260891 Impact of Different Types of Substance Uses Among Asian-American Women: Suicidal Ideation and Suicide Attempt

Monday, October 29, 2012

Hyeouk Chris Hahm, PhD, LCSW , School of Social Work, Boston University, Boston, MA
Jisun Jang, BS, MA , Department of Biostatistics, Boston University School of Public Health, Boston, MA
Anna Ward, BA Candidate , College of Arts and Sciences, Boston University, Boston, MA
Kelsie Driscoll, BA, MPH Candidate , College of Arts and Sciences, School of Public Health, Boston University, Boston, MA
Background: For young Asian-American women, suicide is the second leading cause of death behind accidental injury. However, there is little empirical epidemiological evidence about the correlates of suicidal behavior among this group. Objective: This is the first epidemiological study to examine the impact of multiple types of substance uses on suicidal ideation and attempt. Methods: We collected information on substance use and suicidality of 720 Chinese, Korean, and Vietnamese women who reside in Massachusetts using Computer-Assisted Survey Interview (CASI). Multiple logistic regression analyses were used to estimate the association between substance uses (cigarette smoking, Marijuana use and other illicit drugs) and life time suicidality, controlling for depression, family communication level, and demographic variables. Results: Approximately 18% of women reported having suicidal thoughts and 7% reported having attempted suicide. Having used cigarettes or marijuana was associated with greater risks for suicidality. However, those women who have used all three types of substances, cigarettes, marijuana and other illicit drugs, were at the greatest risks for both suicide ideation (OR: 3.0) and suicide attempt (OR: 4.3). Furthermore, exposure to low level of family communication and depression were consistently associated with high risks for both suicide ideation and suicide attempt. Conclusions: These findings add a greater urgency to addressing the role of multiple types of substance uses in designing suicidal prevention program among Asian-American women.

Learning Areas:
Planning of health education strategies, interventions, and programs

Learning Objectives:
At the conclusion of the session, the participant (learner) in this session will be able to: 1) Describe the prevalence of suiciality among Asian-American women. 2) Discuss possible intervention strategies that will reduce suicidality among Asian American women, employing the results above.

Keywords: Asian and Pacific Islander Women, Suicide

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal of a federally funded grant focusing on the HIV risk behaviors and mental health issues of Asian-American women. Among my research interests has been the impact of substance use on mental health outcomes such as depression and suicidality.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.