Suicide by suffocation among Asian American, Native Hawaiian and Pacific Islander Veterans in the USA (2012-2018).

IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Injury Prevention Pub Date : 2025-01-03 DOI:10.1136/ip-2024-045425
Lindsey L Monteith, Julie A Kittel, Evan R Polzer, Ryan Holliday, Joseph A Simonetti, Claire A Hoffmire
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Abstract

Background: Suicide rates have increased substantially among Asian American, Native Hawaiian and Pacific Islander (AANHPI) Veterans who are more likely to use suffocation as a suicide method than Veterans overall. This study examined demographic, healthcare and injury characteristics of AANHPI Veterans who died by suicide through suffocation and examined the contexts of these deaths. Analyses further examined if there were differences between AANHPI and non-AANHPI Veterans who died by suffocation suicide.

Methods: This mixed methods analysis used National Violent Death Reporting System (NVDRS) data from AANHPI (n=44) and non-AANHPI (n=3090) Veterans who died by suicide through suffocation (2012-2018).

Results: Hanging comprised nearly all suffocation deaths, although ligature types varied extensively. Residence was the most common location of injury and death, with basements a more common location of death within the home among AANHPI Veterans, relative to a matched, non-AANHPI Veteran sample. There was a significantly higher proportion of females among AANHPI decedents. Additionally, AANHPI decedents were significantly less likely to have emergency medical services present, relative to non-AANHPI decedents. The majority of AANHPI decedents were discovered by family or an intimate partner.

Conclusions: Addressing ligature suicide among AANHPI Veterans is necessary to ensure an equitable suicide prevention approach. Lethal means safety initiatives and postvention strategies that consider salient contextual factors (eg, location of death, discovery by loved ones) are warranted for this population. Considering the ubiquity of ligatures and ligature points, upstream suicide prevention approaches that address drivers of suicide risk are particularly important for preventing suicide among AANHPI Veterans.

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美国亚裔美国人、夏威夷原住民和太平洋岛民退伍军人的窒息自杀(2012-2018)
背景:亚裔美国人、夏威夷原住民和太平洋岛民(AANHPI)退伍军人的自杀率大幅上升,他们比整体退伍军人更有可能使用窒息作为自杀方法。本研究调查了因窒息自杀死亡的AANHPI退伍军人的人口统计学、医疗保健和伤害特征,并检查了这些死亡的背景。分析进一步检查了死于窒息自杀的AANHPI和非AANHPI退伍军人之间是否存在差异。方法:采用国家暴力死亡报告系统(NVDRS)的数据进行混合分析,这些数据来自2012年至2018年期间因窒息自杀死亡的AANHPI (n=44)和非AANHPI (n=3090)退伍军人。结果:上吊几乎包括所有窒息死亡,尽管捆绑方式有很大差异。住宅是最常见的受伤和死亡地点,相对于匹配的非AANHPI退伍军人样本,地下室是AANHPI退伍军人家中最常见的死亡地点。在AANHPI的死者中,女性所占比例显著高于女性。此外,与非AANHPI死者相比,AANHPI死者获得紧急医疗服务的可能性要小得多。大多数AANHPI的死者是由家人或亲密伴侣发现的。结论:解决AANHPI退伍军人的结扎自杀是必要的,以确保公平的自杀预防方法。致命意味着对这一人群有必要采取安全举措和预防策略,考虑到显著的环境因素(如死亡地点、被亲人发现)。考虑到结扎和结扎点无处不在,解决自杀风险驱动因素的上游自杀预防方法对于预防AANHPI退伍军人的自杀尤为重要。
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来源期刊
Injury Prevention
Injury Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.30
自引率
2.70%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.
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