Critical gaps in understanding firearm suicide in Hispanic communities: demographics, mental health, and access to care.

Autor:	Goldstein EV; Department of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT 84108, United States., Brenes F; Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL 33199, United States., Wilson FA; Department of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT 84108, United States.; Department of Economics, University of Utah, Salt Lake City, UT 84112, United States.; Matheson Center for Health Care Studies, University of Utah, Salt Lake City, UT 84112, United States.
Jazyk:	angličtina
Zdroj:	Health affairs scholar [Health Aff Sch] 2023 Jun 20; Vol. 1 (1), pp. qxad016. Date of Electronic Publication: 2023 Jun 20 (Print Publication: 2023).
DOI:	10.1093/haschl/qxad016
Abstrakt:	Suicide rates increased by 26.7% among Hispanics from 2015 to 2020, driven at least in part by highly lethal firearm suicide deaths. However, there are critical gaps in characterizing firearm suicide risks and prevention opportunities in Hispanic communities. We examined Hispanic adult firearm suicide decedents reported through the National Violent Death Reporting System from 2013-2019, focusing on demographic characteristics, firearm choices, suicidal thoughts/behaviors, mental health, and mental health treatment, compared with non-Hispanic adult firearm suicide decedents. Only 13.8% of Hispanic firearm suicide decedents were known to be undergoing treatment for a mental health or substance use problem prior to death, compared to 18.8% of non-Hispanic firearm suicide decedents. On average, Hispanic firearm suicide decedents were significantly less likely than non-Hispanic firearm suicide decedents known to have been treated for a mental health or substance use problem. These results may underscore the critical need for public health agencies and policymakers to promote initiatives integrating mental health screening into medical care, reducing mental health stigma among Hispanics, and expanding mental health treatment capacity in Hispanic communities. Competing Interests: Please see ICMJE form(s) for author conflicts of interest. These have been provided as supplementary materials. (© The Author(s) 2023. Published by Oxford University Press on behalf of Project HOPE - The People-To-People Health Foundation, Inc.)
Databáze:	MEDLINE
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