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Suicide Among South Asian Youth in America

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Abstract

Asian Americans are the fastest growing minority population in the United States (US). South Asians (SA) comprising Bangladeshis, Burmese, Indians, Nepalis, Pakistanis, and Sri Lankans form the third largest subgroup of Asians in America. SA children are raised with values of respecting elders, obedience to parental authority, and prioritizing the family’s needs over the individual’s. This upbringing, in conjunction with acculturation stress, intergenerational conflict experiences of racial discrimination, and stigma surrounding mental health treatment, likely plays a role in placing SA American youth at increased risk for suicidal ideation and behavior. The scope of the problem is difficult to determine as research studies so far have tended to focus on Asian Americans as a group with few studies focusing on SA in particular. However, the experiences of SA Americans as a group are worth examining as there are differences in culture of origin, immigration history, and phenotypic differences, to name a few, that set them apart from the larger Asian American community. The following chapter aims to discuss the interplay of the history and experiences of SA Americans with mental health. It offers a culturally informed perspective on symptom presentations and approach to treatment interventions.

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References

  1. Yang PQ. A theory of Asian immigration to the United States. J Asian Am Stud. 2010;13(1):1–34.

    Article  CAS  Google Scholar 

  2. LaBrack B, Leonard K. Conflict and compatibility in Punjabi-Mexican immigrant families in rural California, 1915–1965. J Marriage Fam. 1984;46(3):527–37.

    Article  Google Scholar 

  3. Bald V. Bengali Harlem and the lost histories of south Asian America. Cambridge, MA: Harvard University Press; 2013.

    Google Scholar 

  4. Cafferty PS. The dilemma of American immigration: beyond the golden door. New Brunswick: Transaction Books; 1983.

    Google Scholar 

  5. Tuan M. Forever foreigners or honorary whites? The Asian ethnic experience today. New Brunswick: Rutgers University Press; 1998.

    Google Scholar 

  6. Leonard-Spark P, Saran P. The Indian immigrant in America: a demographic profile. In: Saran P, Eames E, editors. The new ethics: Asian Indians in the United States. New York: Praeger; 1980.

    Google Scholar 

  7. Prashad V. The karma of Brown folk. Minneapolis: University of Minnesota Press; 2000.

    Google Scholar 

  8. Chai K. Competing for the second generation: english – language Ministry at a Korean Protestant Church. In: Warner RS, Wittner JG, editors. Gatherings in diaspora. Philadelphia: Temple University Press; 1998. p. 295–331.

    Google Scholar 

  9. Chong K. What it means to be Christian: the role of religion in construction of ethnic identity and boundary among second-generation Korean Americans. Sociol Relig. 1998;59(3):259–86.

    Article  Google Scholar 

  10. Kim RY. Second-generation Korean American evangelicals: ethnic, multiethnic, or white campus ministries? Sociol Relig. 2004;65(1):19–34.

    Article  Google Scholar 

  11. Dhingra P. Managing multicultural lives: Asian American professionals and the challenge of multiple identities. Palo Alto: Stanford University Press; 2007.

    Google Scholar 

  12. Portes A, Rumbaut RG. Legacies: the story of the immigrant second generation. Berkeley: University of California Press; 2001.

    Google Scholar 

  13. Tsai-Chae A, Nagata DK. Asian values and perceptions of intergenerational family conflict among Asian American students. Cult Divers Ethn Minor Psychol. 2008;14(3):205.

    Article  Google Scholar 

  14. Chandra RM, Arora L, Mehta UM, Asnani A, Radhakrishnan R. Asian Indians in America: the influence of values and culture on mental health. Asian J Psychiatr. 2016;22:202–9.

    Article  PubMed  Google Scholar 

  15. Chung RH. Gender, ethnicity, and acculturation in intergenerational conflict of Asian American College Students. Cult Divers Ethn Minor Psychol. 2001;7(4):376–86.

    Article  CAS  Google Scholar 

  16. Fuligni AJ, Yip T, Tseng V. The impact of family obligation on the daily activities and psychological well-being of Chinese American adolescents. Child Dev. 2002;73:302–14.

    Article  PubMed  Google Scholar 

  17. Huang W, Wood JJ, Fujimoto K. Acculturative family distancing and depression in Chinese American families. J Consult Clin Psychol. 2010;78(5):655–67.

    Article  Google Scholar 

  18. Zia H. Where the queer zone meets the Asian zone: marriage equality and other intersections. Amerasia J. 2006;32(1):1–14.

    Google Scholar 

  19. Bhugra D, Desai M. Attempted suicide in south Asian women. Adv Psychiatr Treat. 2002;8:418–23.

    Article  Google Scholar 

  20. Dhingra P, Rodriguez RM. Asian America: sociological and interdisciplinary perspectives. Malden: Polity Press; 2014.

    Google Scholar 

  21. Purkayastha B. Negotiating ethnicity: second-generation south Asian Americans Traverse a Transnational World. New Brunswick: Rutgers University Press; 2005.

    Google Scholar 

  22. Stryker S. Symbolic interactionism: themes and variations. In: Rosenburg M, Turner R, editors. Social psychology: sociological perspectives. New Brunswick: Transaction Publishers; 1992. p. 3–29.

    Google Scholar 

  23. Maira S. Desis in the house: Indian American youth culture in NYC. Philadelphia: Temple University Press; 2002.

    Google Scholar 

  24. Alvarez AN, Juang L, Liang CT. Asian Americans and racism: when bad things happen to “model minorities”. Cult Divers Ethn Minor Psychol. 2006;12:477–92.

    Article  Google Scholar 

  25. Yoo HC, Castro KS. Does nativity status matter in the relationship between perceived racism and academic performance of Asian American college students? J Coll Stud Dev. 2011;52:234–45.

    Article  Google Scholar 

  26. Tummala-Narra P, Claudius M. Perceived discrimination and depressive symptoms among immigrant-origin adolescents. Cult Divers Ethn Minor Psychol. 2013;19(3):257–69.

    Article  Google Scholar 

  27. Greene ML, Way NW, Pahl K. Trajectories of perceived adult and peer discrimination among Black, Latino, Asian American adolescents: patterns and psychological correlates. Dev Psychol. 2006;42(2):218–38.

    Article  PubMed  Google Scholar 

  28. Ajrouch KJ, Reisine S, Lim S, Sohn W, Ismail A. Perceived everyday discrimination and psychological distress: does social support matter? Ethn Health. 2010;15:417–34.

    Article  PubMed  Google Scholar 

  29. Grossman JM, Liang B. Discrimination distress among Chinese American Adolescents. J Youth Adolesc. 2008;37:1–11.

    Article  Google Scholar 

  30. Raj A, Silverman JG. Intimate partner violence against South Asian women in greater Boston. J Am Med Wom Assoc. 2002;57(2):111–4.

    PubMed  Google Scholar 

  31. Raj A, Silverman JG. Immigrant South Asian women at greater risk for injury from intimate partner violence. Am J Public Health. 2003;93(3):435–7.

    Article  PubMed Central  PubMed  Google Scholar 

  32. Midlarsky E, Venkataramani-Kothari A, Plante M. Domestic violence in the Chinese and south Asian immigrant communities. Ann N Y Acad Sci. 2006;1087(1):279–300.

    Article  PubMed  Google Scholar 

  33. Dasgupta S. Charting the course: an overview of domestic violence in the south Asian Community in the United States. J Soc Distress Homeless. 2000;9(3):173–85.

    Article  Google Scholar 

  34. Bhattacharjee A. The habit of ex-nomination: nation, women and Indian immigrant bourgeoisie. In: Dasgupta S, editor. A patchwork shawl: chronicles of south Asian women in America. New Brunswick: Rutgers University Press; 1998. p. 163–85.

    Google Scholar 

  35. Grossman SF, Lundy M. Domestic violence across race and ethnicity implications for social work practice and policy. Violence Against Women. 2007;13(10):1029–52.

    Article  PubMed  Google Scholar 

  36. Ayyub R. Domestic violence in the south Asian Muslim immigrant population in the United States. J Soc Distress Homeless. 2000;9(3):237–48.

    Article  Google Scholar 

  37. Lee J, Pomeroy EC, Bohman TM. Intimate partner violence and psychological health in a sample of Asian and Caucasian women: the roles of social support and coping. J Fam Violence. 2007;22(8):709–20.

    Article  Google Scholar 

  38. Das Gupta M. Unruly immigrants: rights, activism, and transnational south Asian politics. Durham: Duke University Press; 2006.

    Book  Google Scholar 

  39. Oda A, Yoo G. Youth, family, and the aged. In: Chen EW, Yoo GJ, editors. Encyclopedia of Asian American issues today. Santa Barbara: Greenwood Press; 2010. p. 841–9.

    Google Scholar 

  40. Yoshioka MR, DiNoia J, Ullah K. Attitudes toward marital violence: an examination of four Asian communities. Violence Against Women. 2001;7(8):900–26.

    Article  Google Scholar 

  41. Bhuyan R, Mell M, Senturia K, Sullivan M, Shiu-Thornton S. Women must endure according to their karma’: Cambodian immigrant women talk about domestic violence. J Interpers Violence. 2005;20(8):902–21.

    Article  PubMed  Google Scholar 

  42. Cooper J, Husain N, Webb R, Wahid W, Kapur N, Guthrie E, et al. Self-harm in the UK: differences between south Asians and whites in rates, characteristics, provision of service and repetition. Soc Psychiatry Psychiatr Epidemiol. 2006;41(10):782–8.

    Article  PubMed  Google Scholar 

  43. Bhugra D. Suicidal behavior in south Asians in the UK. Crisis. 2002;23(3):108–13.

    Article  PubMed  Google Scholar 

  44. Emory University homepage. Suicide prevention for South Asian students. Available from: http://www.emorycaresforyou.emory.edu/emory_student_communities/southasian.html. Accessed 10 Apr 2017.

  45. Bhugra D, Baldwin DS, Desai M, Jacob KS. Attempted suicide in West London, II intergroup comparisons. Psychol Med. 1999;29(5):1131–9.

    Article  CAS  PubMed  Google Scholar 

  46. Cheng TA. Symptomatology of minor psychiatric morbidity: a cross-cultural comparison. Psychol Med. 1989;19(3):697–708.

    Article  CAS  PubMed  Google Scholar 

  47. Hoge EA, Tamrakar SM, Christian KM, Mahara M, Nepal MK, Pollack MH, et al. Cross-cultural differences in somatic presentation in patients with generalized anxiety disorder. J Nerv Ment Disord. 2006;194(12):962–6.

    Article  Google Scholar 

  48. Duddu V, Isaac MK, Chaturvedi SK. Somatization, somatosensory amplification, attribution styles and illness behaviour: a review. Int Rev Psychiatry. 2006;18(1):25–33.

    Article  PubMed  Google Scholar 

  49. Karasz A, Dempsey K, Fallek R. Cultural differences in the experience of everyday symptoms: a comparative study of South Asian and European American women. Cult Med Psychiatry. 2007;31(4):473–97.

    Article  PubMed  Google Scholar 

  50. Raguram R, Weiss MG, Channabasavanna SM, Devins GM. Stigma, depression, and somatization in South India. Am J Psychiatry. 1996;153(8):1043–9.

    Article  CAS  PubMed  Google Scholar 

  51. Hofmann SG, Asnaani A, Hinton DE. Cultural aspects in social anxiety and social anxiety disorder. Depress Anxiety. 2010;27(12):1117–27.

    Article  PubMed Central  PubMed  Google Scholar 

  52. Bhattacharya G. Drug abuse risks for acculturating immigrant adolescents: case study of Asian Indians in the United States. Health Soc Work. 2012;27:175–83.

    Article  Google Scholar 

  53. Lee HK, Han B, Gfroerer JC. Differences in the prevalence rates and correlates of alcohol use and binge alcohol use among five Asian American subpopulations. Addict Behav. 2013;38(3):1816–23.

    Article  PubMed  Google Scholar 

  54. Kim S, Ziedonis D, Chen K. Tobacco use and dependence in Asian Americans: a review of the literature. Nicotine Tob Res. 2007;9(2):169–84.

    Article  PubMed  Google Scholar 

  55. Rastogi M, Wadhwa S. Substance abuse among Asian Indians in the United States: a consideration of cultural factors in etiology and treatment. Subst Use Misuse. 2006;41(9):1239–49.

    Article  PubMed  Google Scholar 

  56. Heron M. Deaths: leading causes for 2007. Natl Vital Stat Rep. 2011;59:8.

    Google Scholar 

  57. Wong YJ, Vaughan EL, Liu T, Chang TK. Asian Americans’ proportion of life in the United States and suicide ideation: the moderating effects of ethnic subgroups. Asian Am J Psychol. 2014;5:237–42.

    Article  Google Scholar 

  58. Jha A. Depression and suicidality in Asian Indian students (thesis). University of Illinois, Chicago; 2001.

    Google Scholar 

  59. Rastogi P, Khushalani S, Dhawan S, Goga J, Hemanth N, Kosi R, et al. Understanding clinician perception of common presentations in south Asians seeking mental health treatment and determining barriers and facilitators to treatment. Asian J Psychiatr. 2014;7:15–21.

    Article  PubMed  Google Scholar 

  60. Samuel D, Sher L. Suicidal behavior in Indian adolescents. Int J Adolesc Med Health. 2013;25(3):207–12.

    Article  PubMed  Google Scholar 

  61. Patel SP, Gaw AC. Suicide among immigrants from the Indian subcontinent: a review. Psychiatr Serv. 1996;47(5):517–21.

    Article  CAS  PubMed  Google Scholar 

  62. Raleigh VS. Suicide patterns and trends in people of Indian subcontinent and Caribbean origin in England and Wales. Ethn Health. 1996;1(1):55–63.

    Article  CAS  PubMed  Google Scholar 

  63. Bhugra D, Desai M, Baldwin DS. Attempted suicide in west London, I. Rates across ethnic communities. Psychol Med. 1999;29(5):1125–30.

    Article  CAS  PubMed  Google Scholar 

  64. Paniagua FA. Guidelines for the assessment and treatment of Asian clients. In: Paniagua FA, editor. Assessing and treating culturally diverse clients: a practical guide. California: SAGE; 2005.

    Chapter  Google Scholar 

  65. Diwan S, Lee SE, Sen S. Expectations of filial obligation and their impact on preferences for future living arrangements of middle-aged and older Asian Indian immigrants. J Cross-Cult Gerontol. 2011;26(1):55–69.

    Article  PubMed  Google Scholar 

  66. Juthani N. Improving diagnostic and therapeutic skills: a cross-cultural perspective. Program and abstracts of the American Psychiatric Association 2005 Annual Meeting; May 21–26, 2005; Atlanta, Georgia. Component Workshop 42.

    Google Scholar 

  67. Jayakar K. Women of the Indian subcontinent. In: Comas-Diaz LG, Greene B, editors. Women of color. Guilford: New York; 1994. p. 168–77.

    Google Scholar 

  68. Hawton K, Arensman E, Townsend E, Bremner S, Feldman E, Goldney R, et al. Deliberate self-harm: systematic review of efficacy of psychosocial and pharmacological treatments in preventing repetition. BMJ. 1998;317(7156):441–7.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  69. Guthrie E, Kapur N, Mackway-Jones K, Chew-Graham C, Moorey J, Mendel E, et al. Randomized controlled trial of brief psychological intervention after deliberate self-poisoning. BMJ. 2001;323(7305):135–8.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

Resources

  • Domestic Violence: Manavi (New York City); Saheli (New England).

    Google Scholar 

  • LGBTQ: SALGA (New York City), Trikone- Hotline (Founded in San Francisco, chapters in many cities and countries), Khush (Washington DC), Trevor Project- Hotline.

    Google Scholar 

  • Mental Health: New York Coalition for Asian American Mental Health; Asian American Suicide Prevention and Education; My Sahana: A Nonprofit Serving South Asians; The American Foundation for Suicide Prevention; The Jed Foundation (college students).

    Google Scholar 

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Correspondence to Neha Sharma DO .

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Sharma, N., Shaligram, D. (2018). Suicide Among South Asian Youth in America. In: Pumariega, A., Sharma, N. (eds) Suicide Among Diverse Youth. Springer, Cham. https://doi.org/10.1007/978-3-319-66203-9_6

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  • DOI: https://doi.org/10.1007/978-3-319-66203-9_6

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