Disproportionate burden of violence: Explaining racial and ethnic disparities in potential years of life lost among homicide victims, suicide decedents, and homicide-suicide perpetrators

Research indicates that the burden of violent death in the United States is disproportionate across racial and ethnic groups. Yet documented disparities in rates of violent death do not capture the full extent of this inequity. Recent studies examining race-specific rates of potential years of life lost—a summary measure of premature mortality—indicate that persons of […]

Suicide-related disclosure patterns among culturally minoritized youth: Examining differences across race, ethnicity, gender identity, and sexual orientation

Objective Sharing one’s suicidal thoughts and behaviors, or suicide-related disclosure, allows adolescents to recruit help from others. Despite elevated risk among culturally minoritized youth, their suicide-related disclosure remains understudied. Methods 191 adolescents (M = 15.98, SD = 1.04, range = 13–17), including minoritized youth (38% racially, 19% ethnically, 40% gender, and 77% sexually), were recruited via social media ads and completed an anonymous […]

Intersectional prevalence of suicide ideation, plan, and attempt based on gender, sexual orientation, race and ethnicity, and rurality

Importance: Suicidal thoughts and behaviors (STBs) are major public health problems, and some social groups experience disproportionate STB burden. Studies assessing STB inequities for single identities (eg, gender or sexual orientation) cannot evaluate intersectional differences and do not reflect that the causes of inequities are due to structural-level (vs individual-level) processes. Objective: To examine differences in STB […]

Heterosexism and suicidal ideation: Racial differences in the impact of social support among sexual minority adults

Background: Heterosexism has been identified as being a contributing factor of suicidality in sexual minority adults (SMA), and social support is believed to be important for mitigating these effects. Research evaluating racial/ethnic differences in suicidality among SMA is limited despite racial/ethnic minorities being at greater risk. Aims: We aimed to examine the associations between heterosexism, suicidal ideation, and […]

Acculturation and suicide‑related risk in ethnoracially minoritized youth in the US: A scoping review and content analysis of the empirical evidence

Purpose: Among Asian-American/Pacific Islander, Hispanic/Latinx, and Black youth, the US born have higher risk of suicidal thoughts and behaviors (attempts and death-by-suicide) than first-generation migrants. Research has focused on the role of acculturation, defined as the sociocultural and psychological adaptations from navigating multiple cultural environments. Methods: Using content analysis, we conducted a scoping review on acculturation-related experiences […]

Is anybody there? A longitudinal examination of help-seeking and suicidal risk among Latino, Black, and non-Hispanic white adolescents

Introduction Understanding adolescents’ and emerging adults’ help-seeking behaviors is important to curb suicidal thoughts and behaviors (STB), especially among racial/ethnic minorities who have some of the highest chronic rates of STB in the United States. Learning how diverse groups of adolescents seek help during emotional crises can help us understand the stark health disparities related […]

Ethnic differences in self-poisoning across South London

Background: Self-poisoning (overdose) is the commonest form of self-harm cases presenting to acute secondary care services in the UK, where there has been limited investigation of self-harm in black and minority ethnic communities. London has the UK’s most ethnically diverse areas but presents challenges in resident-based data collection due to the large number of hospitals. Aims: To […]

Racial and ethnic differences in deaths by suicide, drug overdose, and opioid-related overdose in a national sample of military members with mild traumatic brain injury, 1999-

Objective: To examine racial and ethnic differences in suicide and drug and opioid-related overdose deaths among a population-based cohort of military service members who were diagnosed with a mild traumatic brain injury (mTBI) during military service. Design: Retrospective cohort. Setting: Military personnel receiving care within the Military Health System between 1999 and 2019. Participants: In total, 356 […]

Trends in suicide rates by race and ethnicity among members of the United States Army

Efforts were focused on identifying differences in suicide rates and time-dependent hazard rate trends, overall and within age groups, by race and ethnicity among United States Army members who returned from an index deployment (October 2007 to September 2014). This retrospective cohort study was conducted using an existing longitudinal database, the Substance Use and Psychological […]

Diversify your emotional assets: The association between the variety of sources of emotional support and thoughts of death or self-harm among US older adults

Using data from a nationally representative sample of community-dwelling older adults (age ≥ ≥ 65) (NHANES: n = 3,114), we examined the association between the variety in sources of emotional support and thoughts of death or self-harm in the past two weeks among US older adults and if such association is modified by gender and race/ethnicity. Overall, an additional category of […]

Ethnic and sexual identity-related inequalities in adolescent health and well-being in a national population-based study

Purpose: This study employed an intersectional framework to examine impact of inequalities related to sexual minority (SM) and ethnic minority (EM) identities in risk for health, well-being, and health-related behaviors in a nationally representative sample. Methods: Participants included 9789 (51% female) adolescents aged 17 years from the U.K.-wide Millennium Cohort Study, with data on self-identified sexual and […]

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

Background: 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. Aims: Drawing on the […]

“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 […]

Associations of racial/ethnic identities and religious affiliation with suicidal ideation among lesbian, gay, bisexual, and questioning individuals

Background Our aim was to examine the associations of racial/ethnic identity and religious affiliation with suicidal ideation among lesbian, gay, bisexual, and questioning (LGBQ) and heterosexual college students. An additional aim was to determine the prevalence of passive suicidal ideation (i.e., death ideation) and active suicidal ideation among culturally diverse LGBQ individuals. Methods Data from […]

Ethnic variations of trajectories in suicide ideation and attempt: From middle school to high school

The purpose of this study was to compare patterns of suicide ideation and suicide attempt in three ethnic groups. We analyzed data from 463 students with ethnic backgrounds of African American (AA), Asian American (ASA), and European American (EA) for 6 years. The best fit model was a three‐trajectory class model for all groups. The majority […]