National Violent Death Reporting System Restricted Access Database. Multivariable logistic regression analyses examined differences in depressed mood, mental health problem and treatment, crisis in the past 2 weeks, problems with school, intimate partner, family relationship, and other relationships (e.g., friend) among racial/ethnic minority decedents compared to White decedents. A separate logistic regression analysis assessed potential suicide misclassification of racial/ethnic minority decedents relative to White counterparts.Results Adjusting for sex and suicide history and circumstances, all racial/ethnic minority decedents had significantly lower odds of documented mental health problem and treatment compared to White decedents. Racial/ethnic differences in relationship problems were also identified. Black decedents had significantly higher odds of manner-of-death classification as undetermined intent than did White decedents, suggesting greater likelihood of suicide misclassification.Conclusions Circumstances contributing to suicide among adolescents differ by race/ethnicity, indicating the need for culturally tailored suicide prevention efforts.