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 […]

Suicidality, sexual orientation, and race/ethnicity: Results from a U.S. representative adolescent sample

Objective: We examined sadness/hopelessness and suicide among racial/ethnic and sexual minority youth (SMY). Methods: 2017 Youth Risk Behavior Survey (YRBS) data on sadness/hopelessness and suicide were analyzed among White, Black, and Hispanic/Latino youth. Results: A main effect of sexual minority (SM) identity emerged for sadness/hopelessness, suicidal ideation, suicide plan, suicide attempts, and injurious attempts; SMY reported increased risk […]

Structural indicators of suicide: An exploration of state-level risk factors among Black and White people in the United States, 2015–2019

Purpose Death by suicide among Black people in the USA have increased by 35.6% within the past decade. Among youth under the age of 24 years old, death by suicide among Black youth have risen substantially. Researchers have found that structural inequities (e.g. educational attainment) and state-specific variables (e.g. minimum wage, incarceration rates) may increase risk […]

Examining discrepant reports of adolescents’ self-injurious thoughts and behaviors: A focus on racial and ethnic minority families

Introduction Adolescents and their parents do not always see eye to eye. This principle applies to multi-informant reports of adolescents’ self-injurious thoughts and behaviors. Although prior work has revealed the presence of parent-adolescent discrepant reports, we have little insight into exactly who is most likely to display such discrepancies. To address this knowledge gap, the present investigation […]

Race, age, and lack of insurance increase risk of suicide attempt in trauma patients

Objective The overall rate of suicide between 1999 and 2017 increased by 33% in the United States. We sought to examine suicide attempts in the trauma patient population, hypothesizing that in adult trauma patients race and lack of insurance status would be predictors of suicide attempt. Method The Trauma Quality Improvement Program (2010–2016) was queried […]

Race and depressive symptoms are associated with the prevalence of adolescent suicide attempts in Hawai’i, Youth Risk Behavior Survey 2015-2017

Suicide is death caused by injuring oneself with the intent to die. According to the 2017 National Vital Statistics report, suicide was the second leading cause of death for adolescents 10-24 years old, accounting for 19.2% of deaths in that age group. Aggregated 2015-2017 Hawai‘i Youth Risk Behavior Survey (YRBS) data from 12 120 respondents […]

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 […]

Sleep health disparities: A promising target for preventing suicide in black youth?

Youth suicide is an urgent public health concern, particularly for Black youth, among whom suicide attempts and death have increased faster than any other racial or ethnic group. Ideal foci for suicide prevention interventions are risk factors that are malleable, dynamic, and proximal. Studies consistently identify poor sleep health as a risk factor for suicidal […]

Correlates of suicide risk among Black and White adults with behavioral health disorders in criminal-legal systems

Background Adults with behavioral health disorders in criminal-legal systems are at heightened risk of suicide relative to the general population. Despite documented racial disparities in criminal processing and behavioral health treatment, few studies have examined racial differences in suicide risk in this already high-risk population. This study examined 1) the correlates of suicide risk in […]

A question of justice: Critically researching suicide with Indigenous studies of affect, biosociality, and land-based relations

This paper considers how Indigenous studies can inform the evolution of critical research on suicide. Aligned with critiques of mainstream suicidology, these methodological approaches provide a roadmap for structural analysis of complex systems and logics in which the phenomenon of suicide emerges. Moving beyond mere naming of social determinants of suicide and consistent with calls […]

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 […]

Trends in suicide rates by race and ethnicity in the United States

Introduction The US Centers for Disease Control and Prevention reported a decrease in the 2019 suicide rate, from 14.2 per 100 000 individuals in 2018 to 13.9 per 100 000 individuals in 2019, representing 833 fewer suicides.1 This is the first national year-over-year decrease since 1999, but efforts need to consider trends among subgroups. Growing concerns regarding increasing […]

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 […]

Toward an intersectional approach in developmental science: The role of race, gender, sexual orientation, and immigrant status.

Developmental theory and research have often focused on a single social identity category, for example, race or sexual orientation, and examined the consequences of that category on life outcomes. Yet intersectional models of social disadvantage (eg, Cole, 2009; Crenshaw, 1995; King, 1988) suggest that social categories combine to shape the experiences and life outcomes of […]

Suicides and deaths of undetermined intent by poisoning: Reexamination of classification differences by race/ethnicity and state

This study examined differences by race/ethnicity and state in poisoning deaths of undetermined intent (UnD) versus suicide classification and the potential impact of state variations on UnD rates for Blacks and Hispanics. We used data from the 2005-2015 U.S. National Violent Death Reporting System (N = 29,567 aged 15+) and weighted coarsened exact matching. The odds […]

Differences in suicidal thoughts and behaviors among three racial groups

Background: Despite being a major public health concern, it is unclear how suicidal thoughts and behaviors differentially impact separate racial groups. Aims: The aim of the current study was to examine the occurrence of nonlethal suicide events, in addition to suicide attempt characteristics and factors contributing to suicide attempts. Method: A final sample of 7,094 undergraduates from a large northeastern […]

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 […]