Meta-analysis of the effect of racial discrimination on suicidality

Coimbra, BM (通讯作者),Univ Amsterdam, Amsterdam UMC, Dept Psychiat, Amsterdam Publ Hlth Res Inst, Amsterdam, Netherlands.;Coimbra, BM (通讯作者),Amsterdam Neurosci Res Inst, Amsterdam, Netherlands.
2022-12
Racial discrimination (RD) is unfair treatment of individuals based on race or ethnicity. It is a pervasive and increasing phenomenon in the lives of many individuals with deleterious effects on mental health. Research implicates RD in diminished well-being, lower life satisfaction and self-esteem, and mental health disorders. Furthermore, there have been reports that minorities and marginalized groups exposed to RD are at a higher risk of suicide. Given that RD negatively impacts mental health and that suicide is a major public health concern, we meta-analytically reviewed the literature to investigate whether RD is associated with suicidal ideation (SI) and suicide attempt (SA). We identified 43 eligible articles investigating the association between RD and suicidality through PubMed, Embase, PsycINFO and Scopus, from which we pooled 39 effect sizes for SI (58,629 individuals) and 15 for SA (30,088 individuals). Results demonstrated that RD has a small but significant effect both on SI (r = 0.16, 95% CI: 0.12 to 0.19; p < 0.0001) and on SA (r = 0.13, 95% CI: 0.02 to 0.23; p = 0.018). We found no indication of publication bias, and fail-safe tests confirmed the robustness of the results. Furthermore, we tested the moderating effects of several study characteristics (e.g., age, race, RD and SI time frame assessment, and categorization of RD measures). The only study characteristic to moderate the effect of RD on SI was SI time frame assessment (r = 0.07; 95% CI: 0.015 to 0.12; p = 0.01). Our findings suggest that SI and SA are phenomena that may be influenced by exposure to RD. Thus, individuals that are discriminated based on race may develop more suicidal thoughts and an increased likelihood of attempting suicide. These findings underscore the need for more prevention and intervention efforts to attenuate the effect of RD on suicidality.
SSM-POPULATION HEALTH
卷号:20
ISSN:2352-8273|收录类别:SCIE
语种
英语
来源机构
University of Amsterdam; Vrije Universiteit Amsterdam; Universidade Federal de Sao Paulo (UNIFESP)
资助信息
This study was financed in part by the Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior -Brasil (CAPES) -Finance Code 001. Additional grant support was provided by CNPq 303389/2016-8. The funders had no role in the study design or the decision to publish this article.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
1
2013以来使用计数
1
出版年
2022-12
DOI
10.1016/j.ssmph.2022.101283
WOS学科分类
Public, Environmental & Occupational Health
学科领域
循证公共卫生
关键词
Racial discrimination Racism Mental health Ethnicity Minority groups Public health Suicide
资助机构
Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior -Brasil (CAPES)(Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)) CNPq(Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPQ))