scholarly journals Factors influencing the underutilization of mental health services among Asian American women with a history of depression and suicide

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Astraea Augsberger ◽  
Albert Yeung ◽  
Meaghan Dougher ◽  
Hyeouk Chris Hahm
2014 ◽  
Vol 32 (2) ◽  
pp. 167-176 ◽  
Author(s):  
J. Kielty ◽  
A. van Laar ◽  
M. Davoren ◽  
L. Conlon ◽  
A. Hillick ◽  
...  

ObjectivesTo explore the demographic, psychosocial and clinical characteristics of individuals known to the mental health services, who died by probable suicide in the West of Ireland.MethodsPostmortem reports between January 2006 and May 2012 detailed 153 individuals who died by probable suicide, 58 of whom attended the mental health services. Relevant socio-demographic and clinical data was extracted from individuals’ lifetime case notes.ResultsRecurrent depressive disorder (44%) was the most common diagnosis and hanging the most common method of death (58%). Of individuals who died by hanging, 79% previously attempted suicide by the same method. For individuals with a documented history of depression, only 32% had antidepressants detected in their toxicology reports. Similarly, only one individual (20%) with schizophrenia had antipsychotics detected in their toxicology report.ConclusionsIndividuals who died by probable suicide, most commonly died by hanging and drowning; with previous attempts of hanging particularly prevalent in the group who subsequently died by hanging. At the time of death, less than one-third of individuals according to toxicology reports were taking the medication that was last prescribed to them by the mental health services suggesting a high rate of treatment non-concordance in individuals who died by probable suicide.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1655-1655
Author(s):  
H. Appel ◽  
A. Ai ◽  
B. Huang

IntroductionAsian Americans and Latino women underutilize mental health services.Studies show Asian American women have higher depression scores and less physical activity than their male counterparts. Ethnic minorities are deterred from seeking mental health care in a timely manner or from following appropriate treatment guidelines. Asian American women are less likely to seek mental health services compared to Latina and white women. Mental health issues in Asian and Latina women may be masked by psychosomatic complaints. Data from the National Latino Asian American Study, the first comprehensive epidemiological study of Asian Americans and Latinos in the USA.ObjectivesTo examine the behavioral, chronic and mental health issues in Latina and Asian American women.Methods3,012 Asian American and Latina American women from six ethnic subgroups (Chinese, Filipino, Vietnamese, Cuban, Mexican, and Puerto Rican Americans) from metropolitan areas were interviewed. Measures include behavioral, drug, chronic health conditions, and mental health issues, and frequency of health service seeking using T-tests and ANOVA.ResultsThe results showed Asian Americans women have less heart disease compared with Latina American women, but higher rates of smoking. More Filipinos rated their health as “Excellent” compared with Chinese and Vietnamese, and experience less major depressive disorder than their Asian counterparts. All three Asian American subgroups experience less anxiety than Latina American women.ConclusionsWhile raters of mental health problems may be low, they are unique in how they manifest themselves, and in the distinct ways in which they seek health services. There are marked differences among major ethnic subgroups.


Author(s):  
Ben Tran

Mental health stigma can be defined as the display of negative attitudes, based on prejudice and misinformation, in response to a marker of illness. Stigma creates mental distress for individuals, which furthers stigmatizing attitudes, thereby making it a relentless force and as incompetent in achieving life goals such as living independently or having a good job. Over the years, researchers have consistently highlighted the problem of mental health service underutilization within the Asians and Asian-Americans communities. As such, understanding the cultural contexts that facilitate good outcomes may offer a lever or stigma reduction. Thus, the purpose of this chapter is to understand and address the sociocultural and psychological paradigms of the stigma in mental health within Asians and Asian-Americans. This chapter will cover the history of stigma within the Asian culture, Asian's mental health, mental health services utilization within the Asian culture, and methods of addressing the stigma within the Asian culture to promote the utilization of mental health services.


Author(s):  
Ben Tran

Mental health stigma can be defined as the display of negative attitudes, based on prejudice and misinformation, in response to a marker of illness. Stigma creates mental distress for individuals, which furthers stigmatizing attitudes, thereby making it a relentless force and as incompetent in achieving life goals such as living independently or having a good job. Over the years, researchers have consistently highlighted the problem of mental health service underutilization within the Asians and Asian-Americans communities. As such, understanding the cultural contexts that facilitate good outcomes may offer a lever or stigma reduction. Thus, the purpose of this chapter is to understand and address the sociocultural and psychological paradigms of the stigma in mental health within Asians and Asian-Americans. This chapter will cover the history of stigma within the Asian culture, Asian's mental health, mental health services utilization within the Asian culture, and methods of addressing the stigma within the Asian culture to promote the utilization of mental health services.


Elements ◽  
2005 ◽  
Vol 1 (1) ◽  
Author(s):  
Heather K. Speller

Disparities in mental health care for racial minorities remains a serious and very real problem calling for immediate attention. The 2001 report of the Surgeon General affirmed that ethnic and racial minorities have less access to and availability of mental health services, and are subsequently less likely to receive needed mental health services. This paper examines a range of issues regarding Asian American mental health. It presents the practical and cultural barriers that members of this ethnic group confront when seeking mental health care and explains how cultural differences sometimes result in misdiagnosis and ineffective treatment. It also explores ways that the American mental health care system can improve to accommodate diverse ethnic groups.


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