Suicide Risk Assessment With Asian American College Students: A Culturally Informed Perspective

• Published in: The Counseling psychologist 2009-02, Vol.37 (2), p.186-218
• Main Authors: Choi, Jayoung L., Rogers, James R., Werth, James L.
• Format: Article
• Language: English
• Subjects: Acculturation; Asian American people; Asian American Students; Asian Americans; Assessment; College Students; Confidentiality; Counseling; Counseling psychology; Cultural sensitivity; Family Relationship; Health Services; Intervention; Mental health care; Personality Traits; Risk; Risk assessment; Self Disclosure (Individuals); Suicide; Suicides & suicide attempts; Undergraduate students; Values
• ISSN: 0011-0000; 1552-3861
• DOI: 10.1177/0011000006292256

Scholars have based their understanding of college-student suicide in the United States largely on the study of European Americans, and therefore, its relevance to making culturally informed decisions with suicidal Asian American college students is unclear. This article explores aspects of suicide assessment potentially unique to Asian American college students and discusses possible ways to handle the process of breaking confidentiality that are more sensitive to Asian American needs. First, the authors briefly review issues of confidentiality, informed consent, and standards of care. Second, they examine several aspects of Asian American college students' experiences in the United States and of Asian cultural values. Specifically, the authors review acculturation and the experience of immigration, intergenerational relationships, collectivistic cultural values, the myth of the “model minority,” and perfectionism. Third, they offer culturally informed considerations for assessing suicidal risk and ways to manage breaking confidentiality. Finally, they suggest the Collaborative Assess-ment and Management of Suicidality model and the Suicide Intervention Response Inventory−2 as potentially useful tools for culturally sensitive work with Asian American college students.