“Hidden suicidal ideation” (HSI)—the concealment or nondisclosure of suicidal distress to others—is often cited in suicide and ethnic minority research as a phenomenon that occurs frequently among ethnic minorities. Yet, there has been limited research to further understanding of this phenomenon, particularly in a within-group investigation among Asian American Pacific Islanders (AAPI). The aims of the current study were to characterize HSI in a community sample of 73 actively suicidal AAPI adults. Results indicated that a majority of participants (N = 44, 60.30%) hid their desire to kill themselves from others. A logistic regression showed that AAPI respondents who endorsed HSI reported greater severity of suicidal distress than their non-HSI counterparts and that HSI among AAPIs was associated with culturally salient suicide risk. These results provide critical information that highlights HSI as a “cultural phenomenon” (defined as having a relationship with cultural risk factors) and potential indicator of suicide disparities and may have implications for culturally responsive detection and management of suicide risk for AAPI populations. The current study represents the first dedicated examination of the phenomenon of HSI among AAPI individuals.

中文翻译：

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亚裔美国太平洋岛民中隐藏的自杀意念或意图：一种与自杀严重程度更高的文化现象。

“隐藏的自杀意念”（HSI）——向他人隐瞒或不向他人透露自杀痛苦——经常在自杀和少数民族研究中被引用为一种在少数民族中频繁发生的现象。然而，进一步了解这一现象的研究有限，特别是在对亚裔美国太平洋岛民 (AAPI) 进行的群体内调查中。当前研究的目的是在 73 名积极自杀的 AAPI 成年人的社区样本中表征 HSI。结果表明，大多数参与者 (N = 44, 60.30%) 向他人隐瞒了他们自杀的愿望。逻辑回归表明，支持 HSI 的 AAPI 受访者比非 HSI 受访者报告的自杀困扰更严重，而且 AAPI 中的 HSI 与文化上显着的自杀风险相关。这些结果提供了关键信息，将 HSI 强调为“文化现象”（定义为与文化风险因素有关）和自杀差异的潜在指标，并可能对 AAPI 人群的文化响应检测和自杀风险管理产生影响。目前的研究代表了对 AAPI 个体 HSI 现象的首次专门检查。