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Predictors of Asian American Adolescents’ Suicide Attempts: A Latent Class Regression Analysis

  • Empirical Research
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Abstract

Although suicide-related outcomes among Asian American adolescents are a serious public health problem in the United States, research in this area has been relatively sparse. To address this gap in the empirical literature, this study examined subgroups of Asian American adolescents for whom family, school, and peer relationships exerted differential effects on suicide attempts. Data were drawn from Waves 1 and 2 of the National Longitudinal Study of Adolescent Health dataset and included responses from a national sample of 959 Asian American adolescents (48.0% girls; average age at Wave 2 = 16.43). A latent class regression was used to assess the optimal number of latent classes (i.e., subgroups of participants) that explained the associations between family, school, and peer relationships and subsequent suicide attempts. Three latent classes were identified. Most participants belonged to a latent class in which family, school, and peer relationships were protective factors. However, stronger school relationships and peer relationships were found to be risk factors in two other latent classes. The three latent classes also differed significantly in terms of suicide attempts, gender, and acculturation. The practical implications of this study, particularly for educators and mental health professionals, are discussed.

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References

  • Bergman, L. R., & Magnusson, D. (1997). A person-oriented approach in research on developmental psychopathology. Development and Psychopathology, 9, 291–319.

    Article  PubMed  Google Scholar 

  • Bergman, L. R., von Eye, A., & Magnusson, D. (2006). Person oriented research strategies in developmental psychopathology. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology (2nd ed., pp. 850–888). London, UK: Wiley.

    Google Scholar 

  • Bouwmeester, S., Sijtsma, K., & Vermunt, J. K. (2004). Latent class regression analysis to describe cognitive developmental phenomena: An application to transitive reasoning. European Journal of Developmental Psychology, 1, 67–86.

    Article  Google Scholar 

  • Bronfenbrenner, U. (1979). The ecology of human development. Cambridge, MA: Harvard University Press.

  • Chao, R., & Tseng, V. (2002). Parenting of Asians. In M. H. Bornstein (Ed.), Handbook of parenting: Vol. 4. Social conditions and applied parenting (2nd ed., pp. 59–93). Mahwah, NJ: Lawrence Erlbaum Associates Publishers.

    Google Scholar 

  • Cho, Y. B., & Haslam, N. (2009). Suicide ideation and distress among immigrant adolescents: The role of acculturation, life stress, and social support. Journal of Youth and Adolescence, 39, 370–379.

    Article  PubMed  Google Scholar 

  • Choi, J. J., Rogers, J. R., & Werth, J. L. (2009). Suicide risk assessment with Asian American college students: A culturally informed perspective. The Counseling Psychologist, 37, 186–218.

    Article  Google Scholar 

  • Crosnoe, R., & Elder, G. H. (2004). Family dynamics, supportive friendships, and educational resilience during adolescence. Journal of Family Issues, 25, 571–602.

    Article  Google Scholar 

  • Crosnoe, R., Johnson, M. K., & Elder, G. H. (2004). School size and the interpersonal side of education: An examination of race/ethnicity and organizational context. Social Science Quarterly, 85, 1259–1274.

    Article  Google Scholar 

  • Ding, C. S. (2006). Using regression mixture analysis in educational research. Practical Assessment, Research & Evaluation, 11, 1–11.

    Google Scholar 

  • Eaton, D. K., Kann, L., Kinchen, S. A., Ross, J., Hawkins, J., Harris, W. A., et al. (2006). Youth risk behavior surveillance—United States, 2005. Journal of School Health, 76, 353–372.

    Google Scholar 

  • Else, T. R. N., Goebert, D. A., Bell, C. K., Carlton, B., & Fukuda, M. (2009). The relationship between violence and youth suicide indicators among Asian American and Pacific Islander youth. Journal of Aggression and Violent Behavior, 14, 470–477.

    Article  Google Scholar 

  • Fuligni, A. J., Yip, T., & Tseng, V. (2002). The impact of family obligation on the daily behavior and psychological well being of Chinese American adolescents. Child Development, 73, 302–314.

    Article  PubMed  Google Scholar 

  • Gim Chung, R. H., Kim, B. S. K., & Abreu, J. M. (2004). Asian American multidimensional acculturation scale: Development, factor analysis, reliability, and validity. Cultural Diversity and Ethnic Minority Psychology, 10, 66–80.

    Article  Google Scholar 

  • Goldston, D. B., Molock, S. D., Whitbeck, L. B., Murakami, J. L., Zayas, L. H., & Hall, G. C. N. (2008). Cultural considerations in adolescent suicide prevention and psychosocial treatment. American Psychologist, 63, 14–31.

    Article  PubMed  Google Scholar 

  • Greenland, S., Schwartzbaum, J. A., & Finkle, W. D. (2000). Problems due to small samples and sparse data in conditional logistic regression analysis. American Journal of Epidemiology, 151, 531–539.

    PubMed  Google Scholar 

  • Hahm, H. C., Lahiff, M., & Guterman, N. B. (2003). Acculturation and parental attachment in Asian-American adolescents’ alcohol use. Journal of Adolescent Health, 33, 119–129.

    Article  PubMed  Google Scholar 

  • Harris, K. M., Halpern, C. T., Whitsel, E., Hussey, J., Tabor, J., Entzel, P., et al. (2009). The national longitudinal study of adolescent health: Research design. Retrieved May 14, 2011, from http://www.cpc.unc.edu/projects/addhealth/design.

  • Henrich, C. C., Brookmeyer, K. A., Shrier, L. A., & Shahar, G. (2006). Supportive relationships and sexual risk behavior in adolescence: An ecological–transactional approach. Journal of Pediatric Psychology, 31, 286–297.

    Article  PubMed  Google Scholar 

  • Inman, A. G., & Yeh, C. (2007). Asian American stress and coping. In F. T. L. Leong, A. Ebreo, L. Kinoshita, A. G. Inman, L. H. Yang, L. Kinoshita, et al. (Eds.), Handbook of Asian American psychology (2nd ed., pp. 323–339). Thousand Oaks, CA: Sage Publications, Inc.

    Google Scholar 

  • Jiang, Y., Perry, D. K., & Hesser, J. E. (2010). Suicide patterns and association with predictors among Rhode Island public high school students: A latent class analysis. American Journal of Public Health, 100, 1701–1707.

    Article  PubMed  Google Scholar 

  • Johnson, M. K., Crosnoe, R., & Thaden, L. L. (2006). Gendered patterns in adolescents’ school attachment. Social Sciences Quarterly, 69, 284–295.

    Google Scholar 

  • Joiner, T. E., Jr. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Joiner, T. E., Jr., Van Orden, K. A., Witte, T. K., & Rudd, M. D. (2009). The interpersonal theory of suicide: Guidance for working with suicidal clients. Washington, D.C.: American Psychological Association.

    Book  Google Scholar 

  • Kidd, S., Henrich, C. C., Brookmeyer, K. A., Davidson, L., King, R. A., & Shahar, G. (2006). The social context of adolescent suicide attempts: Interactive effects of parent, peer, and school social relations. Practical Assessment, Research & Evaluation, 364, 386–395.

    Google Scholar 

  • Kim, J. M. (2003). Structural family therapy and its implications for the Asian American families. The Family Journal, 11, 388–392.

    Article  Google Scholar 

  • Lam, A. G., & Zane, N. W. S. (2004). Ethnic differences in coping with interpersonal stressors: A test of self-construals as cultural mediators. Journal of Cross-Cultural Psychology, 35, 446–459.

    Article  Google Scholar 

  • Lau, A. S., Jernewall, N. M., Zane, N., & Myers, H. F. (2002). Correlates of suicidal behaviors among Asian American outpatient youths. Cultural Diversity and Ethnic Minority Psychology, 8, 199–213.

    Article  PubMed  Google Scholar 

  • Leong, F. T. L., Leach, M. M., & Wong, Y. J. (2011). Suicide among Asian and Pacific Islander American youth. In F. T. L. Leong, L. Juang, D. B. Qin, & H. E. Fitzgerald (Eds.), Asian American and Pacific Islander children and mental health, Vol. 2: Prevention and treatment (pp. 53–71). Santa Barbara: Praeger.

    Google Scholar 

  • Lewinsohn, P. M., Rohde, P., Seeley, J. R., & Baldwin, C. L. (2001). Gender differences in suicide attempts from adolescence to young adulthood. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 427–434.

    Article  PubMed  Google Scholar 

  • Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98, 224–253.

    Article  Google Scholar 

  • Nishimura, S. T., Goebert, D. A., Ramisetty-Mikler, S., & Caetano, R. (2005). Adolescent alcohol use and suicide indicators among adolescents in Hawaii. Cultural Diversity and Ethnic Minority Psychology, 11, 309–320.

    Article  PubMed  Google Scholar 

  • Okazaki, S. (2000). Asian American and White American differences on affective distress symptoms: Do symptom reports differ across reporting methods? Journal of Cross-Cultural Psychology, 31, 603–625.

    Article  Google Scholar 

  • Perkins, D. F., & Hartless, G. (2002). An ecological risk-factor examination of suicide ideation and behavior of adolescents. Journal of Adolescent Research, 17, 3–26.

    Article  Google Scholar 

  • Pessar, P. (2003). Engendering migration studies. In P. Hondagneu-Sotelo (Ed.), Gender and US immigration: Contemporary trends (pp. 22–42). Berkeley: University of California Press.

    Google Scholar 

  • Phinney, J. S. (1990). Ethnic identity in adolescents and adults: Review of research. Psychological Bulletin, 499–514.

  • Qin, D. B. (2009). Being “good” or being “popular”: Gender and ethnic identity negotiations of Chinese immigrant adolescents. Journal of Adolescent Research, 24, 37–66.

    Article  Google Scholar 

  • Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.

    Article  Google Scholar 

  • Reboussin, B. A., Hubbard, S., & Ialongo, N. S. (2007). Marijuana use patterns among African-American middle-school students: A longitudinal latent class regression analysis. Drug and Alcohol Dependence, 90, 12–24.

    Article  PubMed  Google Scholar 

  • Schafer, J. L. (1999). Multiple imputation: A primer. Statistical Methods in Medical Research, 8, 3–15.

    Article  PubMed  Google Scholar 

  • Singelis, T. M. (1994). The measurement of independent and interdependent self-construals. Personality and Social Psychology Bulletin, 20, 580–591.

    Article  Google Scholar 

  • Spirito, A., & Esposito-Smythers, C. (2006). Attempted and completed suicide in adolescence. Annual Review of Clinical Psychology, 2, 237–266.

    Article  PubMed  Google Scholar 

  • Suarez-Orozco, C., & Qin, D. B. (2006). Gendered perspectives in psychology: Immigrant origin youth. International Migration Review, 40, 165–198.

    Article  Google Scholar 

  • Tadmor, C. T., & Tetlock, P. E. (2006). Biculturalism: A model of the effects of second-culture exposure on acculturation and integrative. Journal of Cross-Cultural Psychology, 37, 173–190.

    Article  Google Scholar 

  • Ueno, K. (2005). The effects of friendship networks on adolescent depressive symptoms. Social Science Research, 34, 484–510.

    Article  Google Scholar 

  • Ueno, K. (2009). Same-race friendships and school attachment: Demonstrating the interaction between personal network and school composition. Sociological Forum, 24, 515–537.

    Article  Google Scholar 

  • US Department of Health and Human Services. (2007). Health, United States, 2007. Retrieved January 29, 2009, from http://www.cdc.gov/nchs/data/hus/hus07.pdf.

  • Van Horn, M. L., Jaki, T., Masyn, K., Ramey, S. L., Smith, J. A., & Antaramian, S. (2009). Assessing differential effects: Applying regression mixture models to identify variations in the influence of family resources on academic achievement. Developmental Psychology, 45, 1298–1313.

    Article  PubMed  Google Scholar 

  • Vander Stoep, A., McCauley, E., Flynn, C., & Stone, A. (2009). Thoughts of death and suicide in early adolescence. Suicide and Life-Threatening Behavior, 39, 599–613.

    Article  PubMed  Google Scholar 

  • Vermunt, J. K., & Magidson, J. (2008). Latent GOLD 4.5. Belmont, MA: Statistical Innovations Inc.

    Google Scholar 

  • von Eye, A., & Bogat, G. A. (2006). Person orientation–Concepts, results, and development. Merrill Palmer Quarterly, 52, 390–420.

    Article  Google Scholar 

  • Weaver, S. R., & Kim, S. Y. (2008). A person-centered approach to studying the linkages among parent-child differences in cultural orientation, supportive parenting, and adolescent depressive symptoms in Chinese American families. Journal of Youth and Adolescence, 37, 36–49.

    Article  PubMed  Google Scholar 

  • Wedel, M., & DeSarbo, W. S. (1994). A review of recent developments in latent class regression models. In R. P. Bagozzi (Ed.), Advanced methods of marketing research (pp. 352–388). Cambridge: Blackwell Publishers.

    Google Scholar 

  • Willgerodt, M. A. (2008). Family and peer influences on adjustment among Chinese, Filipino, and White youth. Nursing Research, 57, 395–405.

    Article  PubMed  Google Scholar 

  • Willgerodt, M. A., & Thompson, E. A. (2006). Ethnic and generational influences on emotional distress and risk behaviors among Chinese and Filipino American adolescents. Research in Nursing and Health, 29, 311–324.

    Article  PubMed  Google Scholar 

  • Wong, Y. J., Brownson, C., & Schwing, A. E. (2011a). Risk and protective factors associated with Asian American students’ suicidal ideation: A multi-campus, national study. Journal of College Student Development, 52, 396–408.

    Google Scholar 

  • Wong, Y. J., Koo, K., Tran, K. K., Chiu, Y.-C., & Mok, Y. (2011b). Asian American college students’ suicide ideation: A mixed-methods study. Journal of Counseling Psychology, 58, 197–209.

    Article  PubMed  Google Scholar 

  • Wong, Y. J., & Poon, M.-L. (2010). Counseling Asian American men who demonstrate suicidal behavior. In W. M. Liu, D. Iwamoto, & M. Chae (Eds.), Culturally responsive counseling with Asian American men (pp. 279–298). New York: Routledge.

    Google Scholar 

  • Wong, Y. J., Tran, K. K., Schwing, A. E., Cao, L. H., Ho, P. P.-H., & Nguyen, Q.-T. (2011c). Vietnamese American immigrant parents: A pilot parenting intervention. The Family Journal, 19, 314–321.

    Article  Google Scholar 

  • Wong, Y. J., Uhm, S. Y., & Li, P. (in press). Asian Americans’ family cohesion and suicide ideation: Moderating and mediating effects. American Journal of Orthopsychiatry.

  • Ying, Y. (2009). Strengthening Intergenerational/Intercultural Ties in Immigrant Families (SITIF): A parenting intervention to bridge the Chinese American intergenerational acculturation gap. In N. Trinh, Y. C. Rho, K. M. Sanders, & F. G. Lu (Eds.), Handbook of mental health in Asian Americans: Families, acculturation, and resilience (pp. 45–64). Totowa, NJ: Humana Press.

    Chapter  Google Scholar 

  • Zhou, Z., Peverly, S., Xin, T., Huang, A. S., & Wang, W. (2003). School adjustment of first-generation Chinese-American adolescents. Psychology in the Schools, 40, 71–84.

    Article  Google Scholar 

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Acknowledgments

This study was funded by a grant provided by the Maris M. Proffitt and Mary Higgins Proffitt Endowment Grants.

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  1. School of Education, Indiana University Bloomington, 201 N. Rose Ave., Bloomington, IN, 47405, USA

    Y. Joel Wong & Cara S. Maffini

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  1. Y. Joel Wong
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  2. Cara S. Maffini
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Correspondence to Y. Joel Wong.

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Wong, Y.J., Maffini, C.S. Predictors of Asian American Adolescents’ Suicide Attempts: A Latent Class Regression Analysis. J Youth Adolescence 40, 1453–1464 (2011). https://doi.org/10.1007/s10964-011-9701-3

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