چکیده :
A growing body of research has demonstrated important variations in the prevalence, nature, and correlates
of suicide across ethnic and sexual minority groups. Despite these developments, existing clinical
and research approaches to suicide assessment and prevention have not incorporated cultural variations
in any systematic way. In addition, theoretical models of suicide have been largely devoid of cultural
influence. The current report presents a comprehensive analysis of literature describing the relationship
between cultural factors and suicide in three major ethnic groups (African Americans, Asian Americans,
and Latinos) and LGBTQ1 sexual minority groups. We utilized an inductive approach to synthesize this
variegated body of research into four factors that account for 95% of existing culturally specific risk data:
cultural sanctions, idioms of distress, minority stress, and social discord. These four cultural factors are
then integrated into a theoretical framework: the Cultural Model of Suicide. Three theoretical principles
emerge: (1) culture affects the types of stressors that lead to suicide; (2) cultural meanings associated
with stressors and suicide affect the development of suicidal tendencies, one’s threshold of tolerance for
psychological pain, and subsequent suicidal acts; and (3) culture affects how suicidal thoughts, intent,
plans, and attempts are expressed. The Cultural Model of Suicide provides an empirically guided cohesive
approach that can inform culturally competent suicide assessment and prevention efforts in future
research and clinical practice. Including both ethnic and sexual minorities in our investigations ensures
advancement along a multiple identities perspective.
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