OBJECTIVE Goals were to empirically examine cultural suicide pathways initially theorized by the cultural theory and model of suicide, by examining relationships between cultural (family conflict, minority stress, cultural suicide sanctions), general distress (depression, hopelessness), and cultural idioms of distress factors as predictors of suicidal ideation and attempts. METHOD Path analysis examined a moderated mediation model with a community sample of 1,077 ethnic minority and/or LGBTQ adults (average age of 24.32 (SD = 10.23) ranging from 18 to 88, 299 LGBTQ, 447 Asian American, 196 Latino/a, 60 Black or African American, 8 Hawaiian or Pacific Islander, 6 Arab American, 2 Native American, 187 mixed race). RESULTS Multiple pathways of statistical significance emerged. First, cultural life events (family conflict and minority stress) showed direct paths to ideation and attempts and indirect paths through general (depression and hopelessness) and cultural idioms of distress to ideation and attempts. The path from minority stress to ideation was entirely explained by general/cultural distress. Second, cultural suicide sanctions moderated the relationship between family conflict and ideation. Third, cultural idioms of distress was an important component of overall distress, alongside depression and hopelessness, predicting attempts and ideation. CONCLUSIONS Findings elucidated pathways involving both general distress and cultural factors, and pathways from cultural life events to suicide constructs independent of mental illness-related factors. Findings question utilizing mental illness as a primary suicide driver, make theoretical contributions in refining the cultural theory and model of suicide, and advance understandings of roles of cultural factors in suicide research and practice. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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自杀观念和行为的文化途径。

目的目标是通过考察文化（家庭冲突，少数群体压力，文化自杀制裁），普遍困扰（抑郁，绝望）和困扰文化的成语之间的关系，从经验上考察最初由文化理论和自杀模型理论化的文化自杀途径自杀意念和尝试的预测因素。方法路径分析研究了一个调解调解模型，该模型以社区样本为1,077个少数民族和/或LGBTQ成人（平均年龄为24.32（SD = 10.23），范围从18到88、299 LGBTQ，447个亚裔美国人，196个拉丁裔/ 60岁黑人或非裔美国人，8个夏威夷或太平洋岛民，6个阿拉伯美国人，2个美洲印第安人，187个混合种族）。结果出现了具有统计学意义的多种途径。第一，文化生活事件（家庭冲突和少数群体压力）显示了通往观念和尝试的直接路径，以及通过一般（抑郁和绝望）和困扰观念和尝试的文化习语的间接路径。从少数群体压力到观念转变的路径完全由一般/文化困境解释。其次，文化自杀制裁缓和了家庭冲突与观念之间的关系。第三，苦难的文化习语是整体苦难的重要组成部分，除了抑郁和绝望之外，还预测了尝试和想法。结论研究结果阐明了涉及普遍困扰和文化因素的途径，以及从文化生活事件到独立于精神疾病相关因素的自杀结构的途径。利用精神疾病作为主要自杀驱动因素的调查结果问题，为完善自杀的文化理论和模式做出理论贡献，并增进对文化因素在自杀研究和实践中作用的理解。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。