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1.
J Psychopharmacol ; 29(3): 280-8, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25586402

ABSTRACT

Mental health problems are endemic across the globe, and suicide, a strong corollary of poor mental health, is a leading cause of death. Classic psychedelic use may occasion lasting improvements in mental health, but the effects of classic psychedelic use on suicidality are unknown. We evaluated the relationships of classic psychedelic use with psychological distress and suicidality among over 190,000 USA adult respondents pooled from the last five available years of the National Survey on Drug Use and Health (2008-2012) while controlling for a range of covariates. Lifetime classic psychedelic use was associated with a significantly reduced odds of past month psychological distress (weighted odds ratio (OR)=0.81 (0.72-0.91)), past year suicidal thinking (weighted OR=0.86 (0.78-0.94)), past year suicidal planning (weighted OR=0.71 (0.54-0.94)), and past year suicide attempt (weighted OR=0.64 (0.46-0.89)), whereas lifetime illicit use of other drugs was largely associated with an increased likelihood of these outcomes. These findings indicate that classic psychedelics may hold promise in the prevention of suicide, supporting the view that classic psychedelics' most highly restricted legal status should be reconsidered to facilitate scientific study, and suggesting that more extensive clinical research with classic psychedelics is warranted.


Subject(s)
Hallucinogens/pharmacology , Mental Health/statistics & numerical data , Stress, Psychological/epidemiology , Suicide/statistics & numerical data , Adolescent , Adult , Aged , Female , Health Surveys , Humans , Male , Middle Aged , Suicidal Ideation , Suicide, Attempted/statistics & numerical data , United States/epidemiology , Young Adult
2.
Suicide Life Threat Behav ; 33(4): 412-29, 2003.
Article in English | MEDLINE | ID: mdl-14695056

ABSTRACT

Traditionally, African Americans have registered lower rates of suicide than other ethnic groups. In the last 20 years this pattern has changed, particularly among young African Americans. To date, the research conducted regarding this phenomenon has been limited for a variety of reasons and previous research has been inconclusive in determining risk factors of African American suicide. The purpose of this paper is to identify risk and protective factors specific to African American suicide. To determine the factors, the 1993 National Mortality Follow-back Survey was analyzed. The risk factors identified include being under age 35, southern and northeastern residence, cocaine use, firearm presence in home, and threatening others with violence. Some of the protective factors associated with African American suicide include rural residence and educational attainment. These results provide valuable information about completed African American suicides in relation to Whites. Several of these factors are unique to African Americans.


Subject(s)
Black or African American/psychology , Suicide/ethnology , Adolescent , Adult , Aged , Female , Firearms , Humans , Logistic Models , Male , Mental Disorders/epidemiology , Middle Aged , Risk Factors , Social Support , Socioeconomic Factors , Substance-Related Disorders/epidemiology , Suicide/psychology , Suicide/statistics & numerical data , United States/epidemiology
3.
Soc Sci Med ; 55(6): 907-20, 2002 Sep.
Article in English | MEDLINE | ID: mdl-12220093

ABSTRACT

African-Americans have typically registered lower rates of suicide than other ethnic groups. In the last 20 years this pattern has changed, particularly among young African-Americans between the ages of 15 and 19 (National Center for Injury Prevention and Control, Mortality Statistics, 1998, Atlanta, GA). Today, young African-American males are as likely to commit suicide as their White counterparts. To date, the research conducted regarding this phenomenon has been inconclusive and existing suicide interventions appear to have no effect on reducing this behavior among young African-Americans. This paper synthesizes classical (Durkheim, Suicide, 1979, Free Press, New York) and postmodern (Beck, Risk Society: Towards a New Modernity, 1992, Sage, London; Bauman, Modernity and Ambivalence, Cornell University Press, Ithaca, 1991) social theories in order to provide a more complete theoretical explanation for the increase in the suicide rate among adolescent African-American males. Postmodern society is typified by: (1) institutional deconstruction; (2) decreased collectivism; (3) increased normlessness and helplessness; and (4) exacerbated personal risk for stress. It is therefore possible to hypothesize that postmodernity characteristically loosens the bonds between the individual and society, thereby increasing vulnerability to depression, related pathologies (such as substance abuse), and suicide. African-Americans tend to be more affected/vulnerable because they are concentrated in resource-poor, low income areas, and institutions that provided social support (family, religious, community) and protected individuals from societal risk factors, have gradually been dissolving in postmodern societies. We argue that young African-American males of today are more exposed to stressors which increase psychological distress thus increasing depression and related pathological behaviors such as suicide. The main reason behind this increase is found in the inability of institutions to offer protection from psychological distress. Overall, this paper presents a postmodern, macro-level framework to explain the increase in suicide among African-American male adolescents.


Subject(s)
Black or African American/psychology , Psychology, Adolescent , Psychology, Social , Social Environment , Suicide/ethnology , Adolescent , Depressive Disorder/epidemiology , Depressive Disorder/etiology , Humans , Models, Psychological , Poverty Areas , Psychological Theory , Risk Factors , Stress, Psychological/complications , Stress, Psychological/epidemiology , Suicide/psychology , United States/epidemiology
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