Structural adverse childhood experiences associated with suicidal ideation, suicide attempts, and repetitive nonsuicidal self‐injury among racially and ethnically minoritized youth

Suicide and Life-Threatening Behavior, Год журнала: 2024, Номер unknown

Опубликована: Апрель 23, 2024

Abstract Introduction High rates of suicidal ideation (SI), suicide attempts (SA), and repetitive nonsuicidal self‐injury (NSSI) among some ethnoracially minoritized United States youth populations may be related to adverse childhood experiences (ACEs) with structural roots. Methods Using the 2013–2019 Minnesota Student Surveys, we assessed associations student‐reported ACEs (parental incarceration, housing instability, food insecurity, foster care involvement) SI, SA, NSSI within past 12 months using multilevel logistic regression stratified by ethnoracial group (American Indian/Alaskan Native [AIAN], Hmong, other Asian, Black Latino, Somali, Black/African American [AA], Hawaiian/Pacific Islander [NHPI], multiracial), adjusted for sex, grade, experienced one's household, mental health treatment, perceived safety. Results Structural were strongly associated increasing NSSI. At ≥2 ACEs, ranged from 7% 29% (female), 8% 20% (male); SA 13% 35% 10% 22% SI 31% 50% 32% (male). NHPI, AIAN, Black/AA students most often reported ACE exposures. Conclusion Reducing reduce populations. Disaggregating diverse groups revealed variations in these outcomes that remain hidden when subpopulations are aggregated.

Язык: Английский

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Potential Harms of Responding to Youth Suicide Risk in Schools

Research on Child and Adolescent Psychopathology, Год журнала: 2024, Номер unknown

Опубликована: Окт. 25, 2024

Язык: Английский

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The Burden of Not Belonging: A Qualitative Study of the Applicability of the Interpersonal Theory of Suicide Constructs of Belongingness and Burdensomeness to Ethnocultural Minoritized Youth

Behavior Therapy, Год журнала: 2023, Номер 54(5), С. 777 - 793

Опубликована: Март 1, 2023

Guided by the Interpersonal Theory of Suicide (IPTS), this study aims to understand applicability constructs belongingness and burdensomeness their relevance suicide risk mental health among ethnocultural minoritized youth. A qualitative exploratory was conducted using five focus groups with 29 self-identified Latinx Black adolescents aged 13-17 years explore meaning they ascribed burdensomeness. Views social media related these were also explored. Template analysis used analyze data. Themes highlighted dimensions such as caring, self-worth, liability, congruent IPTS Notably, new themes emerged reflecting distinctive experiences populations, importance being true themselves, burden not belonging families, cultural aspects highlighting found in existing theoretical constructs. Consideration diverse youth can strengthen constructs, clinical practice, aid developing intervention strategies increase protective factors decrease for behaviors relevant

Язык: Английский

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Mathematical and Computational Modeling of Suicide as a Complex Dynamical System

Опубликована: Сен. 24, 2023

Background: Despite decades of research, the current suicide rate is nearly identical to what it was 100 years ago. This slow progress due, at least in part, a lack formal theories suicide. Existing are instantiated verbally, omitting details required for precise explanation and prediction, rendering them difficult effectively evaluate improve. By contrast, mathematically computationally, allowing researchers precisely deduce theory predictions, rigorously can cannot explain, thereby, inform how be improved. paper takes first step toward addressing need research by formalizing an initial, general evaluating its ability explain suicide-related phenomena.Methods: First, we formalized General Escape Theory Suicide as system stochastic ordinary differential equations. Second, used these equations simulate behavior over time. Third, evaluated if produced robust phenomena including rapid onset brief duration suicidal thoughts, zero-inflation thinking time series data.Results: Simulations successfully proposed (i.e., onset, short duration, high thoughts data). Notably, simulations also theorized following from Suicide: that emerge when alternative escape behaviors failed regulate aversive internal states, effective use long-term strategies may prevent emergence thoughts. Conclusions: To our knowledge, model developed here suicide, which able produce – and, thus, well-established documented literature. We discuss next steps program dedicated studying complex dynamical system, describe integration empirical advance understanding, prevention

Язык: Английский

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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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Making Sense of Critical Suicide Studies: Metaphors, Tensions, and Futurities

Social Sciences, Год журнала: 2024, Номер 13(4), С. 183 - 183

Опубликована: Март 22, 2024

Critical suicide studies is a relatively new area of research, practice, and activism, which we believe can offer creative vantage points with to ‘think’ into the future. We present findings from qualitative research study undertaken understand how critical being conceptualized by those who draw this orientation. Semi-structured interviews were conducted nine scholars, practitioners, activists, and/or lived living experience suicidality. To analyze data, used reflexive thematic analysis drew on social constructionist discovered that metaphors an important way conceptualizing reflecting upon studies. Four themes generated: site respite fortification; felt experience; desire line; yearning. contend dominant language available describe prevention might not be adequate for expressing complexities contradictions practice or suicide’s ultimate unknowability. call more diverse, inclusive, expansive frameworks understanding responding show potential joining other scholars movements build just, caring, inclusive world.

Язык: Английский

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Evaluating an App-Based Intervention for Preventing Firearm Violence and Substance Use in Young Black Boys and Men: A Usability Evaluation Study (Preprint)

JMIR Formative Research, Год журнала: 2024, Номер 8, С. e60918 - e60918

Опубликована: Ноя. 6, 2024

Background Young Black male individuals are 24 times more likely to be impacted by firearm injuries and homicides but encounter significant barriers care service disengagement, even in program-rich cities across the United States, leaving them worryingly underserved. Existing community-based interventions focus on secondary tertiary prevention after violence has occurred typically deployed emergency settings. To address these uptake issues, we developed BrotherlyACT—a nurse-led, culturally tailored, multicomponent app—to reduce risk effects of improve access precrisis mental health resources for young (aged 15-24 years) low-resource high-violence Grounded Acceptance Commitment Therapy, app provides life skills coaching, safety planning, artificial intelligence–powered talk therapy, zip code–based connections directly at substance use. Objective The primary aim this study is evaluate usability, engagement, satisfaction BrotherlyACT among target users mobile (mHealth) experts, using a combination formative usability testing (UT) heuristic evaluation (HE). Methods Using convergent mixed methods approach, evaluated HE 8 mHealth specialists conducted UT with 23 participants, comprising 15 years), alongside 4 adult internal team testers high school students who were part our youth advisory board. included System Usability Scale thematic analysis think-aloud interviews cognitive walkthroughs. involved experts applying Nielsen severity rating scale (score 0-3, 3 indicating major issue). All was via REDCap (Research Electronic Data Capture) Zoom or person. Results Qualitative issues categorized into groups, revealing only minor concerns. achieved an average score 79, equivalent A-minus grade placing it 85th percentile, near-excellent usability. Similarly, identified cosmetic median 1 various heuristics (on 0-3), minimal impact user experience. Overall, adjustments recommended enhance navigation, customization, guidance users, while app’s visual functional design generally well received. Conclusions considered highly usable acceptable. Testers stage gave positive overall emphasized that several key improvements made. Findings from prompted revisions prototype. Moving forward, pilot pretest-posttest will efficacy community International Registered Report Identifier (IRRID) RR2-10.2196/43842

Язык: Английский

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Adverse Childhood Experiences, Race/Ethnicity, and Suicidality Among Florida High School Students

Youth & Society, Год журнала: 2025, Номер unknown

Опубликована: Янв. 18, 2025

Previous studies have well-documented that adverse childhood experiences (ACEs) are associated with negative health outcomes, including suicidal thoughts and behaviors. As historically marginalized groups long experienced poorer socio-emotional outcomes due to systemic institutional racism, racial stress, related factors, surprisingly little is known about how ACEs matter across racial/ethnic adolescent groups. This study aims fill this gap by analyzing data from the 2022 Florida Youth Substance Abuse Survey (FYSAS). Utilizing logistic regression models, we investigate influence Results reveal a significant link between these indicating higher ACE scores correlate increased risk of attempts. Racial/ethnic variations in effects on suicidality observed among non-Hispanic Black Hispanic/Latinx youth. We also find despite generally experiencing fewer ACEs, Asian American youth were nearly 30% more likely than White

Язык: Английский

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Intention to utilize mental health and suicide prevention resources in a community sample during the first year of the COVID-19 pandemic

BMC Psychiatry, Год журнала: 2025, Номер 25(1)

Опубликована: Янв. 29, 2025

Abstract Objective Given the stressors experienced during COVID-19 pandemic, it is critical to identify populations with elevated mental health needs this crisis. This study investigated demographic correlates of reported intention utilize (MH) and suicide prevention (SP) resources in a community sample pandemic. Methods A 1,978 adults United States completed an anonymous online survey between June 2020 February 2021. Results Intent MH was associated younger age, single marital status, female gender, Hispanic vs. White race/ethnicity. SP greater among Black Lower education utilizers bivariate analysis. Indirect effects Suicide Crisis Syndrome (SCS) symptoms were found on association status utilization Utilization. Conclusions Specific demonstrate interest care These help-seeking patterns can be explained part by level SCS symptoms, suggesting levels distress driving expressed service referrals.

Язык: Английский

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The Moderating Role of Race/Ethnicity in Suicide Risk and Family Connectedness in Youth Presenting to the Emergency Department

JAACAP Open, Год журнала: 2025, Номер unknown

Опубликована: Янв. 1, 2025

Язык: Английский

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