Racial and ethnic differences in suicidal behavior and mental health service use among US adults, 2009-2020

被引:18
|
作者
Bommersbach, Tanner J. [1 ]
Rosenheck, Robert A. [2 ,3 ]
Rhee, Taeho Greg [2 ,3 ,4 ]
机构
[1] Mayo Clin, Dept Psychiat & Psychol, Rochester, MN USA
[2] Yale Sch Med, Dept Psychiat, New Haven, CT 06510 USA
[3] VA Connecticut Healthcare Syst, New England Mental Illness Res Educ & CLin Ctr, West Haven, CT 06516 USA
[4] Univ Connecticut, Dept Publ Hlth Sci, Sch Med, Farmington, CT 06032 USA
关键词
Ethnicity; mental health; race; suicidal ideation; suicide attempt; suicide; RACIAL/ETHNIC DISPARITIES; UNITED-STATES; RISK-FACTORS; PREVALENCE; 12-MONTH; IDEATION; TRENDS; BLACK;
D O I
10.1017/S003329172200280X
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
BackgroundWhile suicide rates have recently declined for White individuals, rates among Black and Hispanic individuals have increased. Yet, little is known about racial/ethnic differences in precursors to suicide, including suicidal ideation (SI) and suicide attempts (SA). MethodsData from 2009-2020 National Survey of Drug Use and Health (NSDUH) consisted of non-institutionalized US civilians aged > 18 (n = 426 008). We compared proportions of White, Black, and Hispanics among adults reporting no past-year suicidal thoughts/behavior, SI, and SA. Multivariable-adjusted analyses were used to evaluate the independence of observed racial/ethnic differences in past-year SI, SA, and mental health service use. ResultsIn the entire sample, 20 791 (4.9%) reported past-year SI only and 3661 (0.9%) reported a SA. Compared to White individuals, Black and Hispanic individuals were significantly less likely to report past-year SI [OR 0.73 (95% CI 0.69-0.77); OR 0.75 (95% CI 0.71-0.79), respectively], but more likely to report a past-year SA [OR 1.45 (95% CI 1.28-1.64); OR 1.19 (95% CI 1.04-1.37), respectively] even after multivariable adjustment. Black and Hispanic individuals were significantly less likely to use mental health services, but the lack of significant interactions between race/ethnicity and SI/SA in association with service use suggests differences in service use do not account for differences in SI or SA. ConclusionsBlack and Hispanic individuals are significantly less likely than White individuals to report SI but more likely to report SAs, suggesting differences in suicidal behavior across race/ethnicity that may be impacted by socio-culturally acceptable expressions of distress and structural racism in the healthcare system.
引用
收藏
页码:5592 / 5602
页数:11
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