Self-reported anxiety and depression problems and suicide ideation among black and latinx adults and the moderating role of social support.

Suicide is a critical public health problem. Over the past decade, suicide rates have increased among Black and Latinx adults in the U.S. Though depression is the most prevalent psychiatric contributor to suicide risk, Black and Latinx Americans uniquely experience distress and stress (e.g., structu...

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Publicado en:Journal of Community Health Vol. 47; no. 6; pp. 914 - 924
Autores principales: Williams, Sharifa Z., Lewis, Crystal Fuller, Muennig, Peter, Martino, Daniele, Pahl, Kerstin
Formato: Artículo
Publicado: Springer Nature Dec2022
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
      vid: 47
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      pub: Springer Nature
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        10.1007/s10900-022-01127-y
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        atl: Self-reported anxiety and depression problems and suicide ideation among black and latinx adults and the moderating role of social support.
      aug:
        au:
          Williams, Sharifa Z.
          Lewis, Crystal Fuller
          Muennig, Peter
          Martino, Daniele
          Pahl, Kerstin
        affil:
          Center for Research on Cultural and Structural Equity in Behavioral Health, Division of Social Solutions & Services Research, Nathan S. Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Bldg. 35, 10962-1159, Orangeburg, NY, USA
          Edward J. Bloustein School of Planning and Public Policy, Rutgers University, New Brunswick, NJ, USA
          Department of Psychiatry, New York University Grossman School of Medicine, New York, NY, USA
          Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY, USA
      su:
        United States
        New York (State)
        Social support
        Self-evaluation
        Hispanic Americans
        Suicidal ideation
        Mental depression
        Anxiety
        African Americans
        Psychological distress
        Psychological stress
        Adults
        Confidence intervals
        Multivariate analysis
        Regression analysis
        Risk assessment
        Surveys
        Disease prevalence
        Descriptive statistics
        Logistic regression analysis
        Odds ratio
      sug:
        subj:
          Social support
          Self-evaluation
          Hispanic Americans
          Suicidal ideation
          Mental depression
          Anxiety
          African Americans
          Psychological distress
          Psychological stress
          Adults
          United States
          New York (State)
          Other Individual and Family Services
          Confidence intervals
          Multivariate analysis
          Regression analysis
          Risk assessment
          Surveys
          Disease prevalence
          Descriptive statistics
          Logistic regression analysis
          Odds ratio
      keyword:
        Black and Latinx adults
        Depression
        Suicide ideation
        Urban health
        Black and Latinx adults
        Depression
        Suicide ideation
        Urban health
      ab: Suicide is a critical public health problem. Over the past decade, suicide rates have increased among Black and Latinx adults in the U.S. Though depression is the most prevalent psychiatric contributor to suicide risk, Black and Latinx Americans uniquely experience distress and stress (e.g., structural adversity) that can independently operate to worsen suicide risk. This makes it important to investigate non-clinical, subjective assessment of mental health as a predictor of suicide ideation. We also investigate whether social support can buffer the deleterious impact of poor mental health on suicide ideation. We analyzed data from 1,503 Black and Latinx participants of the Washington Heights Community Survey, a 2015 survey of residents of a NYC neighborhood. Multivariable logistic regression was conducted to examine the effect of subjectively experienced problems with anxiety and depression on suicide ideation independent of depression diagnosis, and the role of social support as a moderator. Estimated prevalence of past two-week suicide ideation was 5.8%. Regression estimates showed significantly increased odds of suicide ideation among participants reporting moderate (OR = 8.54,95% CI = 2.44–29.93) and severe (OR = 16.84,95% CI = 2.88–98.46) versus no problems with anxiety and depression, after adjustment for depression diagnosis. Informational support, i.e., having someone to provide good advice in a crisis, reduced the negative impact of moderate levels of anxiety and depression problems on suicide ideation. Findings suggest that among Black and Latinx Americans, subjective feelings of anxiety and depression account for a significant portion of the suicide ideation risk related to poor mental health. Further, social support, particularly informational support, may provide protection against suicide ideation.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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