Raceethnicity and potential suicide misclassification window on a minority suicide paradox 英文参考文献.docVIP

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Raceethnicity and potential suicide misclassification window on a minority suicide paradox 英文参考文献.doc

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Raceethnicity and potential suicide misclassification window on a minority suicide paradox 英文参考文献

Rockett et al. BMC Psychiatry 2010, 10:35 /1471-244X/10/35 RESEARCH ARTICLE Open Access Race/ethnicity and potential suicide Research article misclassification: window on a minority suicide paradox? Ian RH Rockett*1, Shuhui Wang2, Steven Stack3, Diego De Leo4, James L Frost5, Alan M Ducatman1, Rheeda L Walker6 and Nestor D Kapusta7 Abstract Background: Suicide officially kills approximately 30,000 annually in the United States. Analysis of this leading public health problem is complicated by undercounting. Despite persisting socioeconomic and health disparities, non- Hispanic Blacks and Hispanics register suicide rates less than half that of non-Hispanic Whites. Methods: This cross-sectional study uses multiple cause-of-death data from the US National Center for Health Statistics to assess whether race/ethnicity, psychiatric comorbidity documentation, and other decedent characteristics were associated with differential potential for suicide misclassification. Subjects were 105,946 White, Black, and Hispanic residents aged 15 years and older, dying in the US between 2003 and 2005, whose manner of death was recorded as suicide or injury of undetermined intent. The main outcome measure was the relative odds of potential suicide misclassification, a binary measure of manner of death: injury of undetermined intent (includes misclassified suicides) versus suicide. Results: Blacks (adjusted odds ratio [AOR], 2.38; 95% confidence interval [CI], 2.22-2.57) and Hispanics (1.17, 1.07-1.28) manifested excess potential suicide misclassification relative to Whites. Decedents aged 35-54 (AOR, 0.88; 95% CI, 0.84- 0.93), 55-74 (0.52, 0.49-0.57), and 75+ years (0.51, 0.46-0.57) showed diminished misclassification potential relative to decedents aged 15-34, while decedents with 0-8 years (1.82, 1.75-1.90) and 9-12 years of education (1.43, 1.40-1.46) showed excess potential relative to the most educated (13+ years). Excess potential suicide misclassification was also