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首页> 外文期刊>The journal of clinical psychiatry >Prevalence and correlates of lifetime suicidal ideation and suicide attempts among Latino subgroups in the United States.
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Prevalence and correlates of lifetime suicidal ideation and suicide attempts among Latino subgroups in the United States.

机译：在美国拉丁裔亚族中，一生中自杀意念和自杀企图的发生率和相关性。

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OBJECTIVE: Limited data are available to understand the prevalence and correlates of suicidal behavior among U.S. Latino subgroups. This article compares the prevalence of lifetime suicidal ideation and suicide attempts among major U.S. Latino ethnic subgroups and identifies psycho-sociocultural factors associated with suicidal behaviors. METHOD: The National Latino and Asian American Study includes Spanish- and English-speaking Mexicans, Puerto Ricans, Cubans, and other Latinos. A total of 2554 interviews were conducted in both English and Spanish by trained interviewers between May 2002 and November 2003. Lifetime psychiatric disorders were measured using the World Health Organization-Composite International Diagnostic Interview. Descriptive statistics and logistic models were used to determine demographic, clinical, cultural, and social correlates of lifetime suicidal ideation and suicide attempts. RESULTS: The lifetime prevalence of suicidal ideation and suicide attempts among Latinos was 10.1% and4.4%, respectively. Puerto Ricans were more likely to report ideation as compared with other Latino subgroups, but this difference was eliminated after adjustments for demographic, psychiatric, and sociocultural factors. Most lifetime suicide attempts described by Latinos were reported as occurring when they were under the age of 18 years. Any lifetime DSM-IV diagnoses, including dual diagnoses, were associated with an increased risk of lifetime suicidal ideation and suicide attempts among Latinos. In addition, female gender, acculturation (born in the United States and English speaking), and high levels of family conflict were independently and positively correlated with suicide attempts among Latinos, even among those without any psychiatric disorder. CONCLUSIONS: These findings reinforce the importance of understanding the process of acculturation, the role of family, and the sociocultural context for suicide risk among Latinos. These should be considered in addition to psychiatric diagnoses and symptoms in Latino suicide research, treatment, and prevention, especially among young individuals.
机译：目的：有限的数据可用于了解美国拉丁裔亚族中自杀行为的发生率和相关性。本文比较了美国主要拉丁裔族裔一生中自杀意念和自杀未遂的患病率，并确定了与自杀行为相关的心理社会文化因素。方法：国家拉丁裔和亚裔美国人研究包括说西班牙语和英语的墨西哥人，波多黎各人，古巴人和其他拉丁裔。在2002年5月至2003年11月之间，由经过训练的访问员总共进行了2554次英语和西班牙语的访问。使用世界卫生组织-综合国际诊断访问对终身精神病进行了测量。描述性统计和逻辑模型用于确定一生中自杀意念和自杀企图的人口统计学，临床，文化和社会相关性。结果：拉丁美洲人中自杀意念和自杀未遂的终生患病率分别为10.1％和4.4％。与其他拉丁裔亚组相比，波多黎各人更有可能报告构想，但是在调整了人口，精神病学和社会文化因素后，这种差异得以消除。据报道，拉丁美洲人描述的大多数终生自杀尝试都是在18岁以下时发生的。任何一生的DSM-IV诊断，包括双重诊断，都与拉丁美洲人终身自杀意念和自杀未遂的风险增加有关。此外，拉丁裔甚至在没有精神病的人中，女性的性别，适应能力（出生于美国和说英语）以及家庭冲突的严重程度与自杀未遂呈正相关。结论：这些发现加强了理解拉丁美洲人自杀风险的适应过程，家庭角色以及社会文化背景的重要性。在拉丁裔自杀研究，治疗和预防中，尤其是在年轻人中，除了精神病诊断和症状外，还应考虑这些因素。

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