“…Many have highlighted the need for culturally sensitive and competent services that take into account provider and patient characteristics (Alegria, Takeuchi, Canino et al, 2004; Comas-Diaz & Griffith, 1988; Jenkins, 1985; Padilla & Salgado De Snyder, 1985; Ruiz, 2002; Snowden, 2003; Woodward, Dwinell, & Arons, 1992). For example, Oquendo et al (2004) (Oquendo, Lizardi, Greenwald et al, 2004) and others have found that rates of lifetime suicide attempt and major depression vary according to subgroups of Latinos (Kessler, Borges, & Walters, 1999; Ungemack & Guarnaccia, 1998), emphasizing the need to consider individual cultural patient characteristics.…”