关键词: cultural considerations migrant youth suicide risk suicide screening

Mesh : Adolescent Child Female Humans Acculturation Health Services Accessibility Mental Health Services Refugees / psychology Risk Assessment Social Stigma Suicide / psychology ethnology Suicide Prevention Transients and Migrants / psychology

来  源:   DOI:10.1016/j.acap.2023.05.024

Abstract:
Migrant youth who face forced displacement from their home countries have an emergent mental health burden, placing them at increased suicide risk. As such, it is crucial for pediatric providers to include suicide screening and assessment in their care for this population. Migrant families seek safety but, in many cases, encounter adverse events and psychosocial inequities in the migration journey and in the host community. Factors such as trauma, acculturative stress, and intersectionality influence suicide risk in migrants. Summative traumatic events contribute to the mental health load and worsen suicidal outcomes in migrant youth. Acculturative stress can lead to social marginalization in the host country, further adding to the existing mental health burden. Finally, intersectionality encompasses complex sociocultural influences, which shape the development of cultural identity in migrant youth and influence suicide risk. By examining these factors, the author advances cultural considerations in screening and assessment for suicide risk in migrant youth through evidence-based tools in pediatric clinical practice. Barriers to access to mental health services, stigma, and distrust of the health care system within the host community are also addressed. The author establishes recommendations for early suicide screening and prevention within this population through trauma-informed care, active advocacy, and cultural sensitivity.
摘要:
面临被迫离开祖国的移民青年有紧急的心理健康负担,使他们面临更高的自杀风险。因此,儿科服务提供者在对该人群的护理中纳入自杀筛查和评估至关重要.移民家庭寻求安全,但是,在许多情况下,在移民旅程和东道国社区中遇到不良事件和社会心理不平等。创伤等因素,适应应激,和交叉性影响移民的自杀风险。总结性创伤事件导致移民青年的心理健康负担和自杀结局恶化。文化适应压力会导致东道国的社会边缘化,进一步增加了现有的心理健康负担。最后,交叉性包含复杂的社会文化影响,塑造了流动青年文化认同的发展,影响了自杀风险。通过研究这些因素,作者通过儿科临床实践中的循证工具,提出了在移民青年自杀风险筛查和评估中的文化考虑因素.获得精神卫生服务的障碍,污名,还解决了东道国社区对医疗保健系统的不信任。作者提出了通过创伤知情护理在该人群中进行早期自杀筛查和预防的建议,积极倡导,文化敏感性。
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