Abstract：
BACKGROUND: Suicidal ideation (SI) and suicide attempts (SA) are risk factors for suicide which peak during adolescence; however, evidence focused on differences in SI and SA risk among racial/ethnic minority youth is limited despite increasing suicide rates among several racial/ethnic minority groups.
METHODS: We analyzed a representative sample of adolescents aged 12-17 with prior depressive symptoms (n = 32,617) from the cross-sectional National Surveys on Drug Use and Health (2008-2019). Survey-weighted adjusted logistic regressions estimated the association of race/ethnicity with self-reported lifetime SI and SA, controlling for sociodemographics, lifetime substance use, lifetime major depressive episode, and self-rated health.
RESULTS: Compared to white adolescents, Black and Hispanic adolescents had a 2.5 % (p = 0.04) and 4.2 % (p < 0.001) lower likelihood of reporting SI. However, among participants reporting SI, Black and Hispanic adolescents had a 3.2 % (p = 0.03) and 3.1 % (p = 0.03) higher likelihood of reporting SA than white adolescents. Multiracial adolescents were 5.9 % (p = 0.03) more likely to report SA than white adolescents.
CONCLUSIONS: Although racial/ethnic minority groups are less likely to self-report mental health symptoms, we could only assess SI/SA among adolescents self-reporting prior depressive symptoms, and we could only assess SA among adolescents self-reporting SI due to survey methods.
CONCLUSIONS: Variation in the racial/ethnic distribution of suicidality supports theories conceptualizing separate pathways for SI and SA. This underscores the need for greater attention to racial/ethnic differences in suicide-related research, surveillance, and prevention efforts, including ensuring that mental health risk assessments directly evaluate SA in addition to SI in order to better identify high-risk racial/ethnic minority youth.
METHODS: We analyzed a representative sample of adolescents aged 12-17 with prior depressive symptoms (n = 32,617) from the cross-sectional National Surveys on Drug Use and Health (2008-2019). Survey-weighted adjusted logistic regressions estimated the association of race/ethnicity with self-reported lifetime SI and SA, controlling for sociodemographics, lifetime substance use, lifetime major depressive episode, and self-rated health.
RESULTS: Compared to white adolescents, Black and Hispanic adolescents had a 2.5 % (p = 0.04) and 4.2 % (p < 0.001) lower likelihood of reporting SI. However, among participants reporting SI, Black and Hispanic adolescents had a 3.2 % (p = 0.03) and 3.1 % (p = 0.03) higher likelihood of reporting SA than white adolescents. Multiracial adolescents were 5.9 % (p = 0.03) more likely to report SA than white adolescents.
CONCLUSIONS: Although racial/ethnic minority groups are less likely to self-report mental health symptoms, we could only assess SI/SA among adolescents self-reporting prior depressive symptoms, and we could only assess SA among adolescents self-reporting SI due to survey methods.
CONCLUSIONS: Variation in the racial/ethnic distribution of suicidality supports theories conceptualizing separate pathways for SI and SA. This underscores the need for greater attention to racial/ethnic differences in suicide-related research, surveillance, and prevention efforts, including ensuring that mental health risk assessments directly evaluate SA in addition to SI in order to better identify high-risk racial/ethnic minority youth.
摘要：
背景：自杀意念（SI）和自杀未遂（SA）是青少年时期自杀高峰的危险因素；然而，尽管几个种族/族裔少数群体的自杀率增加,但集中在种族/族裔少数群体中SI和SA风险差异的证据有限.
方法：我们分析了来自全国药物使用和健康横断面调查（2008-2019）的12-17岁青少年的代表性样本（n=32,617）。调查加权调整逻辑回归估计种族/民族与自我报告的终生SI和SA的关联，控制社会人口统计学，终生使用物质，一生主要抑郁发作,和自我评价的健康。
结果：与白人青少年相比，黑人和西班牙裔青少年报告SI的可能性分别为2.5％（p=0.04）和4.2％（p<0.001）。然而,在报告SI的参与者中，黑人和西班牙裔青少年报告SA的可能性比白人青少年高3.2％（p=0.03）和3.1％（p=0.03）。与白人青少年相比，多种族青少年报告SA的可能性为5.9％（p=0.03）。
结论：尽管种族/族裔少数群体不太可能自我报告心理健康症状，我们只能评估自我报告先前抑郁症状的青少年的SI/SA，由于调查方法，我们只能评估青少年自我报告SI中的SA。
结论：自杀性的种族/民族分布的变化支持将SI和SA的单独途径概念化的理论。这强调了在自杀相关研究中需要更多地关注种族/族裔差异，监视,和预防努力，包括确保心理健康风险评估除了SI之外还直接评估SA，以便更好地识别高风险种族/少数民族青年。
方法：我们分析了来自全国药物使用和健康横断面调查（2008-2019）的12-17岁青少年的代表性样本（n=32,617）。调查加权调整逻辑回归估计种族/民族与自我报告的终生SI和SA的关联，控制社会人口统计学，终生使用物质，一生主要抑郁发作,和自我评价的健康。
结果：与白人青少年相比，黑人和西班牙裔青少年报告SI的可能性分别为2.5％（p=0.04）和4.2％（p<0.001）。然而,在报告SI的参与者中，黑人和西班牙裔青少年报告SA的可能性比白人青少年高3.2％（p=0.03）和3.1％（p=0.03）。与白人青少年相比，多种族青少年报告SA的可能性为5.9％（p=0.03）。
结论：尽管种族/族裔少数群体不太可能自我报告心理健康症状，我们只能评估自我报告先前抑郁症状的青少年的SI/SA，由于调查方法，我们只能评估青少年自我报告SI中的SA。
结论：自杀性的种族/民族分布的变化支持将SI和SA的单独途径概念化的理论。这强调了在自杀相关研究中需要更多地关注种族/族裔差异，监视,和预防努力，包括确保心理健康风险评估除了SI之外还直接评估SA，以便更好地识别高风险种族/少数民族青年。
