Discrimination, Mental Disorders, and Suicidal Ideation in Latino Adults: Decomposing the Effects of Discrimination.

Experiences of discrimination and mental disorder have been recognized as risks for suicidality. Yet, few studies have examined the direct and indirect effects of discrimination on suicidal ideation through mental disorder among Latino adults in the U.S. This study aimed to examine whether everyday discrimination and racial/ethnic discrimination is associated with suicidal ideation and if mental disorder (i.e., DSM-IV depressive, anxiety, and substance use) mediates the association. Discrimination was operationalized with self-reported discriminatory experience. This study applied a mediation analysis to the data from National Latino and Asian American Survey, 2002-2003. The key findings are: (a) everyday discrimination had an independent association with suicidal ideation as well as exerted an indirect effect through anxiety disorder. (b) Racial/ethnic discrimination was not directly associated with suicidal ideation, but its adverse effect on suicidal ideation was mediated by the depressive disorder. (c) Three types of mental disorder together accounted for approximately 32 and 42% of the impact of everyday discrimination and racial/ethnic discrimination on suicidal ideation, respectively.