title: Self-harm among Hispanic adolescents: investigating the role of culture-related stressors.
abstract: OBJECTIVE
  Suicide is the third leading cause of death among adolescents. Research shows Hispanic adolescents report disproportionate rates of both suicidal ideation and attempts. The purpose of the present study was twofold. First, the present study aimed to document the presence of suicidal ideation and self-harm behavior in a large heterogeneous sample of Hispanic adolescents. Second, this study sought to identify specific and unique culturally relevant stressors that were associated with the higher self-reported suicidal thoughts and self-harm among Hispanic males and females separately.
  
  
  METHODS
  Data were collected on 1,651 Hispanic adolescents who completed the Hispanic Stress Inventory-Adolescent Version.
  
  
  RESULTS
  Results of both rates and culture-related stressors that associated with the high rates of suicidal ideation are presented. Of the eight subscales measured in the Hispanic Stress Inventory-Adolescent, four subscales were predictive of either suicidal ideation or self-harm. For males, Acculturation Gap Stress was associated with suicidal thoughts and Discrimination Stress was associated with both suicidal thoughts and self-harm behavior. For females, Family Drug Stress was associated with suicidal thoughts. Acculturation Gap Stress, Family Drug Stress, and Immigration Stress were all significantly associated with self-harm behaviors.
  
  
  CONCLUSIONS
  Findings are discussed as they inform future culturally competent prevention interventions and future research studies.
authors.affiliation: Behavioral Assessment, Inc., Beverly Hills, California. Electronic address: bassessment@aol.com.
authors.forename: Richard C
authors.initials: RC
authors.lastname: Cervantes
authors.affiliation: School of Social Work, University of Southern California, Los Angeles, California.
authors.forename: Jeremy T
authors.initials: JT
authors.lastname: Goldbach
authors.affiliation: Department of Educational Psychology, University of Utah, Salt Lake City, Utah.
authors.forename: Alberto
authors.initials: A
authors.lastname: Varela
authors.affiliation: Department of Educational and Psychological Studies, School of Education and Human Development, University of Miami, Miami, Florida.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Santisteban
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology* / Q000523:psychology; D001294:Attitude to Health; D015897:Comorbidity; D003466:Cultural Characteristics; D003863:Depression / Q000208:ethnology; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D010379:Peer Group; D016728:Self-Injurious Behavior / Q000208:ethnology* / Q000523:psychology; D012934:Social Isolation; D013315:Stress, Psychological / Q000208:ethnology; D014481:United States / Q000453:epidemiology
keywords: Adolescent; Depression; Hispanic; Self-harm; Stress
references.citation: Soc Dev. 2009 Nov 1;18(4):765-784
references.pmid: 19966920
references.citation: J Abnorm Child Psychol. 1990 Jun;18(3):271-82
references.pmid: 2376654
references.citation: Cultur Divers Ethnic Minor Psychol. 2003 May;9(2):171-84
references.pmid: 12760328
references.citation: Am J Orthopsychiatry. 2005 Apr;75(2):275-87
references.pmid: 15839764
references.citation: J Spec Pediatr Nurs. 2008 Jan;13(1):50-2
references.pmid: 18096013
references.citation: Suicide Life Threat Behav. 2012 Dec;42(6):672-83
references.pmid: 23062099
references.citation: Suicide Life Threat Behav. 2008 Jun;38(3):334-42
references.pmid: 18611132
references.citation: NCHS Data Brief. 2012 Jul;(99):1-8
references.pmid: 23050606
references.citation: Psychol Assess. 2012 Mar;24(1):187-96
references.pmid: 21942232
references.citation: J Am Acad Child Adolesc Psychiatry. 1996 Sep;35(9):1183-92
references.pmid: 8824062
references.citation: Fam Process. 2009 Jun;48(2):253-68
references.pmid: 19579908
references.citation: Res Theory Nurs Pract. 2005 Spring;19(1):77-94
references.pmid: 15989168
references.citation: J Clin Psychiatry. 2007 Apr;68(4):572-81
references.pmid: 17474813
references.citation: Am J Orthopsychiatry. 2004 Jul;74(3):219-29
references.pmid: 15291699
references.citation: JAMA Psychiatry. 2013 Mar;70(3):300-10
references.pmid: 23303463
references.citation: Am Psychol. 2008 Jan;63(1):14-31
references.pmid: 18193978