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Intentional self-harm mortality among 15-24 year olds in Asian American subgroups, 2005-2022: a population-based
Lester Andrew Uy1, Ellen Chang1,2, Sanya Desai1,3
1Stanford Center for Asian Health Research and Education, Stanford, CA, United States of America.
Lancet Regional Health. Americas
|May 8, 2026
Summary
Suicide rates vary significantly among Asian American youth subgroups. Korean, Vietnamese, and Filipino youth face disproportionately high and increasing mortality rates, necessitating targeted prevention strategies.
Area of Science:
- Public Health
- Epidemiology
- Sociology
Background:
- Suicide is a leading cause of death for U.S. Asian American youth (15-24 years).
- Existing surveillance data often lack disaggregation by specific Asian American racial subgroups.
- This study investigates disparities in suicide mortality across six Asian American subgroups.
Purpose of the Study:
- To examine differences in suicide mortality rates among Asian American youth subgroups.
- To identify specific subgroups with elevated suicide risk.
- To inform the development of targeted, culturally relevant prevention strategies.
Main Methods:
- Analysis of National Center for Health Statistics mortality data (2005-2022).
- Inclusion of Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese youth.
- Calculation of annualized mortality rates (AMR) and trend analysis using Joinpoint regression.
Main Results:
- Korean youth exhibited the highest AMR and proportional mortality; Chinese youth had the lowest.
- Korean, Vietnamese, and Filipino youth showed significantly elevated suicide mortality compared to aggregated Asian youth.
- Four subgroups displayed sustained increases in crude mortality rate (CMR) trends, contrasting with non-Hispanic White youth.
Conclusions:
- Aggregated data obscure critical variations in suicide mortality among Asian American youth.
- Culturally specific prevention strategies are essential, particularly for Korean, Vietnamese, and Filipino youth.
- Disaggregated data reveal urgent needs for targeted public health interventions.
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