Temporal Trends and Disparities in Suicidal Behaviors by Sex and Sexual Identity Among Asian American Adolescents

Xiao, Yunyu; Lu, Wenhua

doi:10.1001/jamanetworkopen.2021.4498

Cited by 17 publications

(10 citation statements)

References 43 publications

(109 reference statements)

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“…En los Estados Unidos desde el año 2011 se ha emitido líneas de prevención del suicidio, dentro de estas estrategias se refuerza la teoría que existe grupos de riesgo como adolescentes y jóvenes (18), grupos discriminados por su orientación sexual, etnias raciales entre otras (19), que dificultan un abordaje adecuado por el estigma cultural que existen en dichos grupos (20); lo cual se puede asemejar a nuestro país donde existe un desentendimiento del gobierno central respecto a salud mental en el abordaje de esta problemática en grupos específicos y esto aún se agrava más cuando los grupos etarios de riesgo sufren de trastornos mentales, discriminaciones, bullying, abandono del estado, etc .…”

Section: Discussionunclassified

Suicidios en el Perú: Descripción epidemiológica a través del Sistema Informático Nacional de Defunciones (SINADEF) en el periodo 2017-2021.

et al. 2022

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Objetivo: Descripción de características epidemiológicas de suicidios ocurridos en el Perú durante el periodo 2017-2021. Material y Métodos: Estudio de tipo descriptivo-comparativo, basado en la revisión del Sistema Informático Nacional de Defunciones entre los años 2017-2021; la muestra final incluyó un total de 2579 suicidios. Resultados: El 69,5% de los suicidios ocurrieron en el género masculino, el promedio de edad fue 34,87 años, 79,5% solteros y 26,6% con instrucción secundaria completa. Los departamentos con mayor frecuencia de suicidio fueron Lima (20,3%), Arequipa (19,2%), Cusco (9,5%) y Junín (7,8%). Según CIE-10 la causa principal de muerte fue edema cerebral (20,06%) y el domicilio, el lugar más frecuente (63,4%). Las modalidades utilizadas fueron ahorcamiento (56,6%), envenenamiento (29,2%), arma de fuego (4,0%), precipitación (3,1%) y arma blanca (1,7%). Se pudo establecer diferencias significativas con un p <0,05 entre tipo de suicidio y género, identificando un 74% de casos por ahorcamiento en el sexo masculino; entre tipo de suicidio y región natural: 60% de ahorcamientos en la costa; entre rango etario y tipo de suicidio: ahorcamiento 10-19 años (27,7%) y envenenamiento 20-29 años (26,5%), La mayoría (70,7%) cometió suicidio por ahorcamiento en su domicilio, seguida por envenenamiento en establecimientos de salud (56,9%) y por precipitación en la vía pública (16,8%). Conclusiones: El tipo más frecuente de suicidio fue por ahorcamiento, en personas jóvenes-adultas de sexo masculino y por envenenamiento en personas de sexo femenino.

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Section: Discussionunclassified

Suicidios en el Perú: Descripción epidemiológica a través del Sistema Informático Nacional de Defunciones (SINADEF) en el periodo 2017-2021.

et al. 2022

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“…In addition, due to the limitation of data, we were only able to assess suicidal ideation. At the same time, previous studies have suggested that risks and protective factors were associated differently with suicidal ideation and suicide attempts among adolescents (Xiao & Lindsey, 2021a, 2021bXiao & Lu, 2021). To increase the measurement accuracy, validated diagnostic interviews for children and adolescents that assess past and current suicidal ideation and suicide attempts, such as the Kiddie Schedule for Affective Disorders and Schizophrenia (Kaufman et al, 1997;Townsend et al, 2020), the Columbia-Suicide Severity Rating Scale (Posner et al, 2008), and Child Behavior Checklist (Achenbach, 2014), should be adopted.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Expenditure patterns among low‐income families in China: Contributing factors to child development and risks of suicidal ideation

Xiao

Chow

Han

et al. 2022

Journal Community Psychology

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Low‐income families in urbsan China have been benefited from the Minimum Living Standard Guarantee Assistance (dibao) policy since 1999. However, little is known about how child‐specific family expenditure patterns impact child outcomes. Based on 2531 children aged 8–16 years from the National Survey of Social Policy Support System for Low‐Income Families in Urban and Rural China, this is the first study of its kind to (1) identify family expenditure patterns (food, apparel, housing, transportation, pocket money, after‐school education, and other educational resources) among low‐income families and (2) examine their relationship with child suicide risks and developmental outcomes (academic performance, mental health, and physical health) by sex and across the dibao and marginalized families (i.e., without dibao). Latent profile analysis identified two patterns. Profile 1 (97.59%) showed low expenditure on children. Profile 2 (2.41%) prioritized expenditure in after‐school programs. Mixed‐effects logistic regression showed male children from marginalized families in Profile 1 are 11 times (95% confidence interval 1.10–109.52) more likely to think about suicide than female children from dibao families in Profile 2. Social policies and interventions promoting educational expenditure support and addressing the social determinants of health have the potential to reduce child suicide and improve child developmental outcomes among the urban poor.

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“…However, this is a factor that should not be ignored. When comparing the rate of suicidal attempt and injury by suicidal attempt between the two groups in a study focusing on disparities in suicidal behaviors by sex and sexual identity among Asian American adolescents, there is a clear disparity towards LGBTQ+: with 41% of those that identified as LGBTQ+ attempting suicide compared to 5.5% of the others, and 17.6% of LGBTQ+ participants being injured by suicidal attempts compared to 1.7% of the others [15]. The aforementioned factors should be considered in helping Asian American adolescents against depression.…”

Section: Important Factors That Influence the Depression In Asian Ame...mentioning

confidence: 99%

“…In the past, Asian Americans were documented having very low hospital admission rates, which has also caused many to believe that Asian Americans had low levels of mental health issues [13]. However, this was not the case, as the true depression rates and suicide rates of Asian Americans have been masked by cultural barriers and biases [14][15][16]. It was reported in 2003 that 47% Asian American adolescents experienced depression, while 30% of their European American counterparts had depression issue [17].…”

Section: Introductionmentioning

confidence: 99%

“…While it is a good idea to generalize notes on trends that appear in a widespread population, it is equally as important to narrow the focus and examine depression rates in certain groups of people. Compared with other racial or ethnic groups like African American adolescent [28][29][30], Mexican American adolescent [15,31,32] and European American adolescent [33][34][35], relatively fewer studies on depression rates of Asian American adolescents have been conducted. While Asian American adolescents are still marked with the model minority stereotype, not all of them meet the expectation from their parents, schools, and community.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Investigation of the Depression Status of Asian American Adolescents

Shen¹,

JM²,

Zhang³

et al. 2022

J Psychiatry Ment Health

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Depression is one of the most common mental disorders in the United States, and past studies have shown a concerning increase in the rates of depression in youth populations over time. Furthermore, depression is an especially important issue for Asian Americans because of the impact of anti-Asian violence due to the COVID-19 pandemic. While Asian American adolescents are reluctant to seek help for mental health issues, past research has found a prevalence of depressive symptoms in them that have yet to be fully investigated. There have been studies conducted to understand and observe the impacts of multifarious factors influencing the mental well-being of Asian American adolescents; however, they have been generally limited to qualitative investigation, and very few have attempted to quantitatively evaluate the relationship between depression levels and a comprehensive list of factors for those levels at the same time. To better quantify these relationships, this project investigated the prevalence of depression in Asian American teenagers mainly from the Greater Philadelphia Region, aged 12 to 19, and, with an anonymous survey, asked participants 48 multiple-choice questions pertaining to demographic information, daily behaviors, school life, family life, depression levels, school and family support against depression. Each multiple-choice question was assigned as a factor and variable for statistical and dominance analysis to determine the most influential factors on depression levels of Asian American adolescents. The results were validated via Bootstrap analysis and t-tests. While certain influential factors identified in this survey are consistent with the literature, such as parent-child relationship and peer pressure, several dominant factors were relatively overlooked in the past. These factors include the parents’ relationship with each other, the satisfaction with body image, sex identity, support from the family and support from the school. More than 25% of participants desired more support from their families and schools in handling depression issues. This study implied that it is beneficial for Asian American parents and adolescents to take programs on parents’ relationship with each other, parent-child communication, mental health, and sex identity. A culturally inclusive school environment and more accessible mental health service would be helpful for Asian American adolescents to combat depression. This survey-based study paves the way for further investigation of effective approaches for helping Asian American adolescents against depression.

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Temporal Trends and Disparities in Suicidal Behaviors by Sex and Sexual Identity Among Asian American Adolescents

Abstract: This cross-sectional study uses data from the national Youth Risk Behavior Survey to investigate the trends and within-group disparities in 4 suicidal behaviors by sex and sexual identity among Asian American adolescents from 1991 through 2019.

Cited by 17 publications

References 43 publications

Suicidios en el Perú: Descripción epidemiológica a través del Sistema Informático Nacional de Defunciones (SINADEF) en el periodo 2017-2021.

Suicidios en el Perú: Descripción epidemiológica a través del Sistema Informático Nacional de Defunciones (SINADEF) en el periodo 2017-2021.

Expenditure patterns among low‐income families in China: Contributing factors to child development and risks of suicidal ideation

Investigation of the Depression Status of Asian American Adolescents

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