Scholarlink

Purpose <p>Suicide is one of the leading causes of death globally. Few studies have assessed whether racial discrimination in healthcare settings, as distinct from discrimination in other public settings, predicts the onset of suicidal ideation among a nationally representative sample of U.S. adults with depressed mood or anhedonia at baseline to inform clinical and structural interventions.</p> Methods <p>Data were drawn from Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), yielding a total analytic sample of 2,123 participants. Multivariate logistic regression was used to examine associations between perceived racial discrimination in healthcare or public settings and the onset of SI at three-year follow-up (Wave 2). Sociodemographic correlates of SI were also examined.</p> Results <p>Among the analytic sample (<i>n</i> = 2,123), 205 participants (9.7%) developed new‑onset SI, and 36 (1.7%) reported a new‑onset SA over the three‑year follow‑up. Healthcare-based racial discrimination was strongly associated with SI onset (aOR = 1.63; 95% CI: 1.12–2.38), whereas racial discrimination in a public setting showed a smaller association with SI after adjusting for sociodemographic factors (aOR = 1.25; 95% CI: 0.98–1.58).</p> Conclusion <p>These findings suggest that perceived racial discrimination in healthcare may represent a significant risk factor for SI. Future research is needed to replicate these findings and investigate underlying mechanisms to inform targeted suicide prevention efforts among vulnerable populations.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Racial discrimination in healthcare and public settings as a predictor of suicidal ideation onset among U.S. Adults with baseline depressive symptoms

  • 期刊论文

  • 发表日期：

    2026年2月27日

查看全文
  • Soyeon Kim,
  • Florence Tang,
  • Linas Wilkialis,
  • Ahmed Nabeel Hassan,
  • Kenneth P. Fung,
  • Bernard Le Foll

摘要

Purpose

Suicide is one of the leading causes of death globally. Few studies have assessed whether racial discrimination in healthcare settings, as distinct from discrimination in other public settings, predicts the onset of suicidal ideation among a nationally representative sample of U.S. adults with depressed mood or anhedonia at baseline to inform clinical and structural interventions.

Methods

Data were drawn from Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), yielding a total analytic sample of 2,123 participants. Multivariate logistic regression was used to examine associations between perceived racial discrimination in healthcare or public settings and the onset of SI at three-year follow-up (Wave 2). Sociodemographic correlates of SI were also examined.

Results

Among the analytic sample (n = 2,123), 205 participants (9.7%) developed new‑onset SI, and 36 (1.7%) reported a new‑onset SA over the three‑year follow‑up. Healthcare-based racial discrimination was strongly associated with SI onset (aOR = 1.63; 95% CI: 1.12–2.38), whereas racial discrimination in a public setting showed a smaller association with SI after adjusting for sociodemographic factors (aOR = 1.25; 95% CI: 0.98–1.58).

Conclusion

These findings suggest that perceived racial discrimination in healthcare may represent a significant risk factor for SI. Future research is needed to replicate these findings and investigate underlying mechanisms to inform targeted suicide prevention efforts among vulnerable populations.