ABSTRACT

Objective

Native American adolescents are disproportionately burdened by suicidality. Here, we examine patterns of reporting of suicide ideation and suicide attempt among Native American youth compared to those from other ethnoracial backgrounds, as this data is important for grounding commonly subscribed to frameworks of suicide risk (e.g., ideation-to-action).

Method

Data are from the Youth Risk Behavior Surveillance Survey (N = 54,243; grades 9–12; 51.0% female) and Minnesota Student Survey (N = 335,151; grades 8, 9, 11; 50.7% female). Comparing Native American youth to peers from other ethnoracial backgrounds, we examined two suicide reporting patterns: 1) odds of reporting suicide attempt among those who reported ideation and 2) odds of reporting suicide ideation among those who reported an attempt.

Results

Across both samples, when reporting suicide ideation, youth from other ethnoracial backgrounds were 20–55% less likely than Native American youth to also report attempt. While few consistent differences were observed between Native American youth and those from other racial minority backgrounds in patterns of co-reporting suicide ideation and attempt across samples, White youth were between 37% and 63% less likely than Native American youth to report a suicide attempt without also reporting ideation.

Conclusions

The increased odds of engaging in a suicide attempt with or without reporting ideation question the generalizability of widely held frameworks of suicide risk to Native American youth and have important implications for suicide risk monitoring. Future research is needed to illuminate how these behaviors unfold over time and the potential mechanisms of risk for engaging in suicide attempts in this disproportionately burdened group.

Abbreviations: YRBSS: Youth Risk Behavior Surveillance Survey; MSS: Minnesota Student Survey

中文翻译：

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两个样本中美国原住民青少年自杀意念和企图的初步报告模式

摘要

客观的

美国原住民青少年的自杀倾向尤为严重。在这里，我们研究了美国原住民青年与其他民族背景的青年自杀意念和自杀企图的报告模式，因为这些数据对于建立普遍认同的自杀风险框架（例如，意念到行动）非常重要。

方法

数据来自青少年风险行为监测调查（N  = 54,243；9-12 年级；51.0% 女性）和明尼苏达州学生调查（N  = 335,151；8、9、11 年级；50.7% 女性）。通过将美国原住民青年与来自其他种族背景的同龄人进行比较，我们研究了两种自杀报告模式：1）报告自杀意念的人报告自杀企图的几率；2）报告企图自杀的人报告自杀意念的几率。

结果

在这两个样本中，当报告自杀意念时，来自其他种族背景的青年报告自杀意念的可能性比美国原住民青年低 20-55%。虽然在跨样本共同报告自杀意念和企图的模式上，美国原住民青年和来自其他少数族裔背景的青年之间几乎没有观察到一致的差异，但白人青年报告自杀企图的可能性比美国原住民青年低 37% 至 63%也没有报告构想。

结论

在有或没有报告意念的情况下尝试自杀的可能性增加，这对美国原住民青年广泛持有的自杀风险框架的普遍性提出了质疑，并对自杀风险监测具有重要影响。未来的研究需要阐明这些行为如何随着时间的推移而展开，以及在这个负担过重的群体中尝试自杀的潜在风险机制。

缩写： YRBSS：青少年危险行为监测调查；MSS：明尼苏达州学生调查