Alcohol use disorder visits and suicide ideation diagnosis: Racial/ethnic differences at emergency departments

Introduction Nationally, suicide ideation prevalence is comparable among White, American Indian/Alaska Native, Black, and Hispanic adults experiencing alcohol use disorder. This study examines whether such comparability extends to the probability of receiving a suicide ideation diagnosis when presenting with alcohol use disorder at emergency departments. The probability of hospitalization following such diagnosis is examined as well. […]

Suicidality among sexual minority adults: Gender, age, and race/ethnicity differences

Introduction Lesbian, gay, and bisexual individuals have elevated suicide risk, but there is little information available about how this risk may vary by gender, age, and race/ethnicity. Methods This study examined past-year suicide thoughts, plans, and attempts among adult respondents to the 2015–2019 National Surveys on Drug Use and Health (pooled N=191,954). Logistic regression was […]

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 […]

Racial and gender disparities in suicide and mental health care utilization in a pediatric primary care setting

Purpose: We examined racial and gender disparities in the underrecognition of mental health disorders in adolescents and young adults as defined by a suicide-related diagnosis without a previous mental or behavioral health diagnosis. Methods: We employed a series of adjusted mixed multilevel logistic regression models to determine the odds of specific mental health diagnoses (anxiety, […]

Notes from the field: Firearm suicide rates, by race and ethnicity United States, 2019-2022

Suicide, including firearm suicide, remains a substantial public health concern in the United States. During the previous 2 decades, overall suicide rates and firearm suicide rates have risen by approximately one third, approaching 50,000 overall suicides during 2022, including approximately 27,000 firearm suicides (1). Firearm suicides account for approximately one half of all suicides, and […]

Assessing the role of sports participation on depression, suicide ideation, and suicide behaviors among adolescents before and during COVID-19

Purpose: To assess the association between sports participation, depression, suicide ideation, and suicide behaviors in a nationally representative sample of US adolescents before COVID-19 and during COVID-19.  Methods: Data from the 2019 Youth Risk Behavior Survey (n = 13,526) and the 2021 Adolescent Behaviors and Experiences Survey (n = 7677) were used to analyze the […]

The intersection of race, ethnicity, and gender and the prevalence of suicidal thoughts and behaviors

The prevalence of suicidal thoughts and behaviors across distinct intersections of race/ethnicity and gender among adolescents remains understudied. The current study seeks to address this important gap in suicide scholarship using a statewide representative sample of U.S. Florida middle school and high school adolescents. Data drawn from the 2022 Florida Youth Substance Abuse Survey (FYSAS) […]

Suicide during the COVID-19 pandemic: Uncovering demographic and regional variation in the United States and associations with unemployment and depression

The COVID-19 pandemic heightened risk factors for suicide globally. Using prominent sociocultural theories of suicide, we investigated whether the COVID-19 pandemic affected suicide rates differently across demographic groups and regions in the United States of America. In Study 1, we found that after 2020 suicide rates increased especially among young Black and Alaskan Native populations. […]

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 […]

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 […]

An examination of factors contributing to the racial disparity and disproportionality of paediatric firearm-related homicide: A mixed-methods analysis using the national violent death reporting system (NVDRS)

Firearms are a leading cause of paediatric mortality in the United States. This study examines the contributing factors of racial disparity and disproportionality among paediatric firearm decedents aged 0–17 years. We used the National Violent Death Reporting System (NVDRS) to assess the individual and incident-level circumstances of paediatric firearm homicides from 2014 to 2018 in […]

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 […]

Notes from the field: Recent changes in suicide rates, by race and ethnicity and age group United States, 2021

Suicide is a serious public health problem in the United States. After 2 consecutive years of declines in suicide (47,511 in 2019 and 45,979 in 2020), 2021 data indicate an increase in suicide to 48,183, nearly returning to the 2018  peak (48,344) with an age-adjusted rate of 14.1 suicides per 100,000 population (versus 14.2 in […]

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 […]

School and electronic bullying among adolescents: Direct and indirect relationships with sadness, sleep, and suicide ideation

Introduction: Bullying is an increasing concern for education, health, and policy. Adolescence is a particularly vulnerable period for the development of depressive symptoms and suicidality following exposure to bullying. However, limited research investigating the potential impact of depressive symptoms on the bullying-suicide relationship exists. Methods: Using national data (N = 13,677) from the most recent 2019 Youth […]

Suicidal ideation across race in a justice-involved sample: An item response theory approach

Objectives Compared to community samples, rates of suicide are much higher in forensic and correctional settings, yet limited research has focused on the development and improvement of suicide assessment methods used in such contexts. Moreover, despite evidence that suicide assessment varies across Caucasians and African Americans, to our knowledge this important issue has received little […]

Health care disparities for incarcerated adults after a suicide attempt

Objective Incarcerated adults have high rates of fatal and nonfatal suicidal behaviors. Suicide prevention recommendations stress the need for the provision of health care for incarcerated adults after suicide attempts, yet prison policies and practices often focus instead on punitive responses to suicidal behaviors. Existing research is limited regarding factors that predict the provision of […]

Using natural language processing to improve suicide classification requires consideration of race

Objectives To improve the accuracy of classification of deaths of undetermined intent and to examine racial differences in misclassification. Methods We used natural language processing and statistical text analysis on restricted-access case narratives of suicides, homicides, and undetermined deaths in 37 states collected from the National Violent Death Reporting System (NVDRS) (2017). We fit separate […]

Minority stressors and suicidal ideation in sexual and gender minority youth assigned female at birth: Prospective associations and racial differences

Introduction: Suicidal ideation (SI) disproportionately affects sexual and gender minority (SGM) versus cisgender/heterosexual youth, likely due to the minority stressors (MS) they face. Research has shown cross-sectional associations between SGM MS and suicidality; however, few studies have used  longitudinal data or examined racial differences in the effects of MS on SI. The current study tested […]