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Suicide Among Latino Youth

  • Eugenio M. RotheEmail author
  • Andres J. Pumariega
Chapter

Abstract

Suicide in the United States has surged to the highest levels in nearly 30 years, with increases in every age group, particularly among women and with the exception of older adults. Approximately 1 in 25 teenagers in the United States has attempted suicide, and as many as 1 in 8 has thought about committing suicide. This problem is especially concerning among Latino adolescent girls, who have the highest suicide rates among all adolescent groups nationwide. The statistics reveal that in the United States, 15.6% of Latino adolescent girls have attempted suicide one or more times and up until recently, this problem had received scant attention in the media and in the medical field Nock et al. (JAMA Psychiatry 70(3):300–10, 2013). This chapter will review the recent epidemiological findings on Latino youth suicide, will examine the possible etiologies underlying this problem, and will discuss the currently available evidence-based treatments.

Keywords

Suicide Suicide attempts Latinos Adolescent (females) Adolescent (males) Culture Acculturation Minorities Family Depression Substance abuse Discrimination Violence 

References

  1. 1.
    United States Census Bureau. http://www.census.gov/population/. Last accessed 27 Jan 2017.
  2. 2.
    Group for the Advancement of Psychiatry. Committee on cultural psychiatry suicide and ethnicity in the United States. Group Adv Psychiatry Rep. 1989;128:1–131.Google Scholar
  3. 3.
    Canino G, Roberts R. Suicidal behavior among Latino youth. Suicide Life Threat Behav. 2001;31(Supplement):122–30.CrossRefPubMedGoogle Scholar
  4. 4.
    Centers for Disease Control and Prevention. Suicide among Hispanics-United States, 1997–2001. Morb Mortal Wkly Rep. 2004;53:478–81.Google Scholar
  5. 5.
    Nock MK, Green JG, Hwang I, McLaughlin KA, Sampson NA, Zaslavsky AM, Kessler RC. Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiat. 2013;70(3):300–10.CrossRefGoogle Scholar
  6. 6.
    Suicide Rates among Racial-Ethnic Populations in the United States: Hispanics, 2001–2010; - SPRC. Last accessed 27 Jan 2017 http://www.sprc.org/sites/sprc.org/files/library/Hispanics%20Sheet%20Aug%2028%202013%20Final.pdf.
  7. 7.
    Centers for Disease Control and Prevention (CDC): High School Youth Risk Behavior Survey data. 2011. Retrieved from http://apps.nccd.cdc.gov/youthonline. Last accessed 27 Jan 2017.
  8. 8.
    Kann L, McManus T, Harris W, et al. Youth risk behavior surveillance- United States, 2015 Morbidity and Mortality Weekly Report (MMWR). Surveill Summ. 2016;65(6):1–178.CrossRefGoogle Scholar
  9. 9.
    Zayas LH, Lester RJ, Cabassa LJ, Fortuna LR. Why do so many Latina teens attempt suicide? A conceptual model for research. Am J Orthop. 2005;75(2):275–87.CrossRefGoogle Scholar
  10. 10.
    Zayas LH, Pilat AM. Suicidal behavior in Latinas: explanatory cultural factors and implications for intervention. Suicide Life Threat Behav. 2008;38(3):334–42.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Peña JB, Wyman PA, Brown CH, Matthieu M, Olivares TE, Hartel D, Zayas LH. Immigration generation status and its association with suicide attempts, substance use, and depressive symptoms among Latino adolescents in the USA. Prev Sci. 2008;9(4):299–310.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Glover S, Pumariega A. The importance of child mental health epidemiological research with culturally diverse populations. In: Hernandez M, Isaacs M, editors. Promoting cultural competence in systems of care. Baltimore: Paul H. Brookes Publishing Co.; 1998. p. 271–303.Google Scholar
  13. 13.
    Vega W, Gil A, Zimmerman R, Warheit G. Risk factors for suicidal behavior among Hispanic African-American, and non-Hispanic white boys in early adolescence. Ethn Dis. 1993;3:229–41.PubMedGoogle Scholar
  14. 14.
    O’Donnell L, O’Donnell C, Wardlaw D, Stueve A. Risk and resiliency factors influencing suicidality among urban African American and Latino youth. Am J Community Psychol. 2004;33(1–2):37–49.CrossRefPubMedGoogle Scholar
  15. 15.
    Queralt M. Risk factors associated with completed suicide in Latino adolescents. Adolescence. 1993;28:831–50.PubMedGoogle Scholar
  16. 16.
    Olvera R. Suicidal ideation in Hispanic and mixed ancestry adolescents. Suicide Life Threat Behav. 2001;31:416–27.CrossRefPubMedGoogle Scholar
  17. 17.
    Rew L, Thomas N, Horner S, Resnick M, Beuhring T. Correlates of recent suicide attempts in a tri-ethnic group of adolescents. J Nurs Scholarsh. 2001;33:361–7.CrossRefPubMedGoogle Scholar
  18. 18.
    Vega W, Gil A, Warheit G, Apospori E, Zimmerman R. The relationship of drug use to suicide ideation and attempts among African American, Hispanic, and white non-Hispanic male adolescents. Suicide Life Threat Behav. 1993a;23:110–9.PubMedGoogle Scholar
  19. 19.
    Marzuck P, Tardiff K, Leon A, Stajic M, Morgan E, Mann J. Prevalence of cocaine use among residents of New York City who committed suicide during a one-year period. Am J Psychiatry. 1992;149:371–5.CrossRefGoogle Scholar
  20. 20.
    Diaz R, Ayala G, Bein E. Sexual risk as an outcome of social oppression: data from a probability sample of Latino gay men in three U.S. cities. Cult Divers Ethn Minor Psychol. 2004;10:255–67.CrossRefGoogle Scholar
  21. 21.
    Goldston DB, Molock SD, Whitbeck LB, Murakami JL, Zayas LH, Hall GC. Cultural considerations in adolescent suicide prevention and psychosocial treatment. Am Psychol. 2008;63:14–31.CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Rothe EM, Tzuang D, Pumariega AJ. Acculturation, development and adaptation. Child Adolesc Psychiatry Clin North Am. 2010;19(4):681–96.CrossRefGoogle Scholar
  23. 23.
    Suicide Prevention Resource Center. Supported by Substance Abuse and Mental Health Services Administration U.S. Department of Health and Human Services. 2010. http://www.sprc.org/sites/sprc.org/files/library/Hispanics%20Sheet%20Aug%2028%202013%20Final.pdf.
  24. 24.
    Umana-Taylor J, Updegraff K. Latino adolescent’s mental health: exploring interrelations among discrimination, ethnic identity, cultural orientation, self-esteem and depressive symptoms. J Adolesc. 2007;30:549–67.CrossRefPubMedGoogle Scholar
  25. 25.
    Hovey J, King C. Acculturative stress, depression, and suicidal ideation among immigrant and second-generation Latino adolescents. J Am Acad Child Adolesc Psychiatry. 1996;35:1183–92.CrossRefPubMedGoogle Scholar
  26. 26.
    Pumariega AJ, Rothe EM, Swanson J, Holzer CE, Linskey AO, Quintero-Salinas R. Suicidality and acculturation in Hispanic adolescents. In: Sher L, Vilens A, editors. Immigration and mental health. New York: Nova Science Publishers., Chapter 5; 2010.Google Scholar
  27. 27.
    Zayas LH, Gulbas LE, Fedoravicius N, Cabassa LJ. Patterns of distress, precipitating events, and reflections on suicide attempts by young Latinas. Soc Sci Med. 2010;70(11):1773–9.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Hwang W-C. Acculturative family distancing: theory, research, and clinical practice. Psychotherapy (Chic). 2006;43(4):397–409.CrossRefGoogle Scholar
  29. 29.
    Szapocznik J, Williams RA. Brief strategic family therapy: twenty-five years of interplay among theory, research and practice in adolescent behavior problems and drug abuse. Clin Child Fam Psychol Rev. 2000;3:117–34.CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Cespedes Y, Huey S. Depression in Latino adolescents: a cultural discrepancy perspective. Cult Divers Ethn Minor Psychol. 2008;14(2):168–72.CrossRefGoogle Scholar
  31. 31.
    Hwang W, Wood J. Acculturative family distancing: links with self-reported symptomatology among Asian Americans and Latinos. Child Psychiatry Hum Dev. 2009;40:123–38.CrossRefPubMedGoogle Scholar
  32. 32.
    Gomez J, Miranda R, Polanco L. Acculturative stress, perceived discrimination, and vulnerability to suicide attempts among emerging adults. J Youth Adolesc. 2011;40(11):1465–76.CrossRefPubMedGoogle Scholar
  33. 33.
    Olson LM, Wahab S, Thompson CW, Durrant L. Suicide notes among Native Americans, Hispanics, and Anglos. Qual Health Res. 2011;21(11):1484–94.CrossRefPubMedGoogle Scholar
  34. 34.
    Borges G, Orozco R, Rafful C, Miller E, Breslau J. Suicidality, ethnicity and immigration in the USA. Psychol Med. 2012;42(6):1175–84.CrossRefPubMedGoogle Scholar
  35. 35.
    Caetano R, Kaplan MS, Huguet N, McFarland BH, Conner K, Giesbrecht N, Nolte KB. Acute alcohol intoxication and suicide among United States ethnic/racial groups: findings from the National Violent Death Reporting System. Alcohol Clin Exp Res. 2013;37(5):839–46.CrossRefPubMedPubMedCentralGoogle Scholar
  36. 36.
    Cabassa LJ, Zayas LH, Hansen MC. Latino adults’ access to mental health care: a review of epidemiological studies. Admin Pol Ment Health. 2006;33(3):316–30.CrossRefGoogle Scholar
  37. 37.
    Ahmedani BK, Perron B, Ilgen M, Abdon A, Vaughn M, Epperson M. Suicide thoughts and attempts and psychiatric treatment utilization: informing prevention strategies. Psychiatr Serv. 2012;63(2):186–9.CrossRefPubMedPubMedCentralGoogle Scholar
  38. 38.
    Larkin GL, Rivera H, Xu H, Rincon E, Beautrais AL. Community responses to a suicidal crisis: implications for suicide prevention. Suicide Life Threat Behav. 2011;41(1):79–86.CrossRefPubMedGoogle Scholar
  39. 39.
    Locke TF, Newcomb MD. Psychosocial predictors and correlates of suicidality in teenage Latino males. Hisp J Behav Sci. 2005;27(3):319–36.CrossRefGoogle Scholar
  40. 40.
    Peña JB, Kuhlberg JA, Zayas LH, Baumann AA, Gulbas L, Hausmann-Stabile C, Nolle AP. Familism, family environment, and suicide attempts among Latina youth. Suicide Life Threat Behav. 2011;41(3):330–41.CrossRefPubMedPubMedCentralGoogle Scholar
  41. 41.
    Zayas LH, Hausmann-Stabile C, Kuhlberg J. Can better mother-daughter relations reduce the chance of a suicide attempt among Latinas? Depress Res Treat. 2011;2011:403602. 7 pPubMedPubMedCentralGoogle Scholar
  42. 42.
    Oquendo MA, Dragatsi D, Harkavy-Friedman J, Dervic K, Currier D, Burke AK, Mann JJ. Protective factors against suicidal behavior in Latinos. J Nerv Ment Dis. 2005;193(7):438–43.CrossRefPubMedGoogle Scholar
  43. 43.
    Robinson JA, Bolton JM, Rasic D, Sareen J. Exploring the relationship between religious service attendance, mental disorders, and suicidality among different ethnic groups: results from a nationally representative survey. Depress Anxiety. 2012;29(11):983–90.CrossRefPubMedGoogle Scholar
  44. 44.
    De Luca SM, Wyman P, Warren K. Latina adolescent suicide ideations and attempts: associations with connectedness to parents, peers, and teachers. Suicide Life Threat Behav. 2012;42(6):672–83.CrossRefPubMedPubMedCentralGoogle Scholar
  45. 45.
    Santiago-Rivera AL, Arredondo P, Gallardo-Cooper M. Counseling Latinos and la familia: a practical guide. Thousand Oaks: Sage Publications; 2002.Google Scholar
  46. 46.
    Perez RM, Araujo-Dawson B, Suárez-Orozco C. Understanding acculturation, depressive symptoms, and the protective role of family involvement among Latino and immigrant families. J Fam Soc Work. 2011;14(5):429–45.CrossRefGoogle Scholar
  47. 47.
    Oquendo MA. Differential diagnosis of ataque de nervios. Am J Orthop. 1994;65:60–5.Google Scholar
  48. 48.
    Ungemack J, Guarnaccia PJ. Suicidal ideation and suicide attempts among Mexican Americans, Cuban Americans and Puerto Ricans. Transcult Psychiatry. 1998;35:307–27.CrossRefGoogle Scholar
  49. 49.
    Rosselló J, Bernal G. Cognitive-behavioral and interpersonal treatments for depressed Puerto Rican adolescents. In: Hibbs E, Jensen P, editors. Psychosocial treatments for children and adolescent disorders: empirically-based approaches. Washington, DC: American Psychological Association Press; 1996.Google Scholar
  50. 50.
    Rosselló J, Bernal G. The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents. J Consult Clin Psychol. 1999;67:734–45.CrossRefPubMedGoogle Scholar
  51. 51.
    Pumariega AJ, Rothe EM, Mian A, Carlisle L, Toppleberg C, Gogineni RR, et al. Practice parameters for cultural competence in child psychiatric practice. J Am Acad Child Adolesc Psychiatry. 2013;52(12):1101–15.CrossRefPubMedGoogle Scholar
  52. 52.
    McGowan M. Psychosocial treatment of youth suicide: a systematic review of the literature. Res Soc Work Pract. 2004;14(3):147–62.CrossRefGoogle Scholar
  53. 53.
    Cotgrove AJ, Zirinsky L, Black D, Weston D. Secondary prevention of attempted suicide in adolescence. J Adolesc. 1995;18:569–77.CrossRefGoogle Scholar
  54. 54.
    Greenfield B, Larson C, Hechtman L, Rousseau C, Platt R. A rapid-response outpatient model for reducing hospitalization rates among suicidal adolescents. Psychiatr Serv. 2002;53:1574–9.CrossRefPubMedGoogle Scholar
  55. 55.
    Kataoka C, Stein B, Lieberman R, Wong M. Suicide prevention in schools: are we reaching minority youths? Psychiatr Serv. 2003;54(11):1444.CrossRefPubMedGoogle Scholar
  56. 56.
    Rew L, Resnick MD, Blum RW. An exploration of help-seeking behaviours in female Hispanic adolescents. Family Community Health. 1997;20(3):1–5.CrossRefGoogle Scholar
  57. 57.
    Cabassa LJ, Lester R, Zayas LH. “It’s like being in a labyrinth:” hispanic immigrants’ perceptions of depression and attitudes toward treatments. J Immigr Minor Health. 2007;9(1):1–6.CrossRefPubMedPubMedCentralGoogle Scholar
  58. 58.
    Vega WA, Lopez SR. Priority issues in Latino mental health services research. Ment Health Serv Res. 2001;3(4):189–200.CrossRefPubMedGoogle Scholar
  59. 59.
    Berk ML, Schur CL, Chavez LR, Frankel M. Health care use among undocumented Latino immigrants. Health Aff. 2000;19(4):51–64.CrossRefGoogle Scholar
  60. 60.
    Rosello J, Bernal G. The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents. J Consult Clin Psychol. 1999;67(5):734–45.CrossRefGoogle Scholar
  61. 61.
    Rotheram-Borus M, Piacentini J, Van Rossem R, Graae F, Cantwell C, Castro-Blanco D, et al. Enhancing treatment adherence with a specialized emergency room program for adolescent suicide attempters. J Am Acad Child Adolesc Psychiatry. 1996;5(5):654–63.CrossRefGoogle Scholar
  62. 62.
    Santisteban DA, Szapocznik J, Perez-Vidal A, Kurtines WM, Murray EJ, LaPerriere A. Efficacy of intervention for engaging youth and families into treatment and some variables that may contribute to differential effectiveness. J Fam Psychol. 1996;10(1):35.CrossRefGoogle Scholar
  63. 63.
    Coatsworth J, Santisteban D, McBride C, Szapocznik J. Brief strategic family therapy versus community control: engagement, retention, and an exploration of the moderating role of adolescent symptom severity. Fam Process. 2001;40(3):313–32.CrossRefPubMedGoogle Scholar
  64. 64.
    Cardemil E, Reivich K, Beevers C, Seligman M, James J. The prevention of depressive symptoms in low-income minority children: two year follow-up. Behav Res Therapy. 2007;45:313–27.CrossRefGoogle Scholar
  65. 65.
    Kataoka S, Stein B, Jaycox L, Wong M, Escudero P, Tu W, et al. A school-based mental health program for traumatized Latino immigrant children. J Am Acad Child Adolesc Psychiatry. 2003;42:311–8.CrossRefPubMedGoogle Scholar
  66. 66.
    Curry J, Rohe P, Simons A, Silva S, et al. Predictors and modifiers of acute outcome in the Treatment for Adolescents with Depression Study (TADS). J Am Acad Child Adolesc Psychiatry. 2006;45:1427–39.CrossRefPubMedGoogle Scholar
  67. 67.
    Lin K, Smith M. Pharmacotherapy in the context of culture and ethnicity. In: Ruiz P, editor. Ethnicity and psychopharmacology. Washington, DC: American Psychiatric Press; 2000.Google Scholar
  68. 68.
    National Strategy for Suicide Prevention. Goals and objectives for action: a report of the U.S. Surgeon General and of the National Action Alliance for Suicide Prevention. 2012. http://www.surgeongeneral.gov/library/reports/national-strategy-suicide-prevention/full-report.pdf.

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Herbert Wertheim College of Medicine/Florida International UniversityCoral GablesUSA
  2. 2.Department of PsychiatryCooper Medical School of Rowan University and Cooper Health SystemCamdenUSA

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