Racial/ethnic discrimination and suicide-related risk in a treatment-seeking group of ethnoracially minoritized adolescents.

IF 1.8 4区医学 Q3 PSYCHIATRY

Clinical Child Psychology and Psychiatry Pub Date : 2023-10-01 Epub Date: 2022-10-08 DOI:10.1177/13591045221132682

Lillian Polanco-Roman, Ryan Ct DeLapp, Melissa N Dackis, Chantel T Ebrahimi, Katherine Sw Mafnas, Vilma Gabbay, Sandra S Pimentel

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引用次数: 0

Abstract

Introduction and aims: Despite growing evidence demonstrating the negative mental health effects of racism-related experiences, racial/ethnic discrimination is seldom examined in youth suicide risk. The present study tested the association between racial/ethnic discrimination and well-supported correlates of suicide-related risk including emotion reactivity and dysregulation, and severity of psychiatric symptoms in a sample of ethnoracially minoritized adolescents receiving outpatient psychiatric services.

Methods: Participants were adolescents (N = 46; 80.4% female; 65.2% Latinx) who ranged in age from 13-20 years old (M=15.42; SD=1.83) recruited from a child outpatient psychiatry clinic in a low-resourced community in Northeast US. Youth completed a clinical interview and a battery of surveys.

Results: Findings from separate linear regression models show that increases in frequency of racial/ethnic discrimination were associated with increases in severity of suicidal ideation (SI), independent of emotion reactivity and dysregulation, and symptoms of PTSD and depression. Discriminatory experiences involving personal insults, witnessing family being discriminated, and school-based contexts were uniquely associated with SI.

Discussion and conclusion: Preliminary findings support the association between racial/ethnic discrimination and increased severity of suicide-related risk in ethnoracially minoritized adolescents. Accounting for racial/ethnic discrimination may improve the cultural responsiveness of youth suicide prevention strategies within outpatient psychiatric care.

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寻求治疗的少数民族青少年群体中的种族/民族歧视和自杀相关风险。

引言和目的：尽管越来越多的证据表明种族主义相关经历对心理健康产生了负面影响，但很少在青年自杀风险中研究种族/族裔歧视。本研究在接受门诊精神病服务的少数民族青少年样本中测试了种族/民族歧视与自杀相关风险（包括情绪反应和调节障碍）以及精神症状严重程度之间的关联。方法：参与者为年龄在13-20岁之间的青少年（N=46；80.4%为女性；65.2%为拉丁裔）（M=15.42；SD=1.83），他们是从美国东北部一个资源匮乏社区的儿童门诊精神病学诊所招募的。年轻人完成了一次临床访谈和一系列调查。结果：独立线性回归模型的研究结果表明，种族/民族歧视频率的增加与自杀意念（SI）的严重程度增加有关，与情绪反应和调节障碍以及PTSD和抑郁症症状无关。涉及人身侮辱、目睹家庭受到歧视和学校环境的歧视经历与SI有着独特的联系。讨论和结论：初步研究结果支持种族/民族歧视与少数民族青少年自杀相关风险增加之间的联系。考虑到种族/民族歧视可能会提高门诊精神病护理中青年自杀预防策略的文化反应能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Child Psychology and Psychiatry PSYCHIATRY-PSYCHOLOGY

CiteScore

3.60

自引率

5.60%

发文量

130

期刊介绍： Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.