连接一生:社会连接如何有助于防止美国印第安人和阿拉斯加土著社区的自杀
Marija Bogic1, Luciana E Hebert1, Anna Evanson2
1Washington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd., Spokane, WA 99202, United States of America.
Archives of psychiatric nursing
|July 21, 2024
概括
社会支持和文化实践可以降低美国印第安人和阿拉斯加土著 (AI/AN) 成人的自杀风险. 干预措施应利用社区的优势和AI/AN自杀预防的历史背景.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 土著研究土著研究.
背景情况:
- 社会支持和联系对于减轻自杀风险至关重要.
- 在美国印第安人和阿拉斯加原住民 (AI/AN) 成年人中,对这些因素的研究有限.
- AI/AN社区面临与历史创伤和文化背景相关的独特挑战.
研究的目的:
- 检查AI/AN成年人的社会支持,文化参与和自杀念头/行为之间的关系.
- 在AI/AN社区中识别保护因素和自杀风险因素.
- 为文化特定的自杀预防干预提供信息.
主要方法:
- 一项涉及709名AI/AN成年人自杀高风险的横截面研究.
- 评估自杀念头,行为,挫败的归属感,社会支持,包装文化,历史创伤和创伤性生活事件.
- 从五个不同的AI/AN社区收集的数据.
主要成果:
- 自杀念头与被挫败的归属感相关;社会支持和参加AI/AN仪式显示有保护作用.
- 终身自杀企图与创伤性生活事件,历史创伤相关的痛苦和挫败的归属感有关.
- 更多地参与文化实践与更少的自杀企图有关.
- 较高的社会支持水平显示出与更多的尝试具有矛盾的关联,可能是由于研究设计.
结论:
- 干预措施应优先考虑文化习惯和社区联系等保护因素.
- 文化特定的干预措施是必不可少的,包括社区历史,价值观和优势.
- 解决历史创伤及其心理影响对于AI/AN自杀预防至关重要.
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