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Discrimination and Suicidality amongst racial and ethnic minorities in the United States
University of Southern California, Los Angeles, USA.
Södertörn University, School of Social Sciences, SCOHOST (Stockholm Centre for Health and Social Change). National Institute of Mental Health, Tokyo, Japan.ORCID iD: 0000-0002-1260-2223
Universitat de Barcelona, Barcelona, Spain / Instituto de Salud Carlos III, Madrid, Spain.
Pacific Institute for Research and Evaluation, Berkeley, USA.
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2018 (English)In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 245, p. 517-523Article in journal (Refereed) Published
Abstract [en]

Background: Over the past decade, suicide rates have increased among certain racial/ethnic minority groups in the United States. To better understand suicide vulnerability among people of color, studies have examined the relations between social risk factors –such as discrimination –and suicidal thoughts and behaviors. However, the literature has been inconsistent, calling for more population studies.

Methods: This study analyzed data from two surveys: (1) The National Survey of American Life; and (2) The National Latino and Asian American Survey, which taken together are representative of Black, Latino, and Asians in the United States. Multivariable logistic regression models were used to examine the association between levels of discrimination on the Everyday Discrimination Scale and suicidal thoughts and behaviors. Additional models tested for effect modification by race and by psychiatric diagnosis.

Results: We found that individuals who reported the highest levels of discrimination had greater odds of reporting lifetime suicidal thoughts, plans, and attempts, when compared with people who did not report discrimination, after adjusting for socio-demographic characteristics. Notably, discrimination increased odds of reporting an unplanned suicide attempt and a suicide attempt without the intent to die. Adjusting for psychiatric diagnoses attenuated these effects. We found no evidence of effect modification by race or by psychiatric diagnosis.

Limitations: Data were cross-sectional, which did not allow for causal inferences.

Conclusions: Future translational research can explore how screening for discrimination may help identify individuals and groups of racial/ethnic minorities at risk for suicidal thoughts and behaviors.

Place, publisher, year, edition, pages
2018. Vol. 245, p. 517-523
Keywords [en]
Suicide, discrimination, Black, Asian, Latino, Hispanic
National Category
Sociology
Identifiers
URN: urn:nbn:se:sh:diva-36709DOI: 10.1016/j.jad.2018.11.059ISI: 000456697100065PubMedID: 30445379Scopus ID: 2-s2.0-85056480587OAI: oai:DiVA.org:sh-36709DiVA, id: diva2:1261384
Available from: 2018-11-07 Created: 2018-11-07 Last updated: 2019-11-06Bibliographically approved

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Citation style
  • apa
  • ieee
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  • harvard-anglia-ruskin-university
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  • Other style
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