原创力文档raceethnicity and potential suicide misclassification window on a minority suicide paradoxraceethnicity和潜在自杀误分类窗口少数自杀悖论.pdfVIP
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raceethnicity and potential suicide misclassification window on a minority suicide paradoxraceethnicity和潜在自杀误分类窗口少数自杀悖论
Rockett et al. BMC Psychiatry 2010, 10:35
/1471-244X/10/35
R E S E A R C H A R T I C L E Open Access
Research article
Race/ethnicity and potential suicide
misclassification: window on a minority suicide
paradox?
1 2 3 4 5 1 6
Ian RH Rockett* , Shuhui Wang , Steven Stack , Diego De Leo , James L Frost , Alan M Ducatman , Rheeda L Walker
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
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