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Suicide Among Asian American, Native Hawaiian, and Pacific Islander Veterans: Rates and Methods, 2005-2019
Lindsey L Monteith1, Julie A Kittel2, Alexandra L Schneider3
1VA Rocky Mountain Mental Illness Research, Education and Clinical Center for Suicide Prevention, Aurora, Colorado; Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus Aurora, Colorado; Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Suicide rates are increasing among Asian American, Native Hawaiian, and Pacific Islander (AANHPI) Veterans, especially young adults. Targeted prevention strategies are needed, considering unique methods and lower sex disparities in this group.
Area of Science:
- Public Health
- Epidemiology
- Veterans Affairs
Background:
- Limited data exists on suicide rates and methods among Asian American, Native Hawaiian, and Pacific Islander (AANHPI) Veterans.
- Understanding these trends is crucial for developing targeted mental health interventions.
Purpose of the Study:
- To examine age- and sex-specific suicide rates, methods, and trends among AANHPI Veterans.
- To compare these findings with the overall U.S. Veteran population.
Main Methods:
- A population-based retrospective cohort study utilizing U.S. Veterans Eligibility Trends and Statistics and National Death Index (NDI) data from 2005-2019.
- Analysis included 416,454 AANHPI Veterans, with suicide determined via NDI underlying cause-of-death ICD-10 codes.
Main Results:
- The age-adjusted suicide rate among AANHPI Veterans increased by 36.85% from 2005-2009 to 2015-2019.
- Younger AANHPI Veterans (18-34) had higher suicide rates than similarly aged Veterans overall.
- Firearm use in suicides was lower, while suffocation was higher among AANHPI Veterans compared to the general Veteran population.
Conclusions:
- Suicide among AANHPI Veterans is a growing public health issue, with elevated risk in young adults.
- Lethal means safety strategies must account for method differences specific to AANHPI Veterans.
- Further research is needed to explore the lower sex difference in suicide rates observed in this demographic.
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