Help-seeking tendencies in Asian Americans with suicidal ideation and attempts.

2011 ◽  
Vol 2 (1) ◽  
pp. 25-38 ◽  
Author(s):  
Joyce P. Chu ◽  
Kun-Yueh Hsieh ◽  
Di Ann Tokars
Keyword(s):  
Suicidal Ideation ◽  
Asian Americans ◽  
Help Seeking

Suicide Prevention Through Online Gatekeeping Using Search Advertising Techniques

Crisis ◽  
2015 ◽  
Vol 36 (4) ◽  
pp. 267-273 ◽  
Author(s):  
Hajime Sueki ◽  
Jiro Ito
Keyword(s):  
Suicidal Ideation ◽  
Suicide Prevention ◽  
Help Seeking ◽  
Service Use ◽  
Web Search ◽  
Suicide Attempts ◽  
Consultation Service ◽  
Search Advertising ◽  
Internet Users ◽  
History Of

Abstract. Background: Nurturing gatekeepers is an effective suicide prevention strategy. Internet-based methods to screen those at high risk of suicide have been developed in recent years but have not been used for online gatekeeping. Aims: A preliminary study was conducted to examine the feasibility and effects of online gatekeeping. Method: Advertisements to promote e-mail psychological consultation service use among Internet users were placed on web pages identified by searches using suicide-related keywords. We replied to all emails received between July and December 2013 and analyzed their contents. Results: A total of 139 consultation service users were analyzed. The mean age was 23.8 years (SD = 9.7), and female users accounted for 80% of the sample. Suicidal ideation was present in 74.1%, and 12.2% had a history of suicide attempts. After consultation, positive changes in mood were observed in 10.8%, 16.5% showed intentions to seek help from new supporters, and 10.1% of all 139 users actually took help-seeking actions. Conclusion: Online gatekeeping to prevent suicide by placing advertisements on web search pages to promote consultation service use among Internet users with suicidal ideation may be feasible.

scholarly journals Alice in Suicideland: Exploring the Suicidal Ideation Mechanism through the Sense of Connectedness and Help-Seeking Behaviors

2021 ◽  
Vol 18 (7) ◽  
pp. 3681
Author(s):  
Minh-Hoang Nguyen ◽  
Tam-Tri Le ◽  
Hong-Kong To Nguyen ◽  
Manh-Toan Ho ◽  
Huyen T. Thanh Nguyen ◽  
...  
Keyword(s):  
International Students ◽  
Suicidal Ideation ◽  
Help Seeking ◽  
Suicidal Thoughts ◽  
Help Seeking Behaviors ◽  
Negatively Associated ◽  
Related Information ◽  
Cultural Responses ◽  
The Impact ◽  
Informal Help

On average, one person dies by suicide every 40 s. However, extant studies have largely focused on the risk factors for suicidal behaviors, not so much on the formation of suicidal thoughts. Therefore, we attempt to explain how suicidal thoughts arise and persist inside one’s mind using a multifiltering information mechanism called Mindsponge. Bayesian analysis with Hamiltonian Markov Chain Monte Carlo (MCMC) technique was run on a dataset of multinational students (N = 268) of an international university in Japan. Item 9 in the PHQ-9 was used to survey suicidal ideation. The associations among four main variables, namely, (i) suicidal ideation, (ii) help-seeking willingness (informal and formal sources), (iii) sense of connectedness, and (iv) information inaccessibility (represented by being international students), were tested in four models. Sense of connectedness is negatively associated with suicidal ideation, but its effect becomes less impactful when interacting with international students. The impact of a sense of connectedness on informal help-seeking willingness (toward family members) among international students is also lessened. Informal help-seeking is negatively associated with suicidal ideation, whereas formal help is positive. The findings support our assumption on three fundamental conditions for preventing suicidal thoughts: (i) a high degree of belongingness, (ii) accessibility to help-related information, and (iii) healthy perceived cultural responses towards mental health. Therefore, systematically coordinated programs are necessary to effectively tackle suicidal ideation.

scholarly journals Impact of Online Mental Health Screening Tools on Help-Seeking, Care Receipt, and Suicidal Ideation and Suicidal Intent: Evidence from Internet Search Behavior in a Large U.S. Cohort

2020 ◽  
Author(s):  
Nicholas C. Jacobson ◽  
Elad Yom-Tov ◽  
Damien Lekkas ◽  
Michael Heinz ◽  
Lili Liu ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Help Seeking ◽  
Health Screening ◽  
Mental Health Screening ◽  
Screening Tools ◽  
Care Seeking ◽  
Suicidal Intent ◽  
The Impact ◽  
Psychoactive Medications

Introduction: Most people with psychiatric illnesses do not receive treatment for almost a decade after disorder onset. Online mental health screens reflect one mechanism designed to shorten this lag in help-seeking, yet there has been limited research on the effectiveness of screening tools in naturalistic settings. Material and methods: We examined a cohort of persons directed to a mental health screening tool via the Bing search engine (n=126,060). We evaluated the impact of tool content on later searches for mental health self-references, self-diagnosis, care seeking, psychoactive medications, suicidal ideation, and suicidal intent. Website characteristics were evaluated by pairs of independent raters to ascertain screen type and content. These included the presence/absence of a suggestive diagnosis, a message on interpretability, as well as referrals to digital treatments, in-person treatments, and crisis services. Results: Using machine learning models, the results suggested that screen content predicted later searches with mental health self-references (AUC =0·73), mental health self-diagnosis (AUC = 0·69), mental health care seeking (AUC = 0·61), psychoactive medications (AUC = 0·55), suicidal ideation (AUC = 0·58), and suicidal intent (AUC = 0·60). Cox-proportional hazards models suggested individuals utilizing tools with in-person care referral were significantly more likely to subsequently search for methods to actively end their life (HR = 1·727, p = 0·007). Discussion: Online screens may influence help-seeking behavior, suicidal ideation, and suicidal intent. Websites with referrals to in-person treatments could put persons at greater risk of active suicidal intent. Further evaluation using large-scale randomized controlled trials is needed.

Asians and the Myth of the Model Minority in Higher Education

2016 ◽  
pp. 447-468
Author(s):  
Ronn Johnson ◽  
Ji Youn Cindy Kim ◽  
Jojo Yanki Lee
Keyword(s):  
Higher Education ◽  
Native Americans ◽  
Asian Americans ◽  
Asian American ◽  
Help Seeking ◽  
Model Minority ◽  
Help Seeking Behavior ◽  
Dominant Culture ◽  
Health Concerns ◽  
Seeking Behavior

When compared with African Americans, Latinos, and Native Americans, Asian are often attributed more positive attributions from the dominant culture. The developed stereotype, Myth of the Model Minority (MMM), suggests Asian Americans achieve a higher degree of success than the general population. Under the internalized assumption of being psychologically trouble free, the MMM stereotype contributes to Asians being less inclined to proactively engage in help seeking behavior despite the presence of severe mental health concerns. Psychocultural examples relating to Asian Americans (e.g., Virginia Tech Shooter case) are reviewed to form a clinical and forensic psychological framework that offers a challenge as to why the MMM is problematic in higher education. The myths related to MMM and the experiences—positive or negative—of MMM are analyzed to encourage subsequent empirically-based applications for addressing MMM as well as serving as a caveat against using monocausal explanations or other thumbnail assessments of Asian American behavior in higher education.

scholarly journals Using Korean Dramas as a Precision Mental Health Education Tool for Asian Americans: A Pilot Study

2019 ◽  
Vol 16 (12) ◽  
pp. 2151 ◽  
Author(s):  
Van My Ta Park ◽  
R. Henry Olaisen ◽  
Quyen Vuong ◽  
Lisa G. Rosas ◽  
Mildred K. Cho
Keyword(s):  
Mental Health ◽  
Genetic Testing ◽  
Health Education ◽  
Asian Americans ◽  
Help Seeking ◽  
Educational Tool ◽  
Convenience Sample ◽  
Significant Difference ◽  
Post Test ◽  
Education Tool

Precision mental health (MH) holds great potential for revolutionizing MH care and reducing the burden of mental illness. Efforts to engage Asian Americans in precision MH research is necessary to help reduce MH disparities. Korean drama (“K-drama”) television shows may be an effective educational tool to increase precision MH knowledge, attitudes, and behaviors (KAB) among Asian Americans. This study determined whether KAB improved after participating in a K-drama precision MH workshop, and examined the participants’ perspectives about K-dramas’ utility as an educational tool. A K-drama precision MH workshop in English/Vietnamese/Korean was conducted with a convenience sample (n = 122). Pre-/post-tests on precision MH KAB (genetics and genetic testing, and MH and help-seeking) and a survey on K-dramas’ utility as an educational tool were administered. Findings revealed a significant difference in the pre- and post-test KAB scores overall, by genetics and genetic testing, and by MH and help-seeking. There were also significant increases in the overall post-test KAB scores by workshop (language) participation. Overall, participants responded positively on the utility of K-dramas as a precision MH educational tool. This study demonstrates the feasibility of K-drama as an innovative and widely available health education tool to educate communities about precision MH.

scholarly journals Preventing Suicide Among Working-Age Adults: The Correlates of Help-Seeking Behavior

2019 ◽  
Vol 56 ◽  
pp. 004695801985097
Author(s):  
Jungyai Ko ◽  
Jodi Jacobson Frey ◽  
Donna Harrington
Keyword(s):  
Suicidal Ideation ◽  
Ethnic Minorities ◽  
Help Seeking ◽  
Multinomial Logistic Regression ◽  
Full Time ◽  
Help Seeking Behavior ◽  
Problem Recognition ◽  
Working Age ◽  
Seeking Behavior ◽  
Seeking Help

We aimed to identify the correlates with not seeking help among working-age adults with suicidal ideation. By adapting the integrated model of suicide help-seeking, we examined help-seeking behavior in the following 3 stages: problem recognition, decision to seek help, and sources of help. We used a sample of working-age adults between 26 and 64 years old, who reported suicidal ideation in the past year (N = 1414). Data were drawn from the 2011 and 2012 National Survey on Drug Use and Health, and multinomial logistic regression analyses were applied. Findings suggested that being male, being nonwhite, being employed full-time, having lower levels of general mental health needs, and not having health insurance were associated with not seeking help. Results also indicated how each factor was related in the help-seeking pathway. Strategies to help problem recognition can be effective in enhancing help-seeking behavior among men, racial/ethnic minorities, and those without serious clinical conditions. Help-seeking interventions for working-age adults with suicidal ideation should also consider that race/ethnic minorities and those with lower levels of functional impairment might rely on alternative sources of help, such as family, friends, and religious advisors.

Concerns about Suicide among Asian Americans: The Need for Outreach?

Social Work ◽  
2020 ◽  
Vol 65 (2) ◽  
pp. 114-122
Author(s):  
Carol A Leung
Keyword(s):  
Mental Health ◽  
Suicide Prevention ◽  
Asian Americans ◽  
Asian American ◽  
Help Seeking ◽  
Rating Scale ◽  
Mental Health Problems ◽  
Health Concerns ◽  
Mental Health Awareness ◽  
Point Rating Scale

Abstract Suicide was the ninth leading cause of death for Asian Americans in 2017. The growth of Asian American populations has led to more discussions about suicide prevention efforts. A 128-item needs assessment survey was administered at cultural events in 10 predominantly immigrant Asian communities. In five years, 1,840 respondents (61 percent response rate) filled out the survey anonymously to express their health and mental health concerns. This study aims to identify factors and help-seeking behaviors associated with having suicidal concerns among Asian Americans in various subgroups. Among the respondents, 1,314 rated the intensity of their concerns about suicide with an average of 0.74 (SD = 1.11) on a four-point rating scale in that 13.7 percent rated their concerns as severe. Taiwanese respondents expressed the highest intensity score (1.09) compared with other ethnic groups (from 0.29 to 1.04). A logistic regression analysis found that each unit of health concerns on a four-point rating scale significantly increases the likelihood of suicide concerns by 46 times among Asian Americans. Consistent with previous studies, immigrants were likely to share mental health problems with friends and physicians. Effective suicide prevention requires mental health awareness programming for the Asian American community.

scholarly journals Factors Associated with Suicidal Thought and Help-Seeking Behaviour in Transition-Aged Youth versus Adults

2016 ◽  
Vol 61 (12) ◽  
pp. 789-796 ◽  
Author(s):  
Nathalie MacKinnon ◽  
Ian Colman
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Transition To Adulthood ◽  
Help Seeking ◽  
Canadian Community Health Survey ◽  
Suicidal Thought ◽  
Physical And Mental Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Help Seeking Behaviour

Objective: Suicide is a leading cause of death for transition-aged youth (TAY), and yet few studies examine correlates of suicidal ideation specifically in this age demographic (age 18-24 years). The transition to adulthood is a unique context, marked by novel stressors (e.g., joining the workforce) and increased independence, which may influence risk factors for suicidal ideation. This study examined correlates of suicidal ideation in TAY and adults and contrasted profiles across age. Methods: We used 4 biannual cycles (2005, 2007, 2009, 2011) of the Canadian Community Health Survey, a population-based cross-sectional survey on health. We used logistic regression to assess the association between suicidal ideation and depression, distress, alcohol use, smoking, exercise, sedentary behaviour, chronic illness, restrictions to daily living, perceived physical and mental health, and perceived social support independently in both TAY ( n = 4427) and adults ( n = 14,452). We subsequently assessed possible interactions with age (18-24 v. 25-44 years) and sex and differences in help-seeking behaviour in a combined model. Result: TAY exhibited higher rates of suicidal ideation than adults did ( P < 0.001). Numerous factors were associated with suicidal ideation in TAY. Notably, alcohol abstinence was associated with decreased suicidal ideation in TAY but not for adults. Moreover, when depressed, TAY were significantly less likely to have received professional mental health help than adults (odds ratio = 0.64, 95% CI, 0.43 to 0.94). Conclusions: Suicidal ideation is more prevalent in TAY than adults, and its consequences may be aggravated by poor treatment-seeking behaviour in at-risk (i.e. depressed) individuals. These different risk profiles substantiate the recent shift toward clinical interventions focusing on transition-aged youth, rather than traditional child (<18 years) and adult (>18 years) services.

scholarly journals From Mindsponge Process to Discovery

2021 ◽  
Author(s):  
Minh-Hoang Nguyen
Keyword(s):  
Suicidal Ideation ◽  
Help Seeking ◽  
Social Connectedness ◽  
High Complexity ◽  
Help Seeking Behaviors ◽  
Related Information

Just a few days ago, my colleagues and I completed a manuscript titled “Alice in Suicideland: Exploring the suicidal ideation mechanism through social connectedness and help-seeking behaviors”. In the manuscript, we explain how the suicidal ideation mechanism happens in the students’ minds and how suicidal ideation can be prevented by help-related information employing the Mindsponge mechanism. Though thought-provoking, the mechanism obtains high complexity and dynamics and might be subversive to the existing literature in Psychological sciences. But, how did I come up with such a discovery? In this essay, I provide a reflection on how I explored the idea using the Mindsponge process.

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