在亚裔美国人和太平洋岛民成年人群中，与终生自杀未遂相关的精神障碍和心理健康特征的患病率存在差异。

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2024-09-30 DOI:10.1016/j.jpsychires.2024.09.044

Paul Gerardo Yeh , Jack Tsai

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引用次数: 0

摘要

背景：就心理健康和心理保健需求而言，亚裔美国人和太平洋岛民（AAPI）成年人是一个研究不足的群体。由于很难在全国范围内招募到足够的亚太裔成年人样本进行研究，这使得问题变得更加复杂：本研究旨在分析全国数据，研究亚裔美国人与非亚裔美国人中主要精神障碍的终生患病率，并识别和比较亚裔美国人与非亚裔美国人中与终生自杀未遂相关的社会人口学和临床特征：通过一系列卡方分析和逻辑回归分析，对美国国家酒精及相关疾病流行病学调查-III（NESARC-III）中的 36109 名成人（包括 1801 名亚裔美国人）的横断面数据进行了分析：结果：我们发现，亚裔美国人一生中的心理健康疾病发病率明显低于非亚裔美国人，其中有 2% 的亚裔美国人报告一生中有过自杀企图，而非亚裔美国人的这一比例约为 5%。在亚裔美国人和非亚裔美国人中，女性性别和重度抑郁障碍诊断史与终生企图自杀有关。只有在亚裔美国人群体中，一些独特的因素与自杀未遂史有关，包括服兵役史和恐慌症诊断：我们的分析表明，亚裔美国人中有许多值得研究、支持和干预的重要群体，包括亚裔美国人中的退伍军人群体。这项研究发现了亚太裔成年人的几个特点，这些特点可能使他们特别容易受到精神问题和自杀风险的影响，这可能为有针对性的预防和为这一人群提供符合其文化背景的护理提供信息。

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Differential prevalence of psychiatric disorders and mental health characteristics associated with lifetime suicide attempts in the Asian American and Pacific Islander adult population

Background

Asian American and Pacific Islander (AAPI) adults are an understudied group in terms of their mental health and mental healthcare needs. This has been complicated by the difficulty of recruiting adequate national samples of AAPI adults for research.

Objective

This study aimed to analyze national data to examine the lifetime prevalence of major psychiatric disorders among AAPI adults relative to non-AAPI adults, as well as to identify and compare sociodemographic and clinical characteristics associated with lifetime suicide attempts among AAPI and non-AAPI adults.

Methods

Cross-sectional data on 36,109 adults, including 1801 AAPI adults, from the National Epidemiological Survey of Alcohol and Related Conditions-III (NESARC-III), were analyzed with a series of chi-square and logistic regression analyses.

Results

We found a significantly lower lifetime prevalence of mental health disorders in the AAPI versus the non-AAPI population nationally, including 2% of AAPI adults reporting lifetime suicide attempts as compared to about 5% of non-AAPI adults. Female sex and a history of major depressive disorder diagnosis were associated with lifetime suicide attempts in the AAPI and non-AAPI populations. Several unique factors were associated with having a history of suicide attempts in only the AAPI population, including a military service history and a diagnosis of panic disorder.

Discussion

Our analysis demonstrated the significant sectors of the AAPI population that merit research, support, and intervention, including the AAPI veteran population. This study identifies several characteristics among AAPI adults that may make them particularly vulnerable to psychiatric problems and suicide risk, which may inform targeted prevention and efforts to provide culturally competent care to this population.

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来源期刊

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;