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Modeste-James A, Fitzgerald T, Stewart E, De Jesus D, Canuto M, Guzman M, Mateo J, D’lppolito M, Lundgren L. The Intersections Between Sexual Orientation, Latine Ethnicity, Social Determinants of Health, and Lifetime Suicide Attempts in a Sample Being Assessed for Entry to Co-Occurring Mental Health and Substance Use Disorder Treatment. J Prim Care Community Health 2024; 15:21501319241240425. [PMID: 38511864 PMCID: PMC10958810 DOI: 10.1177/21501319241240425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2023] [Revised: 02/07/2024] [Accepted: 02/27/2024] [Indexed: 03/22/2024] Open
Abstract
PURPOSE Few studies have examined the relationship between the intersections of lesbian, gay, and bisexual (LGB) sexual orientation, Latine ethnicity, and lifetime suicide attempts in Latine individuals with substance use disorder. This study examines this intersection and controls for social determinants of health, mental health disorder symptoms, and substance use disorder symptoms in a sample of Latine adults entering treatment for co-occurring disorders. METHOD Bivariate statistics and multivariate logistic regression were used to analyze assessment data (n = 360) from a bilingual/bicultural integrated behavioral health system serving Latine communities in Massachusetts to examine the relationship between sexual orientation, Latine ethnicity, and history of lifetime suicide attempts. We controlled for social determinants of health, mental health disorders, and substance use disorder (SUD) factors significantly associated with lifetime suicide attempts at the bivariate level. RESULTS Over 27% of the sample and 35% of Puerto Ricans (PR) reported lifetime suicide attempts. The logistic regression identified that PR clients were 78% more likely to have attempted suicide in a lifetime compared to non-PR clients. Clients identifying as LGB were 3.2 times more likely to report having attempted suicide in their lifetime compared to heterosexual clients. Unemployed clients were 2.4 times more likely to report having attempted suicide in their lifetime compared to employed clients. CONCLUSION Findings identify high rates of lifetime suicide attempts among LGBs and PRs entering SUD treatment. Targeted outreach and treatment efforts designed to address intersectionality for this underserved population are needed.
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Molock SD, Boyd RC, Alvarez K, Cha C, Denton EG, Glenn CR, Katz CC, Mueller AS, Meca A, Meza JI, Miranda R, Ortin-Peralta A, Polanco-Roman L, Singer JB, Zullo L, Miller AB. Culturally responsive assessment of suicidal thoughts and behaviors in youth of color. AMERICAN PSYCHOLOGIST 2023; 78:842-855. [PMID: 36913280 PMCID: PMC10497725 DOI: 10.1037/amp0001140] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/14/2023]
Abstract
The significance of youth suicide as a public health concern is underscored by the fact that it is the second-leading cause of death for youth globally. While suicide rates for White groups have declined, there has been a precipitous rise in suicide deaths and suicide-related phenomena in Black youth; rates remain high among Native American/Indigenous youth. Despite these alarming trends, there are very few culturally tailored suicide risk assessment measures or procedures for youth from communities of color. This article attempts to address this gap in the literature by examining the cultural relevancy of currently widely used suicide risk assessment instruments, research on suicide risk factors, and approaches to risk assessment for youth from communities of color. It also notes that researchers and clinicians should consider other, nontraditional but important factors in suicide risk assessment, including stigma, acculturation, and racial socialization, as well as environmental factors like health care infrastructure and exposure to racism and community violence. The article concludes with recommendations for factors that should be considered in suicide risk assessment for youth from communities of color. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
- Sherry D Molock
- Department of Psychological and Brain Sciences, George Washington University
| | - Rhonda C Boyd
- Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia
| | - Kiara Alvarez
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health
| | - Christine Cha
- Department of Counseling and Clinical Psychology, Teachers College, Columbia University
| | - Ellen-Ge Denton
- Department of Psychology, College of Staten Island, City University of New York
| | | | - Colleen C Katz
- Silberman School of Social Work, Hunter College, City University of New York
| | | | - Alan Meca
- Department of Psychology, University of Texas at San Antonio
| | - Jocelyn I Meza
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles
| | - Regina Miranda
- Department of Psychology, Hunter College, City University of New York
| | - Ana Ortin-Peralta
- Department of Psychology, Hunter College, City University of New York
| | | | | | - Lucas Zullo
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles
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Yockey RA, Vidourek R, King K. Suicide Among Older Hispanic Adults: A Call to Action. HISPANIC HEALTH CARE INTERNATIONAL 2023; 21:3. [PMID: 36579801 DOI: 10.1177/15404153221149790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- R Andrew Yockey
- Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX, USA
| | - Rebecca Vidourek
- School of Human Services, University of Cincinnati, Cincinnati, OH, USA
| | - Keith King
- School of Human Services, University of Cincinnati, Cincinnati, OH, USA
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Rodriguez-Cano R, Paulus DJ, Derrick JL, Blalock JA, Zvolensky MJ. Emotion dysregulation and hazardous drinking in relation to suicidal ideation among Spanish-speaking Latinx daily-smokers. J Subst Abuse Treat 2022; 132:108508. [PMID: 34098209 PMCID: PMC8630077 DOI: 10.1016/j.jsat.2021.108508] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 05/25/2021] [Accepted: 05/26/2021] [Indexed: 01/03/2023]
Abstract
OBJECTIVE Suicidal ideation has increased among Latinx individuals in the last decade. Smoking increases the likelihood of suicidal ideation but work on Latinx smokers is minimal. Hazardous drinking and emotion dysregulation could be factors related to suicidal ideation among Latinx smokers, as has been evident in non-Latinx White samples. The current study sought to examine the main and interactive effects of emotion dysregulation and hazardous drinking in relation to suicidal ideation among Latinx daily-smokers. METHODS Participants were 371 Spanish-speaking daily-smokers (58.8% female; Mage = 33.3; SDage = 9.8) recruited from the United States through Qualtrics. We used structural equation modeling (SEM) to test an interactive model of emotion dysregulation and hazardous alcohol consumption in relation to suicidal ideation; we also tested the effect of emotion dysregulation on suicidal ideation as a function of hazardous drinking status. RESULTS Results indicated that latent emotional dysregulation was associated with greater suicidal ideation (p < 0.001); however, hazardous drinking was not related to suicidal ideation (p = 0.186). The interactive term of emotional dysregulation and hazardous drinking was significantly related to suicidal ideation (p = 0.017). Specifically, greater emotion dysregulation was significantly related to suicidal ideation among Latinx smokers who engaged in hazardous drinking (p < 0.001) but not those who did not engage in hazardous drinking (p = 0.123). CONCLUSIONS The current findings suggest that smoking combined with hazardous drinking may be related to increased suicidal ideation among Latinx smokers. Findings are discussed in relation to the potential role of intervention strategies that focus on emotion dysregulation and hazardous drinking among Latinx current daily smokers to mitigate suicidal risk among this established health disparities population.
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Affiliation(s)
- Ruben Rodriguez-Cano
- PROMENTA Research Center, Department of Psychology, University of Oslo, Oslo, Norway
| | - Daniel J Paulus
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA
| | - Jaye L Derrick
- Department of Psychology, University of Houston, Houston, TX, USA
| | - Janice A Blalock
- Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Michael J Zvolensky
- Department of Psychology, University of Houston, Houston, TX, USA; Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA; HEALTH Institute, University of Houston, Houston, TX, USA.
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Querdasi FR, Bacio GA. Suicidal behaviors among Latina adolescents: An ecodevelopmental approach and narrative review. J Adolesc 2021; 93:161-176. [PMID: 34785380 DOI: 10.1016/j.adolescence.2021.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 08/10/2021] [Accepted: 10/31/2021] [Indexed: 11/26/2022]
Abstract
INTRODUCTION For the past several decades, Latina adolescents have consistently shown high rates of suicidal behaviors (i.e., suicidal ideation, planning, and attempts), higher than Latino adolescents and adolescents of most other ethnic groups. Yet, progress toward establishing evidence-based intervention efforts to address this urgent public health issue has been slow. The purpose of this narrative review is to summarize empirical findings on etiological factors associated with Latina adolescent suicidal behaviors using an ecodevelopmental, gender-specific framework that contextualizes Latina adolescent development. METHODS To be included, peer reviewed empirical manuscripts had to focus on suicidal behaviors (i.e., suicide attempts, suicide plan, and/or suicidal ideation) of adolescents (ages 11-19 or in grades 7-12) who self-identified as either Latina or Hispanic and a girl in the United States. RESULTS A total of 19 studies met review criteria and focused on microsystemic and intrapersonal predictors. Microsystemic predictors included family (i.e., family-adolescent discrepancies in acculturation, family functioning, family-daughter interactions), peer (i.e., victimization, friendships), and school (i.e., functioning, achievement) factors, while intrapersonal predictors were emotional vulnerability, psychosocial functioning, and substance use. CONCLUSIONS Family-related phenomena were the most widely studied. Research on school and peer microsystems was comparatively sparse, and several promising intrapersonal development factors have been underexplored. A notable limitation of existing studies is that samples consisted primarily of U.S.-born adolescents living in urban areas. Additional research is needed to characterize factors on other ecodevelopmental levels, identify resilience processes, and examine within-group diversity among Latina adolescents. Implications for intervention and future directions are discussed.
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Affiliation(s)
- Francesca R Querdasi
- Department of Psychology, Stanford University, 450 Jane Stanford Way, Stanford, CA, 94305, USA.
| | - Guadalupe A Bacio
- Departments of Psychological Science and Intercollegiate Chicana/o-Latina/o Studies, Pomona College, 647 N College Way, Claremont, CA, 91711, USA.
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Tae H, Chae JH. Factors Related to Suicide Attempts: The Roles of Childhood Abuse and Spirituality. Front Psychiatry 2021; 12:565358. [PMID: 33868033 PMCID: PMC8044867 DOI: 10.3389/fpsyt.2021.565358] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 02/25/2021] [Indexed: 02/05/2023] Open
Abstract
Objectives: The purpose of this article was to identify independent factors associated with suicide attempts in patients with depression and/or anxiety. Background and Aims: This study was conducted in order to examine whether risk and protective psychological factors influence the risk of suicide attempts among outpatients with anxiety and/or depressive disorders. In this regard, explanatory models have been reported to detect high-risk groups for suicide attempt. We also examined whether identified factors serve as mediators on suicide attempts. Materials and Methods: Patients from 18 to 65 years old from an outpatient clinic at Seoul St. Mary's Hospital were invited to join clinical studies. From September 2010 to November 2017, a total of 737 participants were included in the final sample. The Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Childhood Trauma Questionnaire (CTQ), Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-Sp-12), and Functional Social Support Questionnaire (FSSQ) were used to assess psychiatric symptoms. An independent samples t-test, a chi-square test, hierarchical multiple regression analyses, and the Baron and Kenny's procedures were performed in order to analyze data. Results: Young age, childhood history of emotional and sexual abuse, depression, and a low level of spirituality were significant independent factors for increased suicide attempts. Depression was reported to mediate the relationship between childhood emotional and sexual abuse, spirituality, and suicide attempts. Conclusions: Identifying the factors that significantly affect suicidality may be important for establishing effective plans of suicide prevention. Strategic assessments and interventions aimed at decreasing depression and supporting spirituality may be valuable for suicide prevention.
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Affiliation(s)
- Hyejin Tae
- Stress Clinic, Health Promotion Center, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea
| | - Jeong-Ho Chae
- Department of Psychiatry, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea
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Ortin A, Elkington KS, Eisenberg R, Miranda R, Canino G, Bird HR, Duarte CS. Suicide Attempts and Course of Suicidal Ideation among Puerto Rican Early Adolescents. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2020; 47:1723-1734. [PMID: 31065859 DOI: 10.1007/s10802-019-00554-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Suicidal behavior increases substantially during early adolescence, a critical understudied developmental period. This study reports on the prevalence of suicidal ideation, suicide attempts, and course of suicidal ideation among Puerto Rican early adolescents, a high-risk group for suicidal behavior in adulthood. Gender differences and the prospective association of psychiatric disorders with course of suicidal ideation are examined. Participants were 1228 Puerto Rican adolescents (ages 10-13 at wave 1; 48% female) and parents, selected through probability-based sampling, assessed yearly across three waves. Adolescents and parents reported via Diagnostic Interview Schedule for Children-IV about 12-month suicide attempts and suicidal ideation (further categorized as never present, onset, recurrence, and remission), mood and anxiety disorders; parents reported on disruptive disorders. Over the three waves, 9.5% early adolescents thought about suicide and 2.1% attempted suicide. In adjusted multinomial regression models, compared to those with never present suicidal ideation, female gender was related to onset of suicidal ideation (OR = 2.60; 95% CI, 1.22-5.55). Disruptive disorders were related to onset (OR = 5.80; 95% CI, 2.06-16.32) and recurrence of suicidal ideation (OR = 5.07, 95% CI, 1.14-22.47), mood disorders were related to remission (OR = 14.42, 95% CI, 3.90-53.23), and anxiety disorders to onset of suicidal ideation (OR = 3.68, 95% CI, 1.75-7.73). Our findings inform strategies tailored for early adolescents. To address onset of suicidal ideation, prevention should focus on girls and those with anxiety or disruptive disorders. When ideation is recurrent, interventions oriented to reduce disruptive behavior and its consequences may help achieve remission.
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Affiliation(s)
- Ana Ortin
- Department of Psychology, Hunter College, City University of New York, 695 Park Avenue, Room 611HN, New York, NY, 10065, USA
| | - Katherine S Elkington
- Division of Gender, Sexuality and Health, Columbia University and New York State Psychiatric Institute, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA
| | - Ruth Eisenberg
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Belfer Building, Room 1303, Bronx, NY, 10461, USA
| | - Regina Miranda
- Department of Psychology, Hunter College, City University of New York, 695 Park Avenue, Room 611HN, New York, NY, 10065, USA
- The Graduate Center, City University of New York, 365 5th Avenue, New York, NY, 10016, USA
| | - Glorisa Canino
- Behavioral Sciences Research Institute, Medical Sciences Campus, University of Puerto Rico School of Medicine, Office A928 9th Floor, Rio Piedras, PR, 00935, USA
| | - Hector R Bird
- Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, 1051 Riverside Drive, Unit 43, New York, NY, 10032, USA
| | - Cristiane S Duarte
- Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, 1051 Riverside Drive, Unit 43, New York, NY, 10032, USA.
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Estrada GB, Zoucha R, Duarté-Vélez Y. Cultural Factors Influencing Suicidal Ideation and Behaviors in Puerto Ricans: An Integrative Review. ANNUAL REVIEW OF NURSING RESEARCH 2019; 37:261-299. [PMID: 30692160 DOI: 10.1891/0739-6686.37.1.261] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Szlyk HS, Gulbas L, Zayas L. "I Just Kept It to Myself": The Shaping of Latina Suicidality Through Gendered Oppression, Silence, and Violence. FAMILY PROCESS 2019; 58:778-790. [PMID: 30117539 PMCID: PMC6378134 DOI: 10.1111/famp.12384] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
Suicide is a critical issue among Latina youth. In this study, we use family case analysis to explore how gendered oppression, silencing, and violence shape suicidal behaviors among a sample of Latina daughters (n = 10), and their parents. For comparison, we include family narratives from Latina adolescents with no histories of suicide attempts (n = 10). Results suggest how secrets and silence, as indicative of gendered oppression, may catalyze a suicide attempt. The risks are particularly salient when daughter and mother both have experienced violence that conflicts with gendered cultural scripts. Findings highlight the importance of parental engagement and exploration of histories of violence in the treatment of Latina suicide attempters. Future research should incorporate the risk factors of gendered oppression and violence to better understand the development of suicidality among Latina women.
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Affiliation(s)
- Hannah S Szlyk
- The Brown School, Washington University at St. Louis, St. Louis, MO
| | - Lauren Gulbas
- Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX
| | - Luis Zayas
- Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX
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Scorza P, Duarte CS, Hipwell AE, Posner J, Ortin A, Canino G, Monk C. Research Review: Intergenerational transmission of disadvantage: epigenetics and parents' childhoods as the first exposure. J Child Psychol Psychiatry 2019; 60:119-132. [PMID: 29473646 PMCID: PMC6107434 DOI: 10.1111/jcpp.12877] [Citation(s) in RCA: 56] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/18/2018] [Indexed: 01/07/2023]
Abstract
BACKGROUND For decades, economists and sociologists have documented intergenerational transmission of socioeconomic disadvantage, demonstrating that economic, political, and social factors contribute to 'inherited hardship'. Drawing on biological factors, the developmental origins of adult health and disease model posits that fetal exposure to maternal prenatal distress associated with socioeconomic disadvantage compromises offspring's neurodevelopment, affecting short- and long-term physical and mental health, and thereby psychosocial standing and resources. Increasing evidence suggests that mother-to-child influence occurs prenatally, in part via maternal and offspring atypical HPA axis regulation, with negative effects on the maturation of prefrontal and subcortical neural circuits in the offspring. However, even this in utero timeframe may be insufficient to understand biological aspects of the transmission of factors contributing to disadvantage across generations. METHODS We review animal studies and emerging human research indicating that parents' childhood experiences may transfer epigenetic marks that could impact the development of their offspring independently of and in interaction with their offspring's perinatal and early childhood direct exposures to stress stemming from socioeconomic disadvantage and adversity. RESULTS Animal models point to epigenetic mechanisms by which traits that could contribute to disadvantage may be transmitted across generations. However, epigenetic pathways of parental childhood experiences influencing child outcomes in the next generation are only beginning to be studied in humans. With a focus on translational research, we point to design features and methodological considerations for human cohort studies to be able to test the intergenerational transmission hypothesis, and we illustrate this with existing longitudinal studies. CONCLUSIONS Epigenetic intergenerational transmission, if at play in human populations, could have policy implications in terms of reducing the continuation of disadvantage across generations. Further research is needed to address this gap in the understanding of the perpetuation of compromised lives across generations.
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Affiliation(s)
- Pamela Scorza
- Department of Psychiatry, Columbia University Medical Center; New York State Psychiatric Institute, New York, NY
| | - Cristiane S. Duarte
- Department of Psychiatry, Columbia University Medical Center; New York State Psychiatric Institute, New York, NY
| | - Alison E. Hipwell
- Department of Psychiatry and Psychology, University of Pittsburgh, Pittsburgh, PA
| | - Jonathan Posner
- Department of Psychiatry, Columbia University Medical Center; New York State Psychiatric Institute, New York, NY
| | - Ana Ortin
- Department of Psychology, Hunter College, City University of New York, New York, NY
| | - Glorisa Canino
- School of Medicine, University of Puerto Rico, San Juan, Puerto Rico
| | - Catherine Monk
- Departments of Psychiatry and Obstetrics and Gynecology, Columbia University Medical Center; New York State Psychiatric Institute, New York, NY
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Chang EC, Chang OD, Lucas AG, Li M, Beavan CB, Eisner RS, McManamon BM, Rodriguez NS, Katamanin OM, Bourke EC, de la Fuente A, Cardeñoso O, Wu K, Yu EA, Jeglic EL, Hirsch JK. Depression, Loneliness, and Suicide Risk among Latino College Students: A Test of a Psychosocial Interaction Model. SOCIAL WORK 2019; 64:51-60. [PMID: 30395325 DOI: 10.1093/sw/swy052] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Accepted: 07/03/2018] [Indexed: 06/08/2023]
Abstract
This study tested a psychosocial model of suicide risk in a sample of 156 Latino college students. Specifically, depression and loneliness were hypothesized to be important predictors of suicide risk (namely, hopelessness and suicidal behaviors) in Latino students. Results of conducting regression analyses indicated that, independent of age and gender, depression and loneliness were significant predictors of both indices of suicide risk examined in the present study. It is noteworthy that within the psychosocial predictor set of depression and loneliness, depression was consistently found to be nearly twice as strong a predictor than was loneliness. Moreover, we found evidence for a significant depression-loneliness interaction effect in predicting suicide risk. That is, the highest level of suicide risk was found among dysphoric Latino students who were also socially isolated. Our findings indicate that depression and loneliness are important factors to consider in understanding suicide risk among Latino college students.
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Affiliation(s)
- Edward C Chang
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Olivia D Chang
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Abigael G Lucas
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Mingqi Li
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Collin B Beavan
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Rachel S Eisner
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Brianna M McManamon
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Natalie S Rodriguez
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Olivia M Katamanin
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Eliza C Bourke
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Amaia de la Fuente
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Olga Cardeñoso
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Kaidi Wu
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Elizabeth A Yu
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Elizabeth L Jeglic
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
| | - Jameson K Hirsch
- Edward C. Chang, PhD, is professor; Olivia D. Chang, BA, is research associate; and Abigael G. Lucas, MS, is a graduate student, Department of Psychology, University of Michigan, Ann Arbor. Mingqi Li, BA, is a graduate student, DePaul University, Chicago. Collin B. Beavan, BA; Rachel S. Eisner, BA; Brianna M. McManamon, BA; Natalia S. Rodriguez, BA; Olivia M. Katamanin, BA; and Eliza C. Bourke, BA, are research associates, College of Literature, Sciences & Arts, University of Michigan, Ann Arbor. Amaia de la Fuente, MSW, is a graduate student and Olga Cardeñoso, PhD, is professor, Universidad del País Vasco (University of the Basque Country), Leioa, Bizkaia, Spain. Kaidi Wu, MA, and Elizabeth A. Yu, MA, are graduate students, Department of Psychology, University of Michigan, Ann Arbor. Elizabeth L. Jeglic, PhD, is professor, John Jay College of Criminal Justice, New York. Jameson K. Hirsch, PhD, is professor, Department of Psychology, East Tennessee State University, Johnson City
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Ronzitti S, Kraus SW, Hoff RA, Clerici M, Potenza MN. Problem-gambling severity, suicidality and DSM-IV Axis II personality disorders. Addict Behav 2018. [PMID: 29529554 DOI: 10.1016/j.addbeh.2018.03.003] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
BACKGROUND Despite the strong associations between personality disorders and problem/pathological gambling, few studies have investigated the relationships between personality disorders, problem-gambling severity and suicidal thoughts/behaviors. OBJECTIVES We examined the relationships between problem-gambling severity and personality disorders among individuals with differing levels of suicidality (none, thoughts alone, attempts). METHODS We analyzed data from 13,543 participants of the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC) study. First, differences in sociodemographic characteristics and prevalence of personality disorders were analyzed according to problem-gambling severity and suicidality status. Second, we performed a logistic regression to assess among the relationship between problem-gambling severity and DSM-IV Axis II psychopathology according to suicidality level. RESULTS At-risk or problem/pathological gambling groups showed higher rates of a wide range of personality disorders compared to non-gamblers. Logistic regression showed that at-risk pathological gamblers had a higher odds ratio for any personality disorder in the group with no history of suicidality, particularly for cluster-B personality disorders. Odds ratio interaction analysis identified the relationship between problem-gambling severity and personality disorders, particularly those in cluster B, differ according to suicidality status. CONCLUSIONS Our findings suggest a complex relationship between suicidality, problem-gambling severity and personality disorders. The stronger relationship between problem-gambling severity and personality disorders in people with no suicidality as compared to some suicidality suggests that some of the relationship between greater problem-gambling severity and Axis II psychopathology is accounted for by increased suicidality. The findings have implications for clinical interventions targeting suicidality in individuals with gambling disorders.
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Affiliation(s)
- Silvia Ronzitti
- Yale School of Medicine, 300 George Street, New Haven, CT 06511, USA; Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
| | - Shane W Kraus
- VISN 1 New England MIRECC, Edith Nourse Rogers Memorial Veterans Hospital, 200 Spring Road, Building 5, Room 135B, Bedford, MA 01730, USA.
| | - Rani A Hoff
- Northeast Program Evaluation Center, Evaluation Division, National Center for PTSD, West Haven, CT, USA; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
| | - Massimo Clerici
- Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy; Department of Mental Health, San Gerardo Hospital, Monza, Italy.
| | - Marc N Potenza
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; Department of Neuroscience, Child Study Center, Connecticut Mental Health Center, Yale School of Medicine, 300 George Street, Suite 901, New Haven, CT 06511, USA.
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Discrimination, Mental Disorders, and Suicidal Ideation in Latino Adults: Decomposing the Effects of Discrimination. J Immigr Minor Health 2018; 21:143-150. [DOI: 10.1007/s10903-018-0726-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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15
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The growth of suicide ideation, plan and attempt among young adults in the Mexico City metropolitan area. Epidemiol Psychiatr Sci 2017; 26:635-643. [PMID: 27523098 PMCID: PMC6999042 DOI: 10.1017/s2045796016000603] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
AIMS Low and middle income countries share a heavy burden of suicide with about three in every four suicides occurring in these countries. Mexico has witnessed a growing trend in suicide deaths; if this trend is not simply a reflection of better reporting of suicide on death certificates, then this increase should logically be accompanied by an increasing trend in suicide ideation, plan and attempts, but we lack information on the trends for suicide ideation, plan and attempt for this period. We therefore aim to report changes for suicidal behaviour for the period 2001-2013 in the Mexico City Metropolitan Area. METHOD Using two cross-sectional surveys conducted in Mexico in 2001 and 2013, we report the lifetime and 12-month prevalence of suicide ideation, plan and attempt and changes in treatment for these problems among respondents aged 19-26 living in the Mexico City Metropolitan Area 12 years apart. To estimate the changes in prevalence for each outcome, we used generalised linear models to calculate prevalence ratios (PR; the prevalence rate in the exposed (year 2013) divided by the prevalence rate in the unexposed (year 2001-2002), adjusting for sociodemographic variables. RESULTS While increases in the prevalence are noted everywhere, statistical comparisons only found differences for lifetime ideation (PR = 3.1; 95% CI = 1.7-5.8) and a borderline difference for suicide attempt (PR = 2.2; 95% CI = 1.0-4.9). No attempt within the last 12-months was reported in 2001, but the prevalence in 2013 reached 1.5% (18 cases). While PRs for 12-month prevalence were all above the null, none reached statistically significant differences. During this 12-year period, the distribution of mental disorders and the use of services for mental disorders among suicide ideators, planners and attempters did not change in any noticeable way. CONCLUSIONS The limitations of our data are the small number of participants in the 2001 survey, the low follow-up rate for the survey in 2013 and that while representative from one city it does not represent the whole country. These findings suggest that suicide ideation and attempt may have increased during this 12-year period in the Mexico City metropolitan area, but this increase did not lead to more use of mental health care services. This information, coupled with the long-term trend of increasing suicide death rates in the country, draw a worrisome and neglected scenario for our youth in this region. Urgent measures, following the recent WHO guidelines for suicide prevention, must not be postponed.
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Silva C, Van Orden KA. Suicide among Hispanics in the United States. Curr Opin Psychol 2017; 22:44-49. [PMID: 30122277 DOI: 10.1016/j.copsyc.2017.07.013] [Citation(s) in RCA: 55] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2017] [Accepted: 07/11/2017] [Indexed: 12/12/2022]
Abstract
Suicide ideation and behavior among U.S. Hispanics has increased notably in the last decade, especially among youth. Suicide risk increases across generations of Hispanics, with risk greatest amongst U.S.-born Hispanics. Acculturative stress has been linked to increased risk for suicide ideation, attempts, and fatalities among Hispanics. Acculturative stress may increase suicide risk via disintegration of cultural values (such as familism and religiosity) and social bonds. Culturally-tailored prevention efforts are needed that address suicide risk among Hispanics. We propose a conceptual model for suicide prevention focused on augmenting cultural engagement among at risk Hispanics.
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Castellanos D, Kosoy JE, Ayllon KD, Acuna J. Presence of Alcohol and Drugs in Hispanic Versus Non-Hispanic Youth Suicide Victims in Miami-Dade County, Florida. J Immigr Minor Health 2016; 18:1024-1031. [DOI: 10.1007/s10903-016-0418-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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18
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Chronic Physical Illness Burden and Suicidal Ideation Among Dominicans in New York City. J Immigr Minor Health 2016; 19:616-622. [DOI: 10.1007/s10903-016-0477-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Hasin DS, Grant BF. The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Waves 1 and 2: review and summary of findings. Soc Psychiatry Psychiatr Epidemiol 2015; 50:1609-40. [PMID: 26210739 PMCID: PMC4618096 DOI: 10.1007/s00127-015-1088-0] [Citation(s) in RCA: 270] [Impact Index Per Article: 30.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2015] [Accepted: 06/28/2015] [Indexed: 01/12/2023]
Abstract
PURPOSE The NESARC, a "third-generation" psychiatric epidemiologic survey that integrated detailed measures of alcohol and drug use and problems has been the data source for over >850 publications. A comprehensive review of NESARC findings and their implications is lacking. METHOD NESARC was a survey of 43,093 participants that covered alcohol, drug and psychiatric disorders, risk factors, and consequences. Wave 1 of the NESARC was conducted in 2001-2002. Three years later, Wave 2 follow-up re-interviews were conducted with 34,653 of the original participants. Scopus and Pubmed were used to search for NESARC papers, which were sorted into topic areas and summarized. RESULT The most common disorders were alcohol and posttraumatic stress disorders, and major depression. Females had more internalizing disorders and males had more externalizing disorders, although the preponderance of males with alcohol disorders (the "gender gap") was less pronounced than it was in previous decades. A race/ethnic "paradox" (lower risk among disadvantaged minorities than whites) remains unexplained. Younger participants had higher risk for substance and personality disorders, but not unipolar depressive or anxiety disorders. Psychiatric comorbidity was extensive and often formed latent trans-diagnostic domains. Since 1991-1992, risk for marijuana and prescription drug disorders increased, while smoking decreased, although smoking decreases were less pronounced among those with comorbidity. A nexus of comorbidity, social support, and stress predicted transitions in diagnostic status between Waves 1 and 2. Childhood maltreatment predicted psychopathology. Alcohol and drug use disorders were seldom treated; attitudinal barriers (little perceived need, perceived alcoholism stigma, pessimism about efficacy) were more important in predicting non-treatment than financial barriers. CONCLUSIONS Understanding comorbidity and the effects of early stressors will require research incorporating biologic components, e.g., genetic variants and brain imaging. The lack of treatment for alcohol and drug disorders, predicted by attitudinal rather than financial variables, suggests an urgent need for public and professional education to reduce the stigma associated with these disorders and increase knowledge of treatment options.
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Affiliation(s)
- Deborah S Hasin
- Department of Psychiatry, College of Physicians and Surgeons, New York, NY, 10032, USA
- Mailman School of Public Health, Columbia University, New York, NY, 10032, USA
- New York State Psychiatric Institute, New York, NY, 10032, USA
| | - Bridget F Grant
- Laboratory of Epidemiology and Biometry, Division of Intramural Clinical and Biological Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 5635 Fishers Lane, Room 3077, Rockville, MD, 20852, USA.
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van Bergen DD, Saharso S. Suicidality of young ethnic minority women with an immigrant background: The role of autonomy. EUROPEAN JOURNAL OF WOMEN'S STUDIES 2015. [DOI: 10.1177/1350506815609740] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Ethnic minority status and female gender convey a risk for suicidal behavior, yet research of suicidality of ethnic minority female immigrants is scarce. The authors of this article conducted qualitative interviews with 15 young women (of four ethnicities) in the Netherlands, who either had attempted suicide or contemplated suicide, and analyzed these in a narrative psychology tradition. Suicidality was associated with despair and frustration over the violation of the women’s personal autonomy and self-integrity regarding strategic life choices. Autonomy restrictions and violations followed two patterns, which are interconnected with four criteria regarding the capacity for autonomy. Findings are discussed with referral to Durkheim and feminist theories of autonomy.
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Jenkins R, Othieno C, Omollo R, Ongeri L, Sifuna P, Ongecha M, Mboroki JK, Kiima D, Ogutu B. Tedium vitae, death wishes, suicidal ideation and attempts in Kenya-prevalence and risk factors. BMC Public Health 2015; 15:759. [PMID: 26253319 PMCID: PMC4528694 DOI: 10.1186/s12889-015-2089-3] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2015] [Accepted: 07/24/2015] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND There has been no previous household population study of suicidal ideation and attempts in Kenya. Therefore this study aimed to establish the prevalence of suicidal ideation and attempts in a rural population in Kenya, and to assess risk factors. METHODS An epidemiological survey of a household population, using standardised structured interviews. We examined the prevalence of suicidal ideation and suicide attempts and the predictors of suicidal thoughts and attempts, using STATA to calculate unadjusted and adjusted odds ratios. RESULTS A quarter of the sample (24.1 %) had thought that life was not worth living (tedium vitae) at some point in their lives, while a fifth had experienced death wishes at some stage. About 7.9 % reported suicidal thoughts and 1.9 % had made actual suicide attempts at some point in their lives. It can be seen that the prevalence of suicidal thoughts was 0.7 %, 4.2 %, 3.7 % and 7.9 % for last week, last year, at some other time, and lifetime respectively, while the prevalence of suicidal attempts was 0.5 %, 1.2 %, 0.7 and 1.9 % respectively. In the adjusted analysis of factors associated with suicidal thoughts, being female (OR 1.8, p = 0.017), having CMD (OR 2.7, p = 0.001), having a number of recent life events (OR 2.3, p = 0.001 for 2-3 life events and OR 2.6, p = 0.004 for 4 or more life events), and having a large social group size (OR 7.7, p = 0.006 for social group size of 4-8 and OR 9.1, p = 0.003 for social group size of 9 or more) were all associated with increased rates of life time suicidal thoughts, but psychotic symptoms were no longer significant after adjustment for the other variables. In the adjusted analysis of suicide attempts, having any psychotic symptoms (OR 5.1, p = 0.001) was the only factor associated with suicide attempts after adjustment for other factors significant at the bivariate level. CONCLUSION Suicidal ideation and attempts pose a significant public health burden in this poor rural area of Kenya. The findings are relevant for mental health promotion and prevention programmes, public education and professional training programmes in relevant sectors, especially in front line health workers and social workers.
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Affiliation(s)
- Rachel Jenkins
- Institute of Psychiatry, Kings College London, London, UK.
| | | | - Ray Omollo
- Centre for Clinical Research, Kenya Medical Research Institute, Nairobi, Kenya.
| | - Linnet Ongeri
- Centre for Clinical Research, Kenya Medical Research Institute, Nairobi, Kenya.
| | - Peter Sifuna
- Kombewa Health and Demographic Surveillance System, Kombewa, Kenya.
| | - Michael Ongecha
- Centre for Global Health, Kenya Medical Research Institute, Kisumu, Kenya.
| | | | - David Kiima
- Kenya Ministry of Medical Services, Nairobi, Kenya.
| | - Bernhards Ogutu
- Centre for Clinical Research, Kenya Medical Research Institute, Nairobi, Kenya.
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22
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Le Strat Y, Le Foll B, Dubertret C. Major depression and suicide attempts in patients with liver disease in the United States. Liver Int 2015; 35:1910-6. [PMID: 24905236 DOI: 10.1111/liv.12612] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2014] [Accepted: 05/18/2014] [Indexed: 12/12/2022]
Abstract
BACKGROUND & AIMS Depression is common in patients with liver disease. Moreover, alcohol use is intricately linked with both major depression and liver disease, and has also been linked with suicidal behaviours, suggesting that the alcohol use may have an intermediate role in the relationship between liver disease and major depression or suicidal behaviours. This study presents nationally representative data on the prevalence of major depression in patients with liver disease in the United States and its association with suicide attempts. METHODS Data were drawn from the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). The NESARC is a survey of 43 093 adults aged 18 years and older in the United States. Medically recognized liver diseases were self-reported, and diagnoses of major depression were based on the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV version. RESULT The prevalence of liver disease was estimated at 0.7%. Respondents with a liver disease reported 12-month rates of major depression (17.2%) that were significantly higher than among respondents without liver disease (7.0%; Adjusted OR:2.2; CI: 1.2-4.1). Lifetime rates of suicide attempts among participants with a major depression were also higher in participants with a liver disease (33.2%) than among respondents without liver disease (13.7%; OR: 3.1; CI: 1.3-7.6). CONCLUSIONS Liver diseases are associated with major depression and suicide attempts among adults in the community. Adjustment for the amount of alcohol used or sociodemographical factors did not explain the observed association of liver disease with both major depression and suicide attempts.
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Affiliation(s)
- Yann Le Strat
- Department of Psychiatry, Louis Mourier Hospital, AP-HP, Colombes, France.,Centre for Psychiatry and Neurosciences, INSERM U894, Team 1, 2 ter rue d'Alesia, Paris, 75014, France.,Sorbonne Paris Cité, Faculty of medicine, Univ Paris Diderot, France.,Translational Addiction Research Laboratory, Centre for Addiction and Mental Health, Toronto, ON, Canada
| | - Bernard Le Foll
- Translational Addiction Research Laboratory, Centre for Addiction and Mental Health, Toronto, ON, Canada.,Addiction Program, Centre for Addiction and Mental Health, Toronto, Canada.,Departments of Family and Community Medicine, Psychiatry, Pharmacology and Toxicology, Institutes of Medical Sciences, University of Toronto, Toronto, Canada
| | - Caroline Dubertret
- Department of Psychiatry, Louis Mourier Hospital, AP-HP, Colombes, France.,Centre for Psychiatry and Neurosciences, INSERM U894, Team 1, 2 ter rue d'Alesia, Paris, 75014, France.,Sorbonne Paris Cité, Faculty of medicine, Univ Paris Diderot, France
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Cavanaugh CE, Messing JT, Eyzerovich E, Campbell JC. Ethnic Differences in Correlates of Suicidal Behavior Among Women Seeking Help for Intimate Partner Violence. CRISIS 2015; 36:257-66. [DOI: 10.1027/0227-5910/a000321] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Abstract. Background: Women abused by an intimate partner are at risk of engaging in nonfatal suicidal behavior and suicidal communication (NSBSC). No studies have examined ethnic differences in correlates of NSBSC among abused women. Aims: This secondary data analytic study examined whether correlates of NSBSC previously reported among a mixed ethnic sample of women seeking help for abuse by a male intimate partner differed for those who self-identified as Latina (N = 340), African American (N = 184), or European American (N = 67). Method: Logistic regression was used to examine correlates of NSBSC separately among Latina, African American, and European American women. Results: More severe violence by a male intimate partner, having a chronic or disabling illness, being younger, and being unemployed were positively associated with NSBSC in bivariate analyses among Latina women, but unemployment did not remain significantly associated with NSBSC in the multiple logistic regression. There were no significant correlates of NSBSC for African American women. Having a chronic illness was significantly associated with NSBSC among European American women. Conclusion: Findings suggest the need for culturally tailored suicide prevention interventions and studies that examine risk and protective factors for NSBSC among a diversity of women abused by male intimate partners
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Affiliation(s)
| | - Jill T. Messing
- School of Social Work, Arizona State University, Phoenix, AZ, USA
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Racial/Ethnic differences in health care visits made before suicide attempt across the United States. Med Care 2015; 53:430-5. [PMID: 25872151 DOI: 10.1097/mlr.0000000000000335] [Citation(s) in RCA: 78] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Suicide is a public health concern, but little is known about the patterns of health care visits made before a suicide attempt, and whether those patterns differ by race/ethnicity. OBJECTIVES To examine racial/ethnic variation in the types of health care visits made before a suicide attempt, when those visits occur, and whether mental health or substance use diagnoses were documented. RESEARCH DESIGN Retrospective, longitudinal study, 2009-2011. PARTICIPANTS 22,387 individuals who attempted suicide and were enrolled in the health plan across 10 health systems in the Mental Health Research Network. MEASURES Cumulative percentage of different types of health care visits made in the 52 weeks before a suicide attempt, by self-reported racial/ethnicity and diagnosis. Data were from the Virtual Data Warehouse at each site. RESULTS Over 38% of the individuals made any health care visit within the week before their suicide attempt and ∼95% within the preceding year; these percentages varied across racial/ethnic groups (P<0.001). White individuals had the highest percentage of visits (>41%) within 1 week of suicide attempt. Asian Americans were the least likely to make visits within 52 weeks. Hawaiian/Pacific Islanders had proportionally the most inpatient and emergency visits before an attempt, but were least likely to have a recorded mental health or substance use diagnosis. Overall, visits were most common in primary care and outpatient general medical settings. CONCLUSIONS This study provides temporal evidence of racial/ethnic differences in health care visits made before suicide attempt. Health care systems can use this information to help focus the design and implementation of their suicide prevention initiatives.
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Lytle MC, De Luca SM, Blosnich JR, Brownson C. Associations of racial/ethnic identities and religious affiliation with suicidal ideation among lesbian, gay, bisexual, and questioning individuals. J Affect Disord 2015; 178:39-45. [PMID: 25795534 PMCID: PMC4397160 DOI: 10.1016/j.jad.2014.07.039] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2014] [Accepted: 07/22/2014] [Indexed: 11/12/2022]
Abstract
BACKGROUND Our aim was to examine the associations of racial/ethnic identity and religious affiliation with suicidal ideation among lesbian, gay, bisexual, and questioning (LGBQ) and heterosexual college students. An additional aim was to determine the prevalence of passive suicidal ideation (i.e., death ideation) and active suicidal ideation among culturally diverse LGBQ individuals. METHODS Data from the National Research Consortium probability-based sample of college students from 70 postsecondary institutions (n=24,626) were used to examine active and passive suicidal ideation in the past 12-months and lifetime active suicidal ideation among students by sexual orientation, racial/ethnic identity, and religious affiliation. RESULTS Across most racial/ethnic groups and religious affiliations, LGBQ students were more likely to report active suicidal ideation than non-LGBQ individuals. Among LGBQ students, Latino individuals had lower odds of reporting both past 12-month passive and active suicidal ideation than their non-Hispanic white LGBQ counterparts. Compared to Christian LGBQ students, Agnostic/Atheist LGBQ individuals had greater odds of reporting past 12-month passive suicidal ideation, and Jewish LGBQ students were less likely to endorse past 12-month passive and active suicidal ideation. LIMITATIONS Cross-sectional design and self-reported data. CONCLUSIONS Results corroborate previous research showing elevated prevalence of suicidal ideation among LGBQ individuals in comparison to their heterosexual counterparts. These findings are among the first to document prevalence differences within the LGBQ population based on intersectional identities (race/ethnicity and religious affiliation). Providers should recognize that LGBQ individuals might need support in negotiating the complex relationship between multiple identities, especially due to their elevated prevalence of suicidal ideation.
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Affiliation(s)
- Megan C Lytle
- University of Rochester Medical Center, Department of Psychiatry, Rochester, NY, United States.
| | - Susan M De Luca
- School of Social Work, University of Texas at Austin, The University of Texas at Austin, Austin, TX, United States
| | - John R Blosnich
- Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, United States
| | - Chris Brownson
- Counseling and Mental Health Center, The University of Texas at Austin, Austin, TX, United States
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Minayo MCDS, Cavalcante FG. Tentativas de suicídio entre pessoas idosas: revisão de literatura (2002/2013). CIENCIA & SAUDE COLETIVA 2015; 20:1751-62. [DOI: 10.1590/1413-81232015206.10962014] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2014] [Accepted: 10/31/2014] [Indexed: 11/22/2022] Open
Abstract
Foi realizada revisão da literatura sobre as principais questões associadas às tentativas de suicídio em pessoas idosas. O estudo abrangeu o período de 2002 a 2013, a partir das bases Medline, Lilacs, PubMed, PsychInfo, SciELO, Biblioteca Virtual em Violência e Saúde da Bireme e Biblioteca Virtual de Saúde Pública (BVS/SP). Foram selecionadas 105 referências e analisadas 75. Os estudos se ampliaram na América do Norte, Europa e Ásia, são raros na América Latina e inexistem na África. Predominam investigações epidemiológicas. Os principais fatores predisponentes são doenças graves e degenerativas, dependência física, distúrbios e sofrimentos mentais e depressão severa. A depressão é o mais relevante fator explicativo associado a sofrimento físico crônico, perdas, abandonos, solidão e conflitos familiares. Diferenças de gênero, etnia, avanço da idade, questões sociais e traços culturais foram encontrados. O tema em pauta é da mais alta relevância para o Sistema Único de Saúde, mas não tem sido abordado no Brasil nem na teoria e nem na prática. Que esta revisão seja base para estudos empíricos que favoreçam o apoio à saúde do idoso e promova um envelhecer saudável.
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Gulbas LE, Zayas LH. Examining the interplay among family, culture, and latina teen suicidal behavior. QUALITATIVE HEALTH RESEARCH 2015; 25:689-99. [PMID: 25288407 PMCID: PMC4382415 DOI: 10.1177/1049732314553598] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
In this article, we explore the relationships among culture, family, and attempted suicide by U.S. Latinas. We analyzed qualitative interviews conducted with Latina teen suicide attempters (n = 10) and their parents. We also incorporated data collected from adolescents with no reported history of self-harm (n = 10) and their parents to examine why some individuals turned to suicide under similar experiences of cultural conflict. Our results reveal that Latina teens who attempted suicide lacked the resources to forge meaningful social ties. Without the tools to bridge experiences of cultural contradiction, the girls in our study described feeling isolated and alone. Under such conditions, adolescents turned to behaviors aimed at self-destruction. Unlike their peers who attempted suicide, adolescent Latinas with no lifetime history of attempted suicide were able to mobilize resources in ways that balanced experiences of acculturative tension by creating supportive relationships with other individuals.
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Brown MJ, Cohen SA, Mezuk B. Duration of U.S. residence and suicidality among racial/ethnic minority immigrants. Soc Psychiatry Psychiatr Epidemiol 2015; 50:257-67. [PMID: 25108531 PMCID: PMC4469644 DOI: 10.1007/s00127-014-0947-4] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2013] [Accepted: 08/01/2014] [Indexed: 01/02/2023]
Abstract
PURPOSE The immigration experience embodies a range of factors including different cultural norms and expectations, which may be particularly important for groups who become racial/ethnic minorities when they migrate to the U.S. However, little is known about the correlates of mental health indicators among these groups. The primary and secondary aims were to determine the association between duration of U.S. residence and suicidality, and 12-month mood, anxiety, and substance use disorders, respectively, among racial/ethnic minority immigrants. METHODS Data were obtained from the National Survey of American Life and the National Latino and Asian American Survey. Multivariable logistic regression was used to determine the association between duration of US residence, and suicidality and 12-month psychopathology. RESULTS Among Afro-Caribbeans, there was a modest positive association between duration of U.S. residence and 12-month psychopathology (P linear trend = 0.016). Among Asians there was a modest positive association between duration of US residence and suicidal ideation and attempts (P linear trend = 0.018, 0.063, respectively). Among Latinos, there was a positive association between duration of US residence, and suicidal ideation, attempts and 12-month psychopathology (P linear trend = 0.001, 0.012, 0.002, respectively). Latinos who had been in the U.S. for >20 years had 2.6 times greater likelihood of suicidal ideation relative to those who had been in the U.S. for <5 years (95% CI 1.01-6.78). CONCLUSIONS The association between duration of US residence and suicidality and psychopathology varies across racial/ethnic minority groups. The results for Latino immigrants are broadly consistent with the goal-striving or acculturation stress hypothesis.
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Affiliation(s)
- Monique J. Brown
- Department of Family Medicine and Population Health, Division of Epidemiology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA. 830 East Main Street, 8th Floor, Richmond 23219, VA, USA
| | - Steven A. Cohen
- Department of Family Medicine and Population Health, Division of Epidemiology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA
| | - Briana Mezuk
- Department of Family Medicine and Population Health, Division of Epidemiology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA. Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University School of Medicine, Richmond, VA, USA. Research Center for Group Dynamics, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA
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Comorbidity of posttraumatic stress disorder with alcohol dependence among US adults: results from National Epidemiological Survey on Alcohol and Related Conditions. Drug Alcohol Depend 2013; 132:630-8. [PMID: 23702490 PMCID: PMC3770804 DOI: 10.1016/j.drugalcdep.2013.04.016] [Citation(s) in RCA: 204] [Impact Index Per Article: 18.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2013] [Revised: 04/11/2013] [Accepted: 04/12/2013] [Indexed: 11/23/2022]
Abstract
BACKGROUND Despite the high rates of comorbidity of post-traumatic stress disorder (PTSD) and alcohol dependence (AD) in clinical and epidemiological samples, little is known about the prevalence, clinical presentation, course, risk factors and patterns of treatment-seeking of co-occurring PTSD-AD among the general population. METHODS The sample included respondents of the Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Weighted means, frequencies and odds ratios (ORs) of sociodemographic correlates, prevalence of psychiatric disorders and rates of treatment-seeking were computed. RESULTS In the general population, the lifetime prevalence of PTSD only, AD only and PTSD-AD was 4.83%, 13.66% and 1.59%, respectively. Individuals with comorbid PTSD-AD were more likely than those with PTSD or AD only to have suffered childhood adversities and had higher rates of Axis I and II disorders and suicide attempts. They also met more PTSD diagnostic criteria, had earlier onset of PTSD and were more likely to use drugs and alcohol to relieve their PTSD symptoms than those with PTSD only; they also met more AD diagnostic criteria than those with AD only and had greater disability. Individuals with PTSD-AD had higher rates of treatment seeking for AD than those with AD only, but similar rates than those with PTSD only. CONCLUSION PTSD-AD is associated with high levels of severity across a broad range of domains even compared with individuals with PTSD or AD only, yet treatment-seeking rates are very low. There is a need to improve treatment access and outcomes for individuals with PTSD-AD.
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Supple AJ, Graves K, Daniel S, Kiang L, Su J, Cavanaugh AM. Ethnic, gender, and age differences in adolescent nonfatal suicidal behaviors. DEATH STUDIES 2013; 37:830-847. [PMID: 24517593 DOI: 10.1080/07481187.2012.699909] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This study examined ethnic differences in adolescent nonfatal suicidal behaviors as well as age and gender variation both across and within ethnic groups. Using a large (n = 14, 346) sample of adolescents in Grades 7 through 12, African Americans reported relatively high rates of suicidal thoughts and attempts and Southeast Asians reported high rates of suicidal thoughts. Hispanic Americans, European Americans, and Asian Americans were similar in their reports of nonfatal suicidal behaviors. Gender differences also varied across ethnicity as Southeast Asian boys (particularly older boys) reported more suicidal thoughts and attempts than Southeast Asian girls.
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Affiliation(s)
- Andrew J Supple
- Department of Human Development & Family Studies, The University of North Carolina at Greensboro, Greensboro, North Carolina 27402-6170, USA.
| | - Kelly Graves
- Center for Youth, Family, and Community Partnerships, The University of North Carolina at Greensboro, Greensboro, North Carolina 27402-6170, USA
| | - Stephanie Daniel
- Center for Youth, Family, and Community Partnerships, The University of North Carolina at Greensboro, Greensboro, North Carolina 27402-6170, USA
| | - Lisa Kiang
- Department of Psychology, Wake Forest University, Winston-Salem, North Carolina, USA
| | - Jinni Su
- Department of Human Development & Family Studies, The University of North Carolina at Greensboro, Greensboro, North Carolina 27402-6170, USA
| | - Alyson M Cavanaugh
- Department of Human Development & Family Studies, The University of North Carolina at Greensboro, Greensboro, North Carolina 27402-6170, USA
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Abstract
Suicide-related outcomes are a major public health challenge in communities of color in the United States. To address these challenges, this Major Contribution makes theoretical, empirical, and practice-related contributions to scholarship on suicide-related outcomes among people of color. In this article, the authors present a new framework to conceptualize previous suicidology scholarship, address existing literature gaps, and inform counseling psychologists’ future work on suicide-related outcomes in U.S. communities of color. The framework consists of three components and nine principles that highlight the types of constructs, populations, and preventive interventions that should be emphasized in theory, research, and practice addressing suicide-related outcomes in communities of color. The authors explain why suicide-related outcomes in communities of color deserve attention, describe the framework, and discuss implications of the framework for future practice and training. It is hoped that this framework can serve as a resource and impetus for new paradigms of suicidology work in communities of color.
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Abstract
BACKGROUND Suicide is the 11th leading cause of death in the USA. Suicide rates vary across ethnic groups. Whether suicide behavior differs by ethnic groups in the USA in the same way as observed for suicide death is a matter of current discussion. The aim of this report was to compare the lifetime prevalence of suicide ideation and attempt among four main ethnic groups (Asians, Blacks, Hispanics, and Whites) in the USA. METHOD Suicide ideation and attempts were assessed using the World Mental Health version of the Composite International Diagnostic Interview (WMH-CIDI). Discrete time survival analysis was used to examine risk for lifetime suicidality by ethnicity and immigration among 15 180 participants in the Collaborative Psychiatric Epidemiological Surveys (CPES), a group of cross-sectional surveys. RESULTS Suicide ideation was most common among Non-Hispanic Whites (16.10%), least common among Asians (9.02%) and intermediate among Hispanics (11.35%) and Non-Hispanic Blacks (11.82%). Suicide attempts were equally common among Non-Hispanic Whites (4.69%), Hispanics (5.11%) and Non-Hispanic Blacks (4.15%) and less common among Asians (2.55%). These differences in the crude prevalence rates of suicide ideation decreased but persisted after control for psychiatric disorders, but disappeared for suicide attempt. Within ethnic groups, risk for suicidality was low among immigrants prior to migration compared to the US born, but equalized over time after migration. CONCLUSIONS Ethnic differences in suicidal behaviors are explained partly by differences in psychiatric disorders and low risk prior to arrival in the USA. These differences are likely to decrease as the US-born proportion of Hispanics and Asians increases.
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Affiliation(s)
- G Borges
- National Institute of Psychiatry, Mexico City, Mexico.
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Betz ME, Krzyzaniak SM, Hedegaard H, Lowenstein SR. Completed suicides in Colorado: differences between Hispanics and non-Hispanic Whites. Suicide Life Threat Behav 2011; 41:445-52. [PMID: 21631574 DOI: 10.1111/j.1943-278x.2011.00044.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
All suicides by Hispanics (n = 434) and non-Hispanic Whites (n = 3,370) in Colorado from 2004 to 2008 using the Violent Death Reporting System were examined. Hispanic victims were significantly younger. Adjusting for age and gender, Hispanic victims were less likely to have reported depressed mood [odds ratio (OR) 0.78; 95% confidence interval (CI) 0.63-0.97], mental health diagnosis (OR 0.53; 95% CI 0.41-0.7), or current psychiatric treatment (OR 0.47; 95% CI 0.43-0.77). There were no differences in reports of financial, relationship, job, or legal stresses. Hispanic suicides were equally likely to be by overdose, firearm, or hanging, but more likely to be in jail (OR 2.68; 95% CI 1.55-4.65). To prevent suicides, stronger partnerships are needed among public health, medical, mental health, and criminal justice professionals.
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Affiliation(s)
- Marian E Betz
- Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado 80045, USA.
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Acculturative stress, perceived discrimination, and vulnerability to suicide attempts among emerging adults. J Youth Adolesc 2011; 40:1465-76. [PMID: 21717234 DOI: 10.1007/s10964-011-9688-9] [Citation(s) in RCA: 80] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2011] [Accepted: 06/17/2011] [Indexed: 10/18/2022]
Abstract
Cultural factors are often neglected in studies of suicidal behavior among emerging adults. The present study examined acculturative stress and perceived discrimination as statistical predictors of a suicide attempt history among an ethnically diverse sample of 969 emerging adults, ages 18-25 (M = 18.8). Females made up 68% of the sample, and the racial/ethnic composition included Asian, Latino, Black, and White (US-born and non-US-born) individuals. There were no statistically significant racial/ethnic differences in endorsement of a suicide attempt history, with an overall rate of 8% in the sample. Asian participants reported higher acculturative stress than all other racial/ethnic groups, while both Asian and Black participants reported having experienced more discrimination in the previous year, compared to other groups. Logistic regression analyses suggested that familial acculturative stress was associated with 2 times higher odds of endorsing a past suicide attempt, overall. More specifically, it was associated with over 2 times higher odds among Asian participants, over 4 times higher odds among Black participants, and over 3 times higher odds among non-US-born White participants, while social acculturative stress was associated with over 3 times higher odds of endorsing a past suicide attempt among Latino participants. Environmental acculturative stress was associated with decreased odds of endorsing a suicide attempt history, overall, but not when examined separately by racial/ethnic group. Perceived discrimination was associated with over 5 times higher odds of a suicide attempt, overall, and specifically was associated with over 3 times higher odds among Latino participants and over 10 times higher odds among White, US-born participants. These findings suggest the importance of addressing culturally-related variables in treatment with emerging adults of racially/ethnically diverse backgrounds to reduce risk for suicidal behavior.
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Zayas LH, Hausmann-Stabile C, Kuhlberg J. Can Better Mother-Daughter Relations Reduce the Chance of a Suicide Attempt among Latinas? DEPRESSION RESEARCH AND TREATMENT 2011; 2011:403602. [PMID: 21822487 PMCID: PMC3148596 DOI: 10.1155/2011/403602] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/28/2011] [Accepted: 06/07/2011] [Indexed: 11/18/2022]
Abstract
National surveys and other research on adolescent Latinas show that adolescent females have higher rates of suicidal ideation, planning, and attempts than other ethnic and racial minority youth. Internalizing behaviors and family conflicts are commonly associated with suicidality in research on adolescents. In the case of Latinas, we explore the connection between adolescent Hispanic cultural involvement, mother-adolescent mutuality, internalizing behaviors, and suicidality. This paper presents data from a study of 232 Latinas, some with a recent history of suicide attempts (n = 122). The results show that higher adolescent Hispanic cultural involvement was associated with greater mother-daughter mutuality and thus led to reduction in the likelihood of suicide attempts. The relationship between mother-daughter mutuality and suicide attempts among Latinas is mediated by specific internalizing behaviors (withdrawn depressive). Our findings highlight the positive effect that Latino cultural values have in the relationship between Latina adolescent and their mothers and confirm the importance that internalizing behaviors and the mother-daughter relationship have for suicide attempters.
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Affiliation(s)
- Luis H. Zayas
- Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130-4899, USA
| | - Carolina Hausmann-Stabile
- Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130-4899, USA
| | - Jill Kuhlberg
- Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130-4899, USA
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