The Relationship between Intimate Partner Violence and Suicidal Ideation among Young Chinese, Korean, and Vietnamese American Women
Open accessAbstract
High depression and suicide rates are critical problems that have a significant impact on the lives of young Asian American women. Intimate partner violence (IPV) has been identified as a predictor of suicidality in general female samples, but no research study has examined the relationship between IPV and suicidality in a sample of 1.5 and second-generation Chinese, Korean, and Vietnamese American women. We used data collected from 173 women (aged 18-35 years) who were screened for eligibility to participate in the development and efficacy study of Asian American Women's Action for Resilience and Empowerment (AWARE). We measured the prevalence of (a) IPV, (b) lifetime suicidal ideation/intent, and (c) childhood abuse and tested the association between IPV and lifetime suicidal ideation/intent among study participants who completed the clinical screening assessments. The results indicated that seven out of 10 women in our sample experienced lifetime suicidal ideation/intent, psychological aggression was the most commonly reported form of IPV during the last six months, followed by sexual coercion, and history of physical and/or sexual partner violence had the most robust association with lifetime suicidal ideation/intent after controlling for demographic factors and childhood abuse. Our study suggests that suicide prevention and intervention programs for young 1.5 and second-generation Asian American women should not only address experiences of childhood abuse, but also incorporate culturally adapted behavioral health approaches to identify and target physical and sexual partner violence. Furthermore, any such programs need to integrate a systemic approach in addressing IPV within the context of various marginalized experiences of Asian American women.
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AWARE's therapeutic approach addresses challenges central to Asian American women's identity and well-being, including dysfunctional family dynamics, physical and sexual trauma, health risk behaviors, and related issues often avoided due to stigma and shame.
“AWARE’s therapeutic approach combats challenges that are central to AA women’s identity and well-being: dysfunctional family dynamics, physical and sexual trauma, health risk behaviors, and related issues that are often avoided due to fear of stigma and shame (Augsberger, Hahm, Yeung, & Dougher, 2015; Hahm et al., 2014; Maru et al., 2018).”
From Guest Editors' Introduction to the Special Section: Cultural Adaptation of Mental Health Interventions for Americans of East Asian Descent (2019) · cites this paper as Maru et al., 2018
The Method (Participants; page unavailable) identifies AWARE as group psychotherapy designed to improve Asian American women’s mental and sexual health. Implications for Clinical Practice (page unavailable) describes AWARE as a culturally adapted intervention addressing intimate partner violence, childhood abuse, and trauma. The copy does not establish that AWARE’s therapeutic approach specifically addresses health risk behaviors or issues avoided because of stigma and shame. (LLM, conf=0.85)
Experimental — accuracy not yet measuredUnlike other racial groups, suicidal ideation and behaviors among Asian Americans are less linked to mental illness and more linked to psychosocial factors such as trauma, family conflict, racism, or functional limitations.
“It is important to note that unlike other racial groups, suicidal ideation and behaviors among AAs were less linked to mental illness, and more linked to psychosocial factors such as trauma, conflict with family, racism, or functional limitations (Maru et al., 2018; Hahm, Gonyea, Chiao, & Koritsanszky, 2014).”
From Guest Editors' Introduction to the Special Section: Cultural Adaptation of Mental Health Interventions for Americans of East Asian Descent (2019) · cites this paper as Maru et al., 2018
The Abstract identifies family conflict as a risk factor for suicidal ideation among Asian Americans, and the Discussion links trauma and racism to suicidality among Asian American women (page numbers unavailable). The paper does not establish that these factors are more strongly linked to suicidality than mental illness, compare those links across racial groups, or identify functional limitations as a risk factor. (LLM, conf=0.86)
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Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., Currier, G. W., Melvin, G. A., Greenhill, L., Shen, S., et al. (2011) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2011.10111704 · Cited by 5,157 · cited 1× · see citing works
“Suicidal ideation/intent was assessed using the Baseline/Screening version of the Columbia Suicide Severity Rating Scale (C-SSRS; Posner et al., 2011).”
MethodKubany, E. S., Leisen, M. B., Kaplan, A. S., Watson, S. B., Haynes, S. N., Owens, J. A., & Burns, K. (2000) · Psychological Assessment · doi:10.1037/1040-3590.12.2.210 · Cited by 1,102 · cited 1× · see citing works
“Lifetime childhood sexual and/or physical abuse was measured using the Traumatic Life Events Questionnaire (TLEQ; Kubany et al., 2000).”
MethodPico-Alfonso, M. A., Garcia-Linares, M. I., Celda-Navarro, N., Blasco-Ros, C., Echeburúa, E., & Martinez, M. (2006) · Journal of Women's Health · doi:10.1089/jwh.2006.15.599 · Cited by 831 · cited 1× · see citing works
“The literature also suggests psychological aggression by a partner to be predictive of poor mental health outcomes, including suicidal ideation, in non-Asian women (e.g., Pico-Alfonso et al., 2006).”
BackgroundFergusson, D. M., McLeod, G. F. H., & Horwood, L. J. (2013) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2013.03.013 · Cited by 703 · see citing works
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Hahm, H. C., & Yasui, M. (2019) · American Journal of Orthopsychiatry · doi:10.1037/ort0000421 · Cited by 8 · see citing works
Self-citation
- Authors
- Maru, M., Saraiya, T., Lee, C. S., Meghani, O., Hien, D., & Hahm, H. C.
- Affiliations
- Boston University (US)
- Adelphi University (US)
- Rutgers, The State University of New Jersey (US)
- Corresponding author
- Maru, Mihoko
- Venue
- Women & Therapy
- Publisher
- Informa UK Limited
- Published
- 2018-02-16
- Volume
- 41
- Issue
- 3-4
- Pages
- 339-355
- ISSN
- 0270-3149 (ISSN-L)
- 1541-0315
- PMC
- PMC6245640
- OpenAlex
- W2792696736
- Cited by
- 21
- References
- 4
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 1 · 2018: 3
- FWCI
- 2.94
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Women & Therapy (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (1R34MH0999-01A1)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- intimate partner violence, suicidal ideation, Asian American women, Chinese American women, Korean American women, Vietnamese American women, immigrant children, childhood abuse, psychological aggression, sexual coercion, suicide prevention, culturally tailored interventions, marginalized communities
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