背景:在检查美国黑人年轻人的自杀行为时,了解歧视的负面影响至关重要。黑人年轻人的自杀率以惊人的速度增长。这种增加的原因之一是与获得精神卫生服务有关的差距,具有长期健康后果。这项研究通过研究日常歧视的经历之间的关联,解决了文献中的一个显著差距,对心理健康寻求帮助的态度,关于自杀意念的结果,计划自杀而死,和自杀企图。
方法:数据来自一项全国性的研究,该研究涉及黑人年轻人在心理,物理,和性健康。参与者是通过Qualtrics小组从美国中西部地区招募的,用于招募研究参与者的在线调查交付服务。本研究的总样本为N=362,样本的平均年龄为21岁(SD:1.96)。我们使用逻辑回归分析来检验日常歧视的作用,寻求心理健康支持的态度,和结果的协变量:自杀意念,计划自杀而死,和自杀企图。
结果:具有积极的心理健康寻求帮助态度的黑人年轻成年人尝试自杀的可能性降低了34%(OR=0.66;95%CI:0.46,0.96),而经历自杀意念的可能性降低了35%(OR=0.65;95%CI:0.47,0.89)。然而,每天遭受歧视的年轻人更有可能报告自杀未遂(OR=1.70;95%CI:1.34,2.15).
结论:我们的发现为歧视经历之间复杂的相互作用提供了有价值的见解,对寻求心理健康支持的态度,和自杀行为。然而,我们的研究还强调了歧视的经历如何显着加剧孤立感,绝望,和不足,进一步导致该人群的自杀行为。通过促进积极的心理健康求助行为,积极解决歧视问题,并将交叉方法应用于自杀预防工作,我们可以在建设一个更具支持性和包容性的社会方面取得重大进展。这种方法旨在使个人能够寻求帮助,降低自杀行为的风险,并为我们社区的所有成员创造一个更友好的环境。
BACKGROUND: Developing an understanding of the negative impact of discrimination is critical when examining the suicidality of Black young adults in the US. Suicide rates among Black young adults have increased at alarming rates. One of the reasons for this increase is the disparities related to access to mental health services, which has long-term health consequences. This study addresses a significant gap in the literature by examining associations between experiences of everyday discrimination, attitudes towards mental health help-seeking attitudes, on the outcomes suicide ideation, planning to die by suicide, and suicide attempts.
METHODS: The data came from a national study of the experiences of Black young adults regarding mental, physical, and sexual health. Participants were recruited from across the Midwestern region of the United States through Qualtrics Panels, an online survey delivery service used to recruit study participants. The total sample for this study was N = 362, and the average age of the sample was 21 (SD: 1.96). We used a logistic regression analysis to examine the role of everyday discrimination, mental health support-seeking attitudes, and covariates on the outcomes: suicide ideation, planning to die by committing suicide, and suicide attempts.
RESULTS: Black young adults with positive mental health help-seeking attitudes were 34% less likely to attempt suicide (OR = 0.66; 95% CI: 0.46, 0.96) and 35% less likely to experience suicide ideation (OR = 0.65; 95% CI: 0.47, 0.89). However, those young adults who experienced discrimination daily were more likely to report having attempted suicide (OR = 1.70; 95% CI: 1.34, 2.15).
CONCLUSIONS: Our findings offer valuable insights into the complex interplay between experiences of discrimination, attitudes toward seeking mental health support, and suicidal behaviors. However, our research also underscores how experiences of discrimination can significantly exacerbate feelings of isolation, hopelessness, and inadequacy, further contributing to suicidal behaviors in this population. By promoting positive mental health help-seeking behaviors, actively addressing discrimination, and applying an intersectional approach to suicide prevention efforts, we can take significant strides towards building a more supportive and inclusive society. This approach aims to empower individuals to seek help, reduce the risk of suicidal behaviors, and create a more welcoming environment for all members of our community.