Hispanics, Mental Health, and Suicide: Brief Report

Brenes, Francisco

doi:10.1177/1540415319843072

Cited by 8 publications

(5 citation statements)

References 9 publications

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“…There have been studies showing underuse of mental health resources, possibly related to cultural stigma. 33 Interestingly, patients whose index visit was in the Trauma category had decreased odds of a future mental health visit compared to patients in the Respiratory category and even more so for those in the Non-Specific category. This could be because these patients are more likely to have an identifiable reason for coming to the ED (eg, a major or minor traumatic event).…”

Section: Discussionmentioning

confidence: 97%

“Could we have predicted this?” The association of a future mental health need in young people with a non‐specific complaint and frequent emergency department visits

et al. 2021

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Section: Discussionmentioning

confidence: 97%

“Could we have predicted this?” The association of a future mental health need in young people with a non‐specific complaint and frequent emergency department visits

et al. 2021

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“…However, it was accepted in both the former countries that “The first aider should be aware that if a person is suicidal, asking them about suicidal thoughts will not increase the risk that they will act on these”. This may be due to a cultural reluctance in Latin America to be direct when addressing other people in need [ 97 – 100 ]. In addition, involving the police when the suicidal person has a weapon was not accepted, as in Brazil, which may point to the police in the region being perceived as aggressive, dangerous, and corrupt, rather than as helpers to citizens in crisis.…”

Section: Discussionmentioning

confidence: 99%

Development of mental health first-aid guidelines for suicide risk: a Delphi expert consensus study in Argentina and Chile

Encina-Zúñiga,

Rodante,

Agrest

et al. 2023

BMC Psychiatry

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Background Suicide continues to pose a significant global public health challenge and ranks as one of the leading causes of death worldwide. Given the prevalence of suicide risk in the community, there is a significant likelihood of encountering individuals who may be experiencing suicidal thoughts or plans, creating an opening for non-health professionals to offer support. This study aims to culturally adapt the original Australian Mental Health First Aid Guidelines for suicide risk to the Chilean and Argentine context. Methods A two-round Delphi expert consensus study was conducted involving two panels, one comprising individuals with personal experience in suicide thoughts/attempts or caregiving for those with such experiences (n = 18), and the other consisting of professionals specialized in suicide assessment and support for individuals at risk (n = 25). They rated a total of 179 items mainly derived from guidelines developed by Australian experts and translated into Spanish (168), and new items included by the research team (11). The panel members were requested to assess each item utilizing a five-point Likert scale. During the second round, items that received moderate approval in the initial round were re-evaluated, and new items suggested by the local experts in the first round were also subjected to evaluation in the next round. Inclusion in the final guidelines required an 80% endorsement as “essential” or “important” from both panels. Results Consensus of approval was reached for 189 statements. Among these, 139 statements were derived from the English-language guidelines, while 50 locally generated statements were accepted during the second round. A significant difference from the original guideline was identified concerning the local experts’ reluctance to discuss actions collaboratively with adolescents. Furthermore, the local experts proposed the inclusion of an entirely new section addressing suicide risk in older individuals, particularly focusing on suicide methods and warning signs. Conclusions A Delphi expert consensus study was conducted to culturally adapt mental health first aid guidelines for assessing suicide risk in Chile and Argentina. This study involved professionals and individuals with lived experience. While many items were endorsed, some related to inquiring about suicide risk and autonomy, particularly for adolescents, were not. An additional section for older individuals was introduced. Future research should explore the implementation and impact of these adapted guidelines in training courses. This is vital for enhancing mental health support and implementing effective suicide prevention strategies in Chile and Argentina.

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“…Due to the increased psychosocial burden, the incubation period for aggression to escalate might be shorter and thus less likely to be detected. Hispanic adolescents with HI might be underdiagnosed due to similar reasons ( 22 ). Previous studies showed that black people are more likely to be both the offender and victim of homicide/assault ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

Homicidal ideation and psychiatric comorbidities in the inpatient adolescents aged 12–17

Sun

Mansuri²,

Trivedi³

et al. 2022

Front. Psychiatry

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ObjectivesAdolescents with a homicidal tendency is a growing concern in the United States. Studies in the past have showcased the relationship between homicidal ideation (HI) and psychiatric illnesses, but very limited information is available on the adolescent and inpatient population. We aim to evaluate the prevalence of demographic characteristics and psychiatric disorders in adolescents with and without HI.Materials and methodsAdolescent (age 12–17) population admitted to the hospital with the diagnosis of homicidal ideation was identified from the 2016–2018 National Inpatient Sample Dataset (NISD). Patients without HI were defined as the control group. The prevalence of psychiatric comorbidities between the groups was compared by applying the Rao-Scott adjusted chi-square test. We used multivariable logistic regression to generate odds ratio (OR) of homicidal ideation as an outcome; we adjusted age, sex, race, socioeconomic status, substance use disorders, alcohol use disorders, and psychiatric comorbidities.ResultsA total of 18,935 patients (mean age: 14.5) with HI diagnosis were identified in this study. Majority of the patients were male subjects in the HI group compared to the control group (58.7 vs. 41.2%, p < 0.001). Racially, HI was more prevalent in white race (56.0 vs. 52.6%, p < 0.001) and black race (22.3 vs. 17.8%, p < 0.001), compared to Hispanic race (14.9 vs. 21.3%, p < 0.001). Major depression (Odds ratio [OR]: 2.66, p < 0.001), bipolar disorder (OR: 3.52, p < 0.001), anxiety disorder (OR: 1.85, p < 0.001), ADHD, and other conduct disorders (OR: 4.01, p < 0.001), schizophrenia (OR: 4.35, p < 0.001) are strong predictors of HI. Suicidality was prevalent in 66.9% of patients with HI.ConclusionWe found a higher prevalence of psychiatric illnesses such as depression, anxiety, and bipolar disorder in adolescents with homicidal ideation in the inpatient setting. White and black races were more prevalent in patients with homicidal ideation. Further large-scale longitudinal research studies are warranted to establish the correlation between psychiatric disorders and homicidal ideation among adolescents.

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Hispanics, Mental Health, and Suicide: Brief Report

Cited by 8 publications

References 9 publications

“Could we have predicted this?” The association of a future mental health need in young people with a non‐specific complaint and frequent emergency department visits

“Could we have predicted this?” The association of a future mental health need in young people with a non‐specific complaint and frequent emergency department visits

Development of mental health first-aid guidelines for suicide risk: a Delphi expert consensus study in Argentina and Chile

Homicidal ideation and psychiatric comorbidities in the inpatient adolescents aged 12–17

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