Risk of racism as a social determinant of suicidality among young adolescents in the United States: An investigation using the Adolescent Brain Cognitive Development Study

IF 3.7 2区 医学 Q1 PSYCHIATRY
Bethany M. Wood, Angela Hall, Philip Baiden
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Abstract

Although cross-sectional studies have investigated the effects of perceived racial discrimination on suicidality among adolescents, few studies have examined the effects of risk of racism on suicidality among young adolescents using longitudinal data. This study investigated the association between the risk of racism and suicidality among young adolescents. Data for this study came from the Adolescent Brain Cognitive Development (ABCD) study (2017–2020). The sample (n = 10,301) of adolescents aged 11–12 was analyzed with risk of racism at Wave 1 as the main explanatory variable and suicidality at Wave 2 as the outcome variable. The main analysis involves the use of binary logistic regression. Of the 10,301 young adolescents examined, 13.01 % reported experiencing suicidality, 54.58 % were at low risk of racism, 42.54 % were at moderate risk of racism, and 2.88 % were at high risk of racism. Controlling for demographic characteristics, risk and protective factors, the odds of experiencing suicidality were 1.69 times higher for young adolescents at high risk of racism [AOR = 1.69, 95 % CI = 1.23, 2.32] when compared to their counterparts at low risk of racism. Parental acceptance and monitoring emerged as protective factors against the detrimental effects of racism on suicidality. The findings of this study demonstrate that racial discrimination significantly contributes to suicidality. There is the need for targeted interventions and anti-racist policies to combat racism and promote protective familial relationships to mitigate young adolescent suicidality.
种族主义风险是美国青少年自杀的社会决定因素:一项使用青少年大脑认知发展研究的调查
虽然横断面研究已经调查了种族歧视对青少年自杀行为的影响,但很少有研究使用纵向数据检查种族主义风险对青少年自杀行为的影响。本研究探讨了青少年种族主义倾向与自杀倾向之间的关系。这项研究的数据来自青少年大脑认知发展(ABCD)研究(2017-2020)。对11-12岁青少年样本(n = 10,301)进行分析,以第一波种族主义风险为主要解释变量,第二波自杀风险为结果变量。主要的分析涉及到使用二元逻辑回归。在接受调查的10301名青少年中,13.01%的人报告有自杀倾向,54.58%的人有低种族主义风险,42.54%的人有中等种族主义风险,2.88%的人有高种族主义风险。控制人口统计学特征、风险和保护因素,与低种族主义风险的青少年相比,种族主义高风险的青少年经历自杀的几率高1.69倍[AOR = 1.69, 95% CI = 1.23, 2.32]。父母的接受和监督成为防止种族主义对自杀的有害影响的保护因素。本研究结果显示,种族歧视对自杀行为有显著影响。有必要采取有针对性的干预措施和反种族主义政策,打击种族主义,促进保护性的家庭关系,以减少青少年的自杀行为。
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来源期刊
Journal of psychiatric research
Journal of psychiatric research 医学-精神病学
CiteScore
7.30
自引率
2.10%
发文量
622
审稿时长
130 days
期刊介绍: Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;
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