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=== Depression and suicide === In 2008, researchers Georg Hsu and Yu Mui Wan published a paper citing severe stigma of mental illness in the Chinese American community as a barrier to diagnosis and treatment.<ref>{{cite journal |last1=Georg Hsu |first1=L.K. |last2=Wan |first2=Yu Mui |last3=Chang |first3=Hong |last4=Summergrad |first4=Paul |last5=Tsang |first5=Bill Y.P. |last6=Chen |first6=Hongtu |title=Stigma of Depression Is More Severe in Chinese Americans than Caucasian Americans |journal=Psychiatry: Interpersonal and Biological Processes |date=September 2008 |volume=71 |issue=3 |pages=210β218 |doi=10.1521/psyc.2008.71.3.210 |pmid=18834272 |s2cid=23003033 }}</ref> In a 1998 study of 29 diagnosed depressive Chinese American immigrants, more than half of respondents avoided labeling their symptoms as depression.<ref name="Yeung2006">{{cite journal |last1=Yeung |first1=Albert |title=Recognizing and Treating Depression in Asian Americans |journal=Psychiatric Times |date=1 December 2006 |volume=23 |issue=14 |pages=50 |id={{Gale|A156586134}} |url=https://www.psychiatrictimes.com/view/recognizing-and-treating-depression-asian-americans }}</ref> While patients were able to accurately identify and report depressive symptoms such as "irritability" and "rumination," patients were more likely to attribute their depression to somatic and physical symptoms than as a psychological state.<ref name="Yeung2006" /> Among Asian-American youth in 1980, suicide accounted for 20.8% of Chinese American female deaths.<ref name="Blinn1996" /> Among males, it constituted 15.1% of deaths.<ref name="Blinn1996">{{cite thesis |id={{ProQuest|304289210}} |last1=Blinn |first1=Robert Eugene |title=Asian-American and Chinese-American suicide in San Francisco |year=1996 }}</ref> The study also reported that suicide rates among Chinese American elderly were higher than that of the national suicide rate for African-American, Hispanic, and Native-American. A study published in the ''Journal of Aging and Health,'' stated that 18% to 29.4% of older Chinese adults in North America had at least a mild level of depression which was higher than other ethnic groups.<ref name="Dong Chen Li Simon 2014">{{cite journal |last1=Dong |first1=XinQi |last2=Chen |first2=Ruijia |last3=Li |first3=Chengyue |last4=Simon |first4=Melissa A. |title=Understanding Depressive Symptoms Among Community-Dwelling Chinese Older Adults in the Greater Chicago Area |journal=Journal of Aging and Health |date=October 2014 |volume=26 |issue=7 |pages=1155β1171 |doi=10.1177/0898264314527611 |pmid=25239971 |pmc=9944289 |s2cid=33772989 }}</ref> Further, the study reported that these depressive symptoms among older Chinese adults "tend to remain untreated."<ref name="Dong Chen Li Simon 2014" />
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