Centering Community Strengths and Resisting Structural Racism to Prevent Youth Suicide: Learning from American Indian and Alaska Native Communities

Archives of Suicide Research, Год журнала: 2024, Номер unknown, С. 1 - 16

Опубликована: Янв. 19, 2024

The persistence of extreme suicide disparities in American Indian and Alaska Native (AI/AN) youth signals a severe health inequity with distinct associations to colonial experience historical on-going cultural, social, economic, political oppression. To address this complex issue, we describe three AI/AN prevention efforts that illustrate how strengths-based community interventions across the spectrum can buffer risk factors associated structural racism. Developed implemented collaboration tribal partners using participatory methods, strategies include universal, selective, indicated elements. Their aim is enhance systems within communities, institutions, families by emphasizing supportive relationships, cultural values practices, priorities preferences. These deploy collaborative, local approaches, center on importance sovereignty self-determination, disrupting unequal power distribution inherent mainstream approaches prevention. examples emphasize centrality Indigenous intellectual traditions co-creation healthy developmental pathways for young people. A central component all programs deep commitment an interdependent or collective orientation, contrast individual-based mental model. This offers novel directions entire field responds calls multilevel, community-driven public complexity suicide. Although our focus social determinants violence racism as factor have broad implications programming.

Язык: Английский

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Factors Associated With Discharge Against Medical Advice in US Adolescents Hospitalized for Suicidal Ideation or Suicide Attempt

Journal of the American Academy of Child & Adolescent Psychiatry, Год журнала: 2024, Номер 63(9), С. 908 - 918

Опубликована: Янв. 25, 2024

Язык: Английский

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Recent anti-infective exposure as a risk factor for first episode of suicidal thoughts and/or behaviors in pediatric patients

Brain Behavior & Immunity - Health, Год журнала: 2024, Номер 36, С. 100738 - 100738

Опубликована: Фев. 17, 2024

We conducted a retrospective cohort study of medical records from large, Maryland, U.S.-based pediatric primary care patients for potential associations between antibacterial, antifungal and antiviral prescriptions subsequent suicidal thoughts and/or behaviors. Using first suicide-related diagnosis as the outcome prior prescription antifungal, use exposure, we employed series multivariate Cox proportional hazards models. These models examined hazard developing newly recognized behaviors, controlling age, sex, race, insurance, number encounters during period, mood disorder chronic health conditions. constructed same stratified by groups with without recorded mental or behavioral (MBHD). Suicidal behaviors were associated previous an medication (HR 1.31, 95 %‐CI 1.05–1.64) well total such medications prescribed 1.04, 1.01–1.08), strongest relationship among three more 1.44, 1.06–1.96). Among individual medications, association was antibacterial 1.28, 1.03–1.60). Correlations subgroup no Infections treated antimicrobial increased risks who had not diagnosis. This group should be considered levels vigilance interventions directed at suicide screening prevention. National Institutes Health, Stanley Medical Research Institute.

Язык: Английский

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Informing Equitable Prevention Practices: A Statewide Disaggregated Analysis of Suicide for Ethnoracially Minoritized Adolescents

Prevention Science, Год журнала: 2024, Номер 25(3), С. 532 - 544

Опубликована: Март 2, 2024

Abstract The increase in adolescent suicide rates the United States is a pervasive public health issue, and ethnoracial youth with diverse identities are disproportionately impacted, yet less studied. National planning efforts reinforce state-level approaches to prevention through an equitable lens prevent suicide. This study examined disaggregated data over time determine changes outcomes based on race/ethnicity, sex, sexual orientation, intersection of these determined which sub-groups had higher odds outcomes. Data from 1991–2019 Centers for Disease Control Prevention Youth Risk Behavioral Surveillance System were analyzed 17,419 ethnoracially minoritized high school adolescents North Carolina. Descriptive analyses multinominal logistic regression models employed. Findings indicated that subgroups within categories populations, specifically Black female unsure their reported attempts. Additionally, Multiracial means consideration attempts time. Recommendations investigating by focusing intersecting illuminate areas potential support equity provided.

Язык: Английский

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Service utilization among adolescents seeking trauma‐related care: Differences by risk for suicide and ethnoracial background

Research in Nursing & Health, Год журнала: 2024, Номер 47(2), С. 161 - 171

Опубликована: Март 24, 2024

Abstract Adolescents from ethnoracially minoritized backgrounds increasingly report high rates of attempted suicide, trauma exposure, and limited access to mental healthcare services. However, less is known regarding their use services across different youth‐serving systems. This study examines the associations interactions between self‐injurious thoughts behaviors (SITBs), race/ethnicity, service sector utilization (mental healthcare, general school, social services) among a sample trauma‐exposed treatment‐seeking adolescents. Participants were adolescents ( N = 4406) ages 12–17 National Child Traumatic Stress Network Core Data Set who had available data for SITBs, utilized, other key variables. Mixed effects logistic regression was used examine main interactive whether adolescents' race/ethnicity SITBs associated with in each identified sectors. (OR 1.38 p < 0.001), 2.30; school 0.001). NH Black reporting likely health than youths 0.53; 0.004). Hispanic more utilize 1.51; 0.039). Trauma‐exposed are school‐based experiencing may face additional barriers utilizing Findings can be develop nursing practices policies address faced by SITBs.

Язык: Английский

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Intentos de suicidio atendidos en un servicio de urgencias pediátrico, antes y durante la pandemia de COVID-19

Acta Pediátrica de México, Год журнала: 2024, Номер 45(1S), С. S3 - S15

Опубликована: Март 11, 2024

Antecedentes. El suicidio es un problema de salud pública. Los intentos suicidas (IS) en adolescentes aumentaron drásticamente durante la pandemia COVID-19. Objetivo. Identificar frecuencia los casos IS atendidos el servicio urgencias por temporalidad (en últimos cinco años) y describir posibles factores riesgo y/o desencadenantes algunas características del así como solicitud atención. Material Métodos. Estudio observacional, retrospectivo descriptivo revisión expedientes, 2018 a 2023. Resultados. Se revisaron 296 expedientes con diagnóstico IS. 74% fueron mujeres, 56% eran tardíos, 43% tempranos 1% niños. Hubo 266% incremento pandemia. Por mes enero prepandemia cantidad fue más alta disminuyó, sucedió manera inversa para meses febrero, marzo, julio septiembre. principales fueron: conflictos interpersonales (64.19%), estrés social (57.43%), agudización trastorno mental previo (56.08%), antecedente (48.31%), divorcio padres (31.42%) vivir diferentes formas violencia [psicológica (28.33%), sexual (18.92%) pares (16.55%)]. horario atención se concentró principalmente turnos vespertino nocturno (79.39%). Conclusiones. Durante hubo Intento Suicidio cambios presentación.

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The narrative crisis model of suicide as a framework for suicide prevention

Personalized Medicine in Psychiatry, Год журнала: 2024, Номер 45-46, С. 100130 - 100130

Опубликована: Июнь 13, 2024

Язык: Английский

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Exploring the Radical Potential of Queer AZN and Pasifika CRT for Clinical Social Work Praxis

Deleted Journal, Год журнала: 2024, Номер 94(4), С. 273 - 298

Опубликована: Июль 16, 2024

In the wake of COVID-19 pandemic, crisis in Palestine, and continued rise hate crimes against Asian American Pacific Islander (AAPI) communities, clinical social work praxis centering on intersectional identities queer transgender AAPI communities has never been more vital. Through visioning an approach that addresses these intersecting our own experiences with racism, cisheterosexism, transphobia, we propose a theoretical framework, Queer AZN Pasifika Critical Race Theory (CRT), for praxis. Specifically, describe six tenets CRT approach, which include (1) Queer, Brown Asianization; (2) Challenging mainstream ideologies about Asians, Islanders, Transgender Americans; (3) Global, decolonial perspectives; (4) Re-constructive histories; (5) Multidisciplinary story, practice, praxis, voice; (6) Social Justice perspective. We present cases as opportunity to explore reflect practice trans people through lens CRT.

Язык: Английский

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Investigating the Role of Suicidality and Ethnic Identity among Black Adolescents: A Latent Profile Analysis

Archives of Suicide Research, Год журнала: 2022, Номер 27(4), С. 1261 - 1277

Опубликована: Авг. 25, 2022

Objective Suicide among Black adolescent youth has steadily increased in recent years, yet few studies describe how facets of social identity shape suicidal thoughts and behaviors (STBs) during this critical stage development. Ethnic represents an underexplored, important element that may contribute to differential associations with STBs. This study examined the association between ethnic self-reported ideation, planning, attempts.Methods Data were drawn from 1,170 African American (n = 810) Caribbean 368) adolescents aged 13–17 (Mean age 15) participated National Survey Life Adolescent supplement study.Results Using latent profile analyses, three patterns identified: Undifferentiated, Low Identification, Alienated. more likely be Identification class relative Undifferentiated class. Adolescents group reported higher proportions attempts compared remaining groups.Conclusion Findings demonstrate is aspect can influence STBs adolescents. Considering suicide death rates youth, findings underscore importance examining culturally relevant developmental processes beliefs behaviors.

Язык: Английский

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Academic Neurology and the COVID-19 Pandemic

Neurology, Год журнала: 2022, Номер 100(9), С. 430 - 436

Опубликована: Дек. 1, 2022

The SARS-CoV-2 (COVID-19) viral pandemic dramatically affected human health, health care delivery, workers, and research worldwide. field of academic neurology was no exception. In this 2022 Presidential Plenary, we discuss the challenges faced by neurologists neuroscientists professionally personally. We review threats posed to neuroscience activities, materials, productivity, funding. then impact on clinical trials for neurologic diseases. Restrictions patient enrolment due limited in-person access laboratory testing, imaging, study visits led delay in both trial completion but also innovative new means engage participants remotely strategies critically appraise frequency design trial-related evaluations. Clinical challenged initial prioritization urgent visit inpatient rapid pivot telehealth most other encounters. Front-line teams their fears infection, with first few months being characterized uncertainty, inconsistent national strategies, personal protective equipment, an alarming rate illness death caused COVID-19. societal toll is incalculable. Across providers, women particularly those young families juggled impossible balance career family as schools closed children required home-based education. Shining through dark time are lessons that should shape a brighter future our field. resilient, advances continue advance improved outcomes. National Institutes Health devised multiple support researchers help bridge pandemic. Telehealth, designs more participant-centric remote monitoring, flexible work schedules rebalance overworked lives improve engagement patients. As re-emerge, have chance reframe

Язык: Английский

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