Ethnic Variations in Suicidal Ideation and Behaviors: A Prominent Subtype Marked by Nonpsychiatric Factors Among Asian Americans

Chu, Joyce; Chi, Koyun; Chen, Ken; Leino, Amy

doi:10.1002/jclp.22082

Cited by 24 publications

(22 citation statements)

References 53 publications

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“…The results from the current study are consistent with Chia’s [26], who reported that a risk factor for young Chinese is mental illness, and congruent with the prevalence of a prior mental illness for suicide deaths in Singapore [50]. They also do not have religious beliefs with strong sanctions against suicide, consistent with a review of recent literature showing that religion is a common purveyor of cultural sanctions regarding the acceptability of suicides [51–52]. …”

Section: Discussionsupporting

confidence: 90%

Does ethnicity matter in risk and protective factors for suicide attempts and suicide lethality?

et al. 2017

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This study explored ethnic differences in risk and protective factors for suicide attempts, for the major ethnic groups in Singapore, and ethnic differences in prediction of lethality. Three years of medical records related to suicide attempters (N = 666) who were admitted to the emergency department of a large teaching hospital in Singapore were subjected to analysis. Of the sample, 69.2% were female, 30.8% male; 63.8% Chinese, 15.8% Indian, and 15.0% Malay. Indians were over-represented in this sample, as compared with the ethnic distribution in the general population. Ages ranged from 10 to 85 years old (M = 29.7, SD = 16.1). Ethnic differences were found in risk and protective factors, and perceived lethality of suicide attempts. All available variables were subjected to regression analyses for Chinese, Indian and Malay attempters to arrive at parsimonious models for prediction of perceived lethality. The findings were discussed in regards to implications in assessment of suicide risk and primary prevention for the multiethnic society in Singapore.

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Section: Discussionsupporting

confidence: 90%

Does ethnicity matter in risk and protective factors for suicide attempts and suicide lethality?

et al. 2017

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“…Additionally, though research typically has used mental illness (a conglomerate representation of cognitive, behavioral, and emotional factors) as one of the strongest indicators of suicide risk (Holma et al., ), emerging evidence suggests that some ethnic minorities may not experience suicide as a mental health phenomenon. Whereas 90% of suicide attempters in the general population have a psychiatric disorder, around 30% of Asian Americans with past attempts have no history of mental illness, and half of suicidal Asian Americans are characterized by a nonpsychiatric suicide subtype (Chu, Chi, Chen, & Leino, ).…”

Section: The Importance Of Cultural Meanings Of Suicidementioning

confidence: 99%

An Empirical Model and Ethnic Differences in Cultural Meanings Via Motives for Suicide

Chu

Khoury

et al. 2017

J Clin Psychol

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Results advance suicide research and practice by establishing 6 empirically based cultural motives for suicide themes that may represent a key intermediary step in the pathway toward suicidal behaviors. Clinicians can use these suicide meanings via motives to guide their assessment and determination of suicide risk. Emphasis on environmental stressors rather than negative perceptions like hopelessness should be considered with Latino/a clients.

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“…Although this sample was culturally diverse, they did not mention the cultural issues. This is surprising because different factors are related to suicide in different cultures (Chu, Chi, Chen, & Leino, 2014; Perez-Rodriguez et al., 2014). However, it may be that when faced with a suicidal person, the participants’ focus may have been on safety issues not on cultural risk and protective factors.…”

Section: Discussionmentioning

confidence: 99%

A Developmental Model of Clergy Engagement With Suicide

2017

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Clergy have a key role in suicide prevention but report being undertrained, perhaps because a model that captures the competencies needed to engage suicide in faith communities and how these skills develop has not previously been available. Using grounded theory, this study addressed this gap by generating a developmental rubric based on interviews with 19 Protestant clergy, which were analyzed using a constant comparative method and were checked by interviewees operating at the highest level of development. The final 10 dimensions described over four developmental stages are (a) knowing role as clergy, (b) listening, (c) confidence, (d) risk assessment, (e) referral, (f) self-care, (g) community building, (h) postvention: ministering to survivors, (i) conducting memorial services or memorial ceremonies, and (j) clergy guilt. Results are based on clergy's intuitive categories and provide a usable rubric for developing suicide prevention training for clergy.

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Ethnic Variations in Suicidal Ideation and Behaviors: A Prominent Subtype Marked by Nonpsychiatric Factors Among Asian Americans

Abstract: Findings advance the culture and suicide literature by highlighting how current research and practice that characterize suicidal ideation and behaviors as a mental health phenomenon may not comprehensively identify suicidality among an ethnic minority group.

Cited by 24 publications

References 53 publications

Does ethnicity matter in risk and protective factors for suicide attempts and suicide lethality?

Does ethnicity matter in risk and protective factors for suicide attempts and suicide lethality?

An Empirical Model and Ethnic Differences in Cultural Meanings Via Motives for Suicide

A Developmental Model of Clergy Engagement With Suicide

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