Ethnocultural differences in prevalence of adolescent suicidal behaviors.
Data from an ethnically diverse sample of middle school students (grades 6-8; n = 5,423) are analyzed for ethnic differences in suicidal ideation, thoughts about suicide in the past 2 weeks, suicide plans, and suicide attempts. Ideation was examined using a four-item scale and a single item on suicidal thoughts. Ideation was higher among females, older youths, and lower status youths. The same general pattern held for recent suicidal plans and attempts, with the exception of gender, where the trend was for males to report more attempts. Lifetime plans and attempts were higher for females, older youths, and lower status youths. Data were sufficient to compare nine ethnic groups. Multivariate logistic regression analyses, adjusting for the effects of age, gender, and socioeconomic status, yielded significant odds ratios using the Anglo groups as the reference, for suicidal ideation for the Mexican (OR = 1.76, p < .001), Pakistani (OR = 2.0, p < .01), and Vietnamese (OR = 1.48, p < .05) American groups. For thoughts about suicide in the past 2 weeks, only Pakistani and Mixed Ancestry youths had elevated risk. For suicidal plans in the past 2 weeks, Mixed Ancestry youths (OR = 2.02, p < .05) and Pakistani youths (OR = 3.20, p < .01) had elevated risk. For recent attempts, only the Pakistani American youths had elevated risk (OR = 3.19, p < .01). Future research needs to address whether these results hold in other ethnically diverse communities and, if so, what factors contribute to increased risk among some minority youth and not others.
Roberts
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Department of Behavioral Sciences, School of Public Health, Medical School, University of Texas-Houston Health Science Center, USA.
Chen
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Roberts
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D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology*; D002648:Child; D003430:Cross-Sectional Studies; D018864:Cultural Diversity; D005260:Female; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D017058:Mexican Americans / Q000523:psychology / Q000706:statistics & numerical data; D008913:Minority Groups / Q000523:psychology* / Q000706:statistics & numerical data; D015999:Multivariate Analysis; D016017:Odds Ratio; D010154:Pakistan / Q000208:ethnology; D015995:Prevalence; D012189:Retrospective Studies; D012494:Sampling Studies; D012737:Sex Factors; D012959:Socioeconomic Factors; D013405:Suicide / Q000208:ethnology* / Q000523:psychology* / Q000706:statistics & numerical data; D013406:Suicide, Attempted / Q000706:statistics & numerical data; D013781:Texas / Q000453:epidemiology; D014744:Vietnam / Q000208:ethnology