PDF(Pubmed)
Abstract：
Enhancing social support and connectedness can reduce suicide risk, yet few studies have examined this effect in American Indian and Alaska Native (AI/AN) adults. We assessed suicidal ideation and behavior, thwarted belongingness, social support, enculturation, historical trauma, and traumatic life events in 709 AI/AN adults at high risk of suicide from five AI/AN communities. Suicidal ideation was associated with thwarted belongingness and protected against by social support and engaging in AI/AN ceremonies. Among those who made lifetime suicide attempts, traumatic life events, symptoms of depression/anxiety due to historical trauma, and thwarted belongingness were linked to more attempts. More engagement in cultural practices was associated with fewer suicide attempts. Higher levels of social support were associated with more suicide attempts, an observation potentially attributable to the cross-sectional nature of the study. Interventions should focus on protective factors and context-specific interventions emphasizing community history, values, and strengths.
摘要：
加强社会支持和联系可以降低自杀风险，然而，很少有研究在美洲印第安人和阿拉斯加原住民（AI/AN）成年人中检查这种影响。我们评估了自杀意念和行为,受挫的归属感，社会支持,养成文化，历史创伤,来自五个AI/AN社区的709名具有自杀风险的AI/AN成年人的创伤性生活事件。自杀意念与受挫的归属感有关，并受到社会支持和参与AI/AN仪式的保护。在那些终生自杀未遂的人中，创伤性生活事件，由于历史创伤引起的抑郁/焦虑症状，受挫的归属感与更多的尝试有关。更多地参与文化习俗与更少的自杀企图有关。更高水平的社会支持与更多的自杀企图有关，这可能归因于研究的横断面性质。干预措施应侧重于保护因素和针对特定环境的干预措施，强调社区历史，值,和优势。
