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Pathways to suicidality across ethnic groups in Canadian adults: the possible role of social stress

  • D. E. Clarke (a1) (a2) (a3) (a4), A. Colantonio (a3) (a4) (a5), A. E. Rhodes (a2) (a3) (a6) (a7) (a8) and M. Escobar (a3)
Abstract
Background

Ethnicity is an important determinant of mental health outcomes including suicidality (i.e. suicidal ideation and suicide attempt). Understanding ethnic differences in the pathways to suicidality is important for suicide prevention efforts in ethnically diverse populations. These pathways can be conceptualized within a social stress framework.

Method

The study examines ethnic differences in the pathways to suicidality in Canada within a social stress framework. Using data from the Canadian Community Health Survey Cycle 1.1 (CCHS 1.1) and path analysis, we examined the hypotheses that variations in (1) socio-economic status (SES), (2) sense of community belonging (SCB), (3) SES and SCB combined, and (4) SES, SCB and clinical factors combined can explain ethnic differences in suicidality.

Results

Francophone whites and Aboriginals were more likely to report suicidality compared to Anglophone whites whereas visible minorities and Foreign-born whites were least likely. Disadvantages in income, income and education, income and its combined effect with depression and alcohol dependence/abuse led to high rates even among the low-risk visible minority group. Indirect pathways for Asians differed from that of Blacks and South Asians, specifically through SCB. With the exception of SCB, Aboriginals were most disadvantaged, which exacerbated their risk for suicidality. However, their strong SCB buffered the risk for suicidality across pathways. Disadvantages in education, income and SCB were associated with the high risk for suicidality in Francophone whites.

Conclusions

Francophone whites and Aboriginals had higher odds of suicidality compared to Anglophone whites; however, some pathways differed, indicating the need for targeted program planning and prevention efforts.

Copyright
Corresponding author
*Address for correspondence: D. E. Clarke, Ph.D., Research Associate, Department of Mental Health, Johns Hopkins School of Public Health, Hampton House, Room 802, 624 N. Broadway, Box 495, Baltimore, MD 21205, USA. (Email: dclarke@jhsph.edu)
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RD Baller , KK Richardson (2002). Social integration, imitation and the geographic patterning of suicide. American Sociological Review 67, 873888.

D Bhugra , M Desai (2002). Attempted suicide in South Asian women. Advances in Psychiatric Treatment 8, 418423.

MJ Chandler , C Lalonde (1998). Cultural continuity as a hedge against suicide in Canada's First Nations. Transcultural Psychiatry 35, 191219.

WM Ensel , N Lin (1991). The life stress paradigm and psychological distress. Journal of Health and Social Behavior 32, 321341.

BM Hagerty , RA Williams (1999). The effects of sense of belonging, social support, conflict and loneliness on depression. Nursing Research 48, 215219.

BMK Hagerty , RA Williams , JC Coyne , MR Early (1996). Sense of belonging and indicators of social and psychological functioning. Archives of Psychiatric Nursing 10, 235244.

L Hu , PM Bentler (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling 6, 155.

R Kessler , HU Wittchen , J Abelson , K McGonagle , N Schwarz , KS Kendler , B Knauper , S Zhao (2001). Methodological studies of the Composite International Diagnostic Interview (CIDI) in the US National Comorbidity Survey (NCS). International Journal of Methods in Psychiatric Research 7, 3335.

RC Kessler , RM Crum , LA Warner , CB Nelson , J Schulenberg , JC Anthony (1997). Lifetime co-occurrence of DSM-III-R alcohol abuse and dependence with other psychiatric disorders in the National Comorbidity Survey. Archives of General Psychiatry 54, 313321.

MM Khan , AA Hyder (2006). Suicides in the developing world: case study from Pakistan. Suicide and Life-Threatening Behavior 36, 7681.

JZ Lian , DR Matthews (1998). Does the vertical mosaic still exist? Ethnicity and income in Canada, 1991. Canadian Review of Sociology and Anthropology 35, 461481.

HL MacMillan , CJS Patterson , CN Wathen , the Canadian Task Force on Preventive Health Care (2005). Screening for depression in primary care: recommendation statement from the Canadian Task Force on Preventive Health Care. Canadian Medical Association Journal 172, 3335.

K McKenzie , J van Os , C Samele , E van Horn , T Tattan , R Murray (2003). Suicide and attempted suicide among people of Caribbean origin with psychosis living in the UK. British Journal of Psychiatry 183, 4044.

EK Moscicki (1989). Epidemiologic surveys as tools for studying suicidal behavior: a review. Suicide and Life-Threatening Behavior 19, 131146.

LI Pearlin (1989). The sociological study of stress. Journal of Health and Social Behavior 30, 241256.

M Preville , R Boyer , R Herbert , G Bravo , M Sequin (2005). Correlates of suicide in the older adult population in Quebec. Suicide and Life-Threatening Behavior 35, 91105.

EE Rigdon (1996). CFI versus RMSEA: a comparison of two fit indexes for structural equation modeling. Structural Equation Modeling 3, 369379.

EE Rigdon (1995). A necessary and sufficient identification rule for structural models estimated in practice. Multivariate Behavioral Research 30, 359384.

B Shipley (1997). Exploratory path analysis with applications in ecology and evolution. American Naturalist 149, 11131138.

V Soni-Raleigh (1996). Suicide patterns and trends in people of Indian subcontinent and Caribbean origin in England and Wales. Ethnicity and Disease 1, 5564.

A Stravynski , R Boyer (2001). Loneliness in relation to suicide ideation and parasuicide: a population-wide study. Suicide and Life-Threatening Behavior 31, 3240.

SS Welch (2001). A review of the literature on the epidemiology of parasuicide in the general population. Psychiatric Services 52, 368375.

Z Wu , S Noh , V Kaspar , CM Schimmele (2003). Race, ethnicity, and depression in Canadian society. Journal of Health and Social Behavior 44, 426441.

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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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