Protective Factors Against Suicidal Behavior in Latinos

Latinos appear to be relatively protected against suicidal behavior, but the factors that mediate this effect are not known. Some protective factors may be related to cultural constructs that provide a buffer against suicidal behavior in the face of psychiatric illness. We sought to determine whethe...

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Veröffentlicht in:The journal of nervous and mental disease 2005-07, Vol.193 (7), p.438-443
Hauptverfasser: Oquendo, Maria A, Dragatsi, Dianna, Harkavy-Friedman, Jill, Dervic, Kanita, Currier, Dianne, Burke, Ainsley Keller, Grunebaum, Michael F, Mann, J John
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container_end_page 443
container_issue 7
container_start_page 438
container_title The journal of nervous and mental disease
container_volume 193
creator Oquendo, Maria A
Dragatsi, Dianna
Harkavy-Friedman, Jill
Dervic, Kanita
Currier, Dianne
Burke, Ainsley Keller
Grunebaum, Michael F
Mann, J John
description Latinos appear to be relatively protected against suicidal behavior, but the factors that mediate this effect are not known. Some protective factors may be related to cultural constructs that provide a buffer against suicidal behavior in the face of psychiatric illness. We sought to determine whether the Reasons for Living Inventory (RFLI) might capture protective factors against suicidal behavior in Latinos and non-Latinos. Patients with major depression, bipolar disorder, or schizophrenia were interviewed regarding their depressive symptomatology and lifetime history of suicidal behavior. The RFLI, which measures protective factors against suicidal acts, was also administered. Multivariate analyses were used to assess the relationship between suicide measures, ethnicity, and selected clinical and demographic variables. Although Latinos and non-Latinos did not differ significantly in attempter status (attempter/nonattempter), number of attempts, or suicide intent, Latinos reported significantly less suicidal ideation and made less lethal attempts. On the RFLI, Latinos scored significantly higher on subscales regarding survival and coping beliefs, responsibility to family, and moral objections to suicide, possibly reflective of cultural norms endorsed by Latino groups. Multivariate analyses suggested that although being Latino was independently associated with less suicidal ideation, other suicidal behaviors held a stronger relationship to moral objections to suicide and survival and coping skills than to ethnicity. Self-identification as Latino may be associated with espousing cultural constructs that mediate protective effects against suicidal behavior. Constructs identified in the RFLI may protect Latinos from acting on suicidal thoughts, affecting moral objections to suicide and survival and coping beliefs. Further studies to elucidate the impact of these factors on suicidal behavior and their relationship to specific cultural constructs would be of interest.
doi_str_mv 10.1097/01.nmd.0000168262.06163.31
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Some protective factors may be related to cultural constructs that provide a buffer against suicidal behavior in the face of psychiatric illness. We sought to determine whether the Reasons for Living Inventory (RFLI) might capture protective factors against suicidal behavior in Latinos and non-Latinos. Patients with major depression, bipolar disorder, or schizophrenia were interviewed regarding their depressive symptomatology and lifetime history of suicidal behavior. The RFLI, which measures protective factors against suicidal acts, was also administered. Multivariate analyses were used to assess the relationship between suicide measures, ethnicity, and selected clinical and demographic variables. Although Latinos and non-Latinos did not differ significantly in attempter status (attempter/nonattempter), number of attempts, or suicide intent, Latinos reported significantly less suicidal ideation and made less lethal attempts. 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On the RFLI, Latinos scored significantly higher on subscales regarding survival and coping beliefs, responsibility to family, and moral objections to suicide, possibly reflective of cultural norms endorsed by Latino groups. Multivariate analyses suggested that although being Latino was independently associated with less suicidal ideation, other suicidal behaviors held a stronger relationship to moral objections to suicide and survival and coping skills than to ethnicity. Self-identification as Latino may be associated with espousing cultural constructs that mediate protective effects against suicidal behavior. Constructs identified in the RFLI may protect Latinos from acting on suicidal thoughts, affecting moral objections to suicide and survival and coping beliefs. 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Psychiatry</subject><subject>Psychoses</subject><subject>Schizophrenia</subject><subject>Schizophrenia - diagnosis</subject><subject>Schizophrenia - epidemiology</subject><subject>Schizophrenic Psychology</subject><subject>Self Concept</subject><subject>Suicide</subject><subject>Suicide - prevention &amp; control</subject><subject>Suicide - psychology</subject><subject>Suicide - statistics &amp; numerical data</subject><subject>Suicide, Attempted - psychology</subject><subject>Suicide, Attempted - statistics &amp; numerical data</subject><subject>Suicides &amp; suicide attempts</subject><issn>0022-3018</issn><issn>1539-736X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkG9rFDEQh4Mo9qx-BVkK-m7XmWTzZ33XFqvCgYIKvguzuayXurepyW6L395c7-DAeTNMeCbz42HsAqFB6PQ7wGbabRoohcpwxRtQqEQj8AlboRRdrYX6-ZStADivBaA5Yy9yvi24Fi08Z2coOyON0Cumv6Y4ezeHe1_dkJtjytXlLwpTnqtvS3BhQ2N15bd0H2KqwlStaQ5TzC_Zs4HG7F8d-zn7cfPh-_Wnev3l4-fry3XtWux4jb1UZtAbUqId-oEE9QMYo0lKI1XfaYOeBjSuN9hy7XquoTWm9dJp6YUQ5-zt4d-7FP8sPs92F7Lz40iTj0u2SncGte4KePEfeBuXNJVslkPxgRJMgd4fIJdizskP9i6FHaW_FsHu3VpAW9zak1v76NYKLMuvjxeWfuc3p9WjzAK8OQKUHY1DosmFfOJ0yaBgH7U9cA9xnH3Kv8flwSe79TTO28fTEqSo-b7rMtX7Jy7-AbeekGE</recordid><startdate>200507</startdate><enddate>200507</enddate><creator>Oquendo, Maria A</creator><creator>Dragatsi, Dianna</creator><creator>Harkavy-Friedman, Jill</creator><creator>Dervic, Kanita</creator><creator>Currier, Dianne</creator><creator>Burke, Ainsley Keller</creator><creator>Grunebaum, Michael F</creator><creator>Mann, J John</creator><general>Lippincott Williams &amp; Wilkins, Inc</general><general>Lippincott Williams &amp; Wilkins</general><general>Lippincott Williams &amp; Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200507</creationdate><title>Protective Factors Against Suicidal Behavior in Latinos</title><author>Oquendo, Maria A ; Dragatsi, Dianna ; Harkavy-Friedman, Jill ; Dervic, Kanita ; Currier, Dianne ; Burke, Ainsley Keller ; Grunebaum, Michael F ; Mann, J John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4192-1b568f7da634fbfa3abf0887a55856b9781eaf18cb81427cb2704884e5c75e333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Bipolar Disorder - diagnosis</topic><topic>Bipolar Disorder - epidemiology</topic><topic>Bipolar Disorder - psychology</topic><topic>Bipolar disorders</topic><topic>Cross-Cultural Comparison</topic><topic>Cultural Characteristics</topic><topic>Cultural values</topic><topic>Depression</topic><topic>Depressive Disorder, Major - diagnosis</topic><topic>Depressive Disorder, Major - epidemiology</topic><topic>Depressive Disorder, Major - psychology</topic><topic>Ethnic Groups - psychology</topic><topic>Ethnic Groups - statistics &amp; numerical data</topic><topic>Female</topic><topic>Hispanic Americans</topic><topic>Hispanic Americans - psychology</topic><topic>Hispanic Americans - statistics &amp; numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental disorders</topic><topic>Mood disorders</topic><topic>Personality Inventory</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. 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Some protective factors may be related to cultural constructs that provide a buffer against suicidal behavior in the face of psychiatric illness. We sought to determine whether the Reasons for Living Inventory (RFLI) might capture protective factors against suicidal behavior in Latinos and non-Latinos. Patients with major depression, bipolar disorder, or schizophrenia were interviewed regarding their depressive symptomatology and lifetime history of suicidal behavior. The RFLI, which measures protective factors against suicidal acts, was also administered. Multivariate analyses were used to assess the relationship between suicide measures, ethnicity, and selected clinical and demographic variables. Although Latinos and non-Latinos did not differ significantly in attempter status (attempter/nonattempter), number of attempts, or suicide intent, Latinos reported significantly less suicidal ideation and made less lethal attempts. On the RFLI, Latinos scored significantly higher on subscales regarding survival and coping beliefs, responsibility to family, and moral objections to suicide, possibly reflective of cultural norms endorsed by Latino groups. Multivariate analyses suggested that although being Latino was independently associated with less suicidal ideation, other suicidal behaviors held a stronger relationship to moral objections to suicide and survival and coping skills than to ethnicity. Self-identification as Latino may be associated with espousing cultural constructs that mediate protective effects against suicidal behavior. Constructs identified in the RFLI may protect Latinos from acting on suicidal thoughts, affecting moral objections to suicide and survival and coping beliefs. Further studies to elucidate the impact of these factors on suicidal behavior and their relationship to specific cultural constructs would be of interest.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>15985837</pmid><doi>10.1097/01.nmd.0000168262.06163.31</doi><tpages>6</tpages></addata></record>
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subjects Adaptation, Psychological
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Bipolar Disorder - diagnosis
Bipolar Disorder - epidemiology
Bipolar Disorder - psychology
Bipolar disorders
Cross-Cultural Comparison
Cultural Characteristics
Cultural values
Depression
Depressive Disorder, Major - diagnosis
Depressive Disorder, Major - epidemiology
Depressive Disorder, Major - psychology
Ethnic Groups - psychology
Ethnic Groups - statistics & numerical data
Female
Hispanic Americans
Hispanic Americans - psychology
Hispanic Americans - statistics & numerical data
Humans
Male
Medical sciences
Mental disorders
Mood disorders
Personality Inventory
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Schizophrenia
Schizophrenia - diagnosis
Schizophrenia - epidemiology
Schizophrenic Psychology
Self Concept
Suicide
Suicide - prevention & control
Suicide - psychology
Suicide - statistics & numerical data
Suicide, Attempted - psychology
Suicide, Attempted - statistics & numerical data
Suicides & suicide attempts
title Protective Factors Against Suicidal Behavior in Latinos
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