Purpose

Nearly 20% of U.S. adolescents have considered suicide. Yet, gaps remain in understanding correlates of resilience and suicide risk, especially among populations born outside the United States who may face unique migration- and acculturation-related stressors. This study adds to the literature by exploring correlates of suicide ideation among a diverse population.

Methods

This study analyzes quantitative data (N = 357) from the Study of Adolescent Lives after Migration to America, in Detroit and Harrisonburg. More than 40% of the sample was born outside the United States, with the majority born in the Middle East and North Africa. Path analysis was used to model dual outcomes of resilience and suicide ideation using measures of hope, school belonging, stressful life events, and being born outside the United States.

Results

Suicide ideation and resilience were negatively correlated (ß = -.236[.069]; p < .001). Adolescents with greater hope (ß = .367; p < .001) and school belonging (ß = .407; p < .001) reported higher resilience, while lower levels of school belonging correlated with higher levels of suicide ideation (ß = -.248; p = .009). More stressful life events were associated with suicide ideation (ß = .243; p < .001), while fewer were correlated with resilience (ß = -.106; p = .003). Being born outside the United States was associated with suicide ideation (ß = .186; P-.015), with this finding driven by those from the Middle East and North Africa region, who faced significantly increased risk of suicide ideation (ß = .169; p = .036).

Conclusions

Findings suggest that adolescents born in the Middle East and North Africa region may represent a vulnerable group needing targeted and culturally responsive interventions to destigmatize mental health and psychosocial well-being, boost existing sources of resilience, and encourage help-seeking behaviors.

中文翻译：

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美国本土和外国出生的青少年的自杀意念和复原力的相关性

目的

近 20% 的美国青少年曾考虑过自杀。然而，在理解复原力和自杀风险的相关性方面仍然存在差距，特别是在美国以外出生的人群中，他们可能面临独特的与移民和文化适应相关的压力源。这项研究通过探索不同人群中自杀意念的相关性来增加文献。

方法

本研究分析了底特律和哈里森堡移民到美国后青少年生活研究的定量数据 (N = 357)。超过 40% 的样本出生在美国以外，其中大多数出生在中东和北非。路径分析用于模拟复原力和自杀意念的双重结果，使用希望、学校归属感、压力生活事件和出生在美国境外的措施。

结果

自杀意念和复原力呈负相关（ß = -.236[.069]；p  < .001）。具有更大希望 (ß = .367; p < .001) 和学校归属感 (ß = .407; p  < .001) 的青少年报告了更高的复原力，而较低水平的学校归属感与较高水平的自杀意念相关 (ß = - .248；p  = .009）。更多压力性生活事件与自杀意念相关（ß = .243；p < .001），而与复原力相关的更少（ß = -.106；p = .003)。在美国以外出生与自杀意念有关（ß = .186；P-.015），这一发现是由来自中东和北非地区的人推动的，他们面临显着增加的自杀意念风险（ß = .015）。 169；p  = .036）。

结论

研究结果表明，出生在中东和北非地区的青少年可能是一个弱势群体，他们需要有针对性和文化响应的干预措施，以消除心理健康和社会心理健康的污名化，增强现有的复原力来源，并鼓励寻求帮助的行为。