Exploration of race and ethnicity, sex, sport-related concussion, depression history, and suicide attempts in US youth

Importance  Racial, ethnic, and sex disparities for concussion incidence and suicide attempts in youth have been reported, but data on the interaction of these variables in a large national data set are lacking. Understanding how race and ethnicity interact with sex and concussion to influence suicide attempts could yield critical information on the sociocultural impact of[…]

Temporal trends in suicidal ideation and attempts among US adolescents by sex and race/ethnicity, 1991-2019

Objective  To examine differences in temporal trends between suicidal ideation and suicide attempts in US adolescents from 1991 through 2019 by sex and race/ethnicity subgroups. Design, Setting, and Participants  A cross-sectional analysis of the national Youth Risk Behavior Survey, weighted to represent US adolescents from 1991 to 2019, included 183 563 US high-school students in grades 9[…]

Ethnic identity and suicide risk among Hispanic/Latinx young adults: The impact of perceived burdensomeness and thwarted belongingness

Hispanic/Latinx college students experience SI/behaviors at high rates, yet there is a dearth of research on suicide risk and sociocultural correlates of suicide risk among Hispanic/Latinx individuals. This study examined the impact of ethnic identity on suicide risk among 63 Hispanic/Latinx young adults. Further, we tested a model in which ethnic identity is integrated into[…]

Racial/ethnic disparities in the performance of prediction models for death by suicide after mental health visits

Objective  To evaluate racial/ethnic differences in the performance of statistical models that predict suicide. Design, Setting, and Participants  In this diagnostic/prognostic study, performed from January 1, 2009, to September 30, 2017, with follow-up through December 31, 2017, all outpatient mental health visits to 7 large integrated health care systems by patients 13 years or older were evaluated.[…]

Variable circumstances of suicide among racial/ethnic groups by sex and age: A National Violent-Death Reporting System analysis

Suicide rates vary by race/ethnicity, but little is known about how the circumstances that contribute to suicide differ across racial/ethnic groups. This study investigated suicide circumstances among non-Hispanic Whites, non-Hispanic Blacks, non-Hispanic Asian/Pacific Islanders, non-Hispanic Native American/Alaskan Natives, and Hispanics by sex and age. Using de-identified National Violent Death Reporting System (NVDRS) Restricted Access Database[…]

Increased risk of COVID-19 infection and mortality in people with mental disorders: Analysis from electronic health records in the United States

Concerns have been expressed that persons with a pre‐existing mental disorder may represent a population at increased risk for COVID‐19 infection and with a higher likelihood of adverse outcomes of the infection, but there is no systematic research evidence in this respect. This study assessed the impact of a recent (within past year) diagnosis of[…]

Predicting self-harm in an ethnically diverse sample of lesbian, gay and bisexual people in the United Kingdom

Poor mental health is prevalent in lesbian, gay and bisexual (LGB) people due in part to social stigma. The social, psychological and clinical risk factors for self-harm among LGB people are unclear, which limits our ability to predict when and how this will occur and, crucially, how to prevent it.

“There is so much more for us to lose if were to kill ourselves”: Understanding paradoxically low rates of self-harm in a socioeconomically disadvantaged community in London

London has unexpectedly low overall rates of self-harm in public health data and contains highly deprived areas with these paradoxically low rates. Qualitative data were collected via interviews and focus groups with 26 individuals living and working in one such area. Using the Stress Process Model, we explore why this ethnically diverse community, which is[…]

More than being against it: Anti-racism and anti-oppression in mental health services

Anti-racism and anti-oppression frameworks of practice are being increasingly advocated for in efforts to address racism and oppression embedded in mental health and social services, and to help reduce their impact on mental health and clinical outcomes. This literature review summarizes how these two philosophies of practice are conceptualized and the strategies used within these[…]

Is it better to intermarry? Ethnic composition of marriages and suicide risk among native-born and migrant persons in Sweden

Marriage is protective against suicide across populations, including for persons of different ethnicities and immigrant backgrounds. However, the well-being benefits of marriage are contingent upon marital characteristics—such as conflict and quality—that may vary among persons of different migration backgrounds in interaction with the migration background of their spouse. Leveraging Swedish register data, we compare suicide[…]