Choi H, Park H, Suarez ML, Park C, Zhao Z, Wilkie DJ. BMJ Open 2016; 6(12): e013466.
Affiliation
Department of Biobehavioral Nursing Science, Center of Excellence in Palliative Care Research, College of Nursing, University of Florida, Gainesville, Florida, USA.
OBJECTIVE: The Truth about Suicide video has been widely used but has never been empirically tested regarding its cultural appropriateness for Asian Americans. The purpose of the study was to determine the feasibility of using the video in a web-based suicide awareness programme for Asian American and non-Hispanic white college students.
METHODS: A cross-sectional, comparative, web-based study was conducted with 227 Asian Americans and 204 non-Hispanic whites at a university in the Midwest region of the USA. Study participants completed a questionnaire measuring their cultural orientation and attitudes towards suicide, watched the 27 min video, completed a debriefing session and evaluated the video's overall suitability.
RESULTS: Asian Americans rated the suicide awareness video significantly lower for cultural relevance than did non-Hispanic whites (F=5.479, p=0.02). Collectivist cultural orientation was a significant predictor for cultural relevance, credibility and appeal; however, evaluation of the video's cultural relevance was negatively affected by Asian ethnicity.
CONCLUSIONS: Cultural orientation and race/ethnicity should be strongly considered when web-based suicide awareness programmes are developed for college students.
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