“你希望地面打开,把你吞下去”:关于亚裔美国人和太平洋岛民退伍军人自杀预防的羞耻感、集体和其他文化因素的专家意见。

IF 2.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Evan R Polzer, Carly M Rohs, Christe'An D Iglesias, Joseph Mignogna, Lauren S Krishnamurti, Ryan Holliday, Lindsey L Monteith
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引用次数: 0

摘要

背景:美国退伍军人的自杀率仍然居高不下,而亚裔美国人和太平洋岛民(AAPI)退伍军人的自杀率则不成比例地上升。临床医生对亚太裔退伍军人的自杀预防考虑方面的知识有限,但文化响应策略往往是最有效的。为了解决这一差距,我们试图阐明主题专家关于亚太裔退伍军人自杀预防考虑的观点。方法:于2023年对14名关键信息提供者(如临床医生、研究人员)进行定性访谈,了解他们在预防美国大陆亚太裔退伍军人自杀方面的经验和建议。结果:主要研究人员讨论了AAPI人群的异质性,并强调了在AAPI退伍军人自杀预防中平衡文化敏感性和文化谦逊性的必要性。担心给家人带来耻辱和耻辱被认为是一个可能阻止亚太裔退伍军人透露心理健康问题和自杀风险的因素,这可能阻止他们获得心理健康和自杀的保健服务。亚太裔退伍军人的自杀风险被认为是由羞耻感和家庭集体的中心地位决定的,家庭既保护了他们,也冒了自杀的风险。有关自杀的文化规范和信仰被认为与亚太裔退伍军人的自杀有关,包括在特定情况下坚持应对痛苦的信念。体细胞习语被描述为亚太裔退伍军人传达痛苦和自杀倾向的一种手段,关键信息提供者讨论了这可能如何影响治疗和推广。结论:关键信息者访谈提供了对文化因素的重要见解,这些文化因素对概念化和解决亚太裔退伍军人的自杀风险至关重要。这些发现可用于为这一人群提供量身定制的自杀预防,重点是解决心理健康污名,考虑身体上的痛苦习语,并考虑家庭在自杀风险和预防中的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"You wished the ground would open and swallow you up": Expert opinions on shame, the collective, and other cultural considerations for suicide prevention among Asian American and Pacific Islander veterans.

Background: Rates of suicide remain elevated among U.S. Veterans and have increased disproportionately among Asian American and Pacific Islander (AAPI) Veterans. Knowledge is limited regarding suicide prevention considerations for clinicians working with AAPI Veterans, yet culturally responsive strategies tend to be most effective. To address this gap, we sought to elucidate subject matter experts' perspectives regarding suicide prevention considerations for AAPI Veterans.

Methods: Qualitative interviews were conducted with 14 key informants (e.g., clinicians, researchers) in 2023 to understand their experiences with, and recommendations for, preventing suicide among AAPI Veterans in the Continental U.S. Interview transcripts were analyzed through thematic analysis, with an inductive approach.

Results: Key informants discussed the heterogeneity of the AAPI population and emphasized the need to balance cultural sensitivity and cultural humility in suicide prevention with AAPI Veterans. Fear of bringing shame and dishonor upon one's family was described as a factor which may prevent AAPI Veterans from disclosing mental health concerns and suicide risk and which may prevent them from accessing healthcare services for mental health and suicidality. Suicide risk among AAPI Veterans was viewed as being shaped by shame and the centrality of the family-collective, with family conferring both protection against and risk for suicide. Cultural norms and beliefs regarding suicide were considered pertinent to suicide among AAPI Veterans and included beliefs about perseverance in coping with distress to permittance of suicide in specific circumstances. Somatic idioms were described as a means by which AAPI Veterans may communicate distress and suicidality, with key informants discussing how this may impact treatment and outreach.

Conclusion: Key informant interviews provided crucial insights into cultural factors salient to conceptualizing and addressing AAPI Veterans' risk for suicide. These findings can be utilized to inform tailored suicide prevention for this population, with emphasis on addressing mental health stigma, considering somatic idioms of distress, and considering the role of family in suicide risk and prevention.

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来源期刊
Injury Epidemiology
Injury Epidemiology Medicine-Medicine (all)
CiteScore
3.20
自引率
4.50%
发文量
34
审稿时长
13 weeks
期刊介绍: Injury Epidemiology is dedicated to advancing the scientific foundation for injury prevention and control through timely publication and dissemination of peer-reviewed research. Injury Epidemiology aims to be the premier venue for communicating epidemiologic studies of unintentional and intentional injuries, including, but not limited to, morbidity and mortality from motor vehicle crashes, drug overdose/poisoning, falls, drowning, fires/burns, iatrogenic injury, suicide, homicide, assaults, and abuse. We welcome investigations designed to understand the magnitude, distribution, determinants, causes, prevention, diagnosis, treatment, prognosis, and outcomes of injuries in specific population groups, geographic regions, and environmental settings (e.g., home, workplace, transport, recreation, sports, and urban/rural). Injury Epidemiology has a special focus on studies generating objective and practical knowledge that can be translated into interventions to reduce injury morbidity and mortality on a population level. Priority consideration will be given to manuscripts that feature contemporary theories and concepts, innovative methods, and novel techniques as applied to injury surveillance, risk assessment, development and implementation of effective interventions, and program and policy evaluation.
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