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Addressing the “Myth” of Racial Trauma: Developmental and Ecological Considerations for Youth of Color
Open accessAbstract
Trauma is prevalent among children and adolescents, with youth of color generally reporting greater exposure compared to White youth. One factor that may account for this difference is racial stress, which can manifest into trauma symptoms. Although racial stress and trauma (RST) significantly impacts youth of color, most of the research to date has focused on adult populations. In addition, little attention has been given to the impact of the ecological context in how youth encounter and cope with RST. As such, we propose the Developmental and Ecological Model of Youth Racial Trauma (DEMYth-RT), a conceptual model of how racial stressors manifest to influence the trauma symptomatology of children and adolescents of color. Within developmental periods, we explore how individual, family, and community processes influence youth's symptoms and coping. We also discuss challenges to identifying racial trauma in young populations according to clinician limitations and the post-traumatic stress disorder framework within the diagnostic and statistical manual of mental disorders-fifth edition (DSM-5). The article concludes with implications on applying DEMYth-RT in clinical and research settings to address RST for youth of color.
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“BIPOC individuals rarely identify with one single occurrence of racial trauma. Instead, they generally find themselves within two main categories of traumatic experiences based on their skin color: major racial trauma and everyday racial trauma”
From Complex Racial Trauma: Evidence, Theory, Assessment, and Treatment (2023) · cites this paper as Saleem et al., 2020
Experimental — accuracy not yet measuredIn the citing paper
“Recent studies also explicate the impact of race-based stress and trauma (i.e., traumatic stress reactions elicited by racial discrimination) on biopsychosocial outcomes among youth of color (39–41).”
From Structural Racism and Suicide Prevention for Ethnoracially Minoritized Youth: A Conceptual Framework and Illustration Across Systems (2022) · cites this paper as [39]
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BackgroundProsocial behaviour between siblings exposed to intimate partner violence
Piotrowski, C. C., Wiebe, R., & Cameranesi, M. (2022) · Social Development · doi:10.1111/sode.12589 · Cited by 7
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“At this time, there is a dearth of resources to meet this need for a flexible treatment approach (Saleem et al., 2020).”
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“…to be given greater consideration as a potential source of trauma (Jouriles et al., 2024; Kirkinis et al., 2021; Loyd et al., 2019; Mendez et al., 2022; Williams et al., 2018), whereas others have proposed a new construct: race-based traumatic stress (e.g., Bryant-Davis, 2007; Saleem et al., 2020).”
Alto, M. E., Warmingham, J. M., Handley, E. D., Manly, J. T., Cicchetti, D., & Toth, S. L. (2022) · Child Maltreatment · doi:10.1177/10775595211050303 · Cited by 4
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Jackson‐Lowman, H., Chioneso, N. A., Utsey, S. O., & Williams, S. C. (2023) · Journal of Black Psychology · doi:10.1177/00957984231169598 · Cited by 4
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BackgroundInfluentialMindfulness and compassion in response to racism
Munjee, R. M., & MacPherson, S. (2023) · Diaspora Indigenous and Minority Education · doi:10.1080/15595692.2023.2254873 · Cited by 4
“These impacts range from increasing allostatic stress loads to internalizing oppression to amassing as cumulative (mental and physical) traumas associated with PTSD (Saleem et al., 2020; Williams et al., 2021).”
InfluentialAbbas, S., Abbas, H. S. M., & Zhang, Y. (2024) · European Journal of Trauma & Dissociation · doi:10.1016/j.ejtd.2024.100397 · Cited by 4
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Racial Discrimination and Trauma Symptoms Among Black Adolescent-Caregiver Dyads
Bernard, D. L., & Pollock, M. L. (2024) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2024.2426119 · Cited by 4
“…discrimination during adolescence and adulthood, scholars have increasingly approached investigations of racial discrimination from a traumatic stress perspective to acknowledge its cumulative and enduring effects on the health of Black adolescents and adults (Cénat, 2023; Saleem et al., 2019).”
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“This secondary trauma can also produce trauma symptoms and affect psychological adjustment (Saleem et al., 2020).”
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Yoder, J. R., Quinn, C. R., Bosetti, R. L., & Martinez, C. (2022) · Race and Social Problems · doi:10.1007/s12552-022-09380-5 · Cited by 4
“…outcomes among minoritized groups (Assari et al., 2017; Lewis et al., 2018), the integration of cultural or racial constructs in theoretical models and research studies is significantly lacking (Bernard et al., 2021), specifically within research studies on youth of color (Saleem et al., 2020).”
BackgroundExamining the Role of Peer and Family Belongingness in the Mental Health of Black LGBTQ + Youth
Watts, K. J., Wagaman, M. A., Eaton, A. D., Leung, V. W. Y., & Craig, S. L. (2023) · Child & Youth Services · doi:10.1080/0145935x.2023.2261364 · Cited by 5
“Racial discrimination increases susceptibility to anxiety and depression, which may result in poorer physical health outcomes (Anderson et al., 2020), and anti-Black racism is a common form of trauma that Black youth experience and are exposed to Saleem et al., (2020; Williams, 2018).”
Therapeutic Use of Racial Socialization for Families of Color and Clinicians
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“…the risk of additional burden from social inequalities and discrimination and proposing models of healing from ethno-racial trauma (Bernard et al., 2021; Chavez-Dueñas et al., 2019), the conventional TIC-framework is lacking behind in incorporating these perspectives (Saleem et al., 2020).”
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Kahhalé, I., Beauvoir, K. F., Das, A., McPhee, J., Galán, C. A., & Park, A. L. (2024) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2024.03.022 · Cited by 3
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Miola, R. E., Morgan, M., Green, M. N., & Ross, R. N. (2025) · Community Mental Health Journal · doi:10.1007/s10597-025-01450-3 · Cited by 3
“Finally, the concepts “racial trauma” or “race-based traumatic stress” have been increasingly considered medically unacknowledged forms of trauma which may contribute to the underdiagnosis of PTSD in Black Americans (Carter et al., 2020; Saleem et al., 2020).”
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“And further, may be under-reported due to circumscribed DSM criteria, and professionals ’ discomfort, bias, or lack of awareness of racial trauma and its impact (Saleem et al., 2020).”
Mitchum, S. (2025) · Social Problems · doi:10.1093/socpro/spaf049 · Cited by 2
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“In contrast, racial trauma stems from the cumulative impact of repeated exposures to racism across interpersonal, institutional, and systemic contexts (Cénat, 2023; Comas-Díaz et al., 2019; Saleem et al., 2020; Williams et al., 2018).”
Future Directions in Racial Trauma Research Among Ethnoracially Minoritized Youth
Bernard, D. L., & Galán, C. A. (2026) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2026.2640956 · Cited by 2
“…be tempting to adapt adult measures of RBTSS for younger populations, this approach is fundamentally flawed as both theoretical and empirical research indicate that youth may experience and respond to racial trauma in developmentally distinct ways (Galán, Willis, et al., 2025; Saleem et al., 2020).”
InfluentialThe Impact of Racism on Violence Exposure Among Black Children in the United States
Bernard, D. L., Willis, H. A., & Sosoo, E. E. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197649510.003.0006 · Cited by 2
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“…by individuals or communities as a result of racism, discrimination, and systemic oppression based on race or ethnicity (Hidalgo & McElroy, 2021; Saleem et al., 2020), experienced by URiM medical students and residents underscores the urgent need to address health outcome disparities for…”
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Self-citationFostering Ubuntu in Black Adolescents: Group Counseling as a Pathway to Advocacy
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“Unlike their white counter-parts, African American youth contend with the ongoing effects of racism and racial trauma, which impact every area of their functioning (Comas-Díaz et al., 2019; Saleem et al., 2020).”
InfluentialFang, L., Yeung, S., Chan, K., Al‐Raes, M., Yang, Y., Nuesca, E., & Choi, A. (2025) · Journal of Community & Applied Social Psychology · doi:10.1002/casp.70121 · Cited by 2
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“Stress associated with race, known as racial stress and trauma, is understood to be a significant contributor to this statistic (Saleem et al., 2020).”
BackgroundHistorical and Racial Trauma: Adverse Childhood Experiences (ACEs) and Black Americans
Briggs, E. C., Brownlow, B. N., Hargrove, S., Dinizulu, S. M., Tunno, A. M., & Woods-Jaeger, B. A. (2023) · Issues in clinical child psychology · doi:10.1007/978-3-031-32597-7_11 · Cited by 5
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Diondre Also Has Bad Days: Cannabis Use and the Criminalization of Black Youth
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“Saleem et al. (2020) explained that racial trauma can significantly contribute to high rates of trauma among Black youth.”
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“For example, an adolescent who experiences pervasive micro-aggressions may benefit from trauma-informed mental health care, even though they might not meet DSM-5-TR criteria for a trauma-related disorder (Saleem et al., 2020; Williams et al., 2018).”
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“Saleem et al. (2020) detailed a comprehensive overview of the impact of racial stress and trauma on children and adolescents across the pediatric lifespan.”
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“Racism is a system of privilege and hierarchy based on skin color (i.e. race; Delgado and Stefancic, 2017) and is one of the most pernicious factors impacting the healthy development of U.S. children (Saleem et al., 2020; Trent et al., 2019).”
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“…development is deeply connected to their racial/ethnic background and how others perceive their racial/ethnic identities (Chen et al., 2021; Saleem et al., 2020), they may be especially vulnerable to the costs of racial discrimination, which have intensified and become more frequent during…”
Brown, L. L., Wilkins, M. L., Pichon, L. C., Stewart, J. L., McLean, R. K. D., Sales, J. M., Audet, C. M., Hill, S. V., & Pettit, A. C. (2025) · Journal of the International Association of Providers of AIDS Care (JIAPAC) · doi:10.1177/23259582251382269 · Cited by 1
“47 Transferability, Replicability, and Limitations We have shared the tools we developed for this study so that future TIC champions could apply them, if helpful.”
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“To guide this inquiry, we drew on the connection between racialized experiences and broader ecological contexts, such as family, community, and society, to examine how these systemic levels may in fl uence racial dialogues at home (Kelley et al., 2022; Saleem et al., 2020).”
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“…in response to racial trauma shift over the course of development, long-term mental health outcomes of school-based racial trauma (Douglass et al., 2016; Smith et al., 2020) are important to consider, given that, over-all, children of color report higher exposure to trauma (Saleem et al., 2020).”
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Davenport, M. (2021) · MOspace Institutional Repository (University of Missouri) · doi:10.32469/10355/88048
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Preventing Students' Incarceration and Supporting Students With Incarcerated Family Members
Huang, P.-Y. (2022) · Advances in psychology, mental health, and behavioral studies (APMHBS) book series · doi:10.4018/978-1-7998-9209-0.ch010
Trauma-Engaged and Culturally Responsive Schools
Burciaga, L. (2022) · Advances in psychology, mental health, and behavioral studies (APMHBS) book series · doi:10.4018/978-1-7998-9209-0.ch012
Kelley, A. N., Curtis, M. G., & Wieling, E. A. (2023) · Gezinstherapie Wereldwijd · doi:10.1007/s12440-023-00191-7
Francois, S., Wu, K., Doe, E., Tucker, A., & Theall, K. P. (2023) · Research in Human Development · doi:10.1080/15427609.2023.2171694 · Cited by 1
“With the formal operational thought, deductive reasoning, and problem-solving skills present during middle to late adolescence, youth of color may employ disassociation or compartmentalizing coping strategies to deal with racial discrimination (Saleem et al., 2020).”
BackgroundRobins, L. B., Cannedy, M., Kerrigan, R., & Suggs, B. G. (2021) · Journal of Human Services · doi:10.52678/001c.75387
Implicit bias: repression, denial, or what?
Siporin, S. (2023) · Psychodynamic Practice · doi:10.1080/14753634.2023.2234696
“Saleem, Anderson & Williams, in a study on trauma (Saleem, Anderson & Williams, 2019) report that ‘Trauma is prevalent among children and adolescents, with youth of colour generally reporting greater exposure compared to White youth apparently due to racial stress’.”
Burke, M. G., & Dye, L. (2023) · Advances in educational marketing, administration, and leadership book series · doi:10.4018/978-1-6684-7482-2.ch008
Edwards, T., Clarke, M. K., & Laylor, A. (2024) · doi:10.32920/25000172
Racial and ethnic discrimination
Riley, T. N., Rowan, J. N., Palmer, J. S., & Agyemang-Dua, E. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-96023-6.00111-1
Parenting in the Age of Intersectionality
Ecklund, K. (2024) · Advances in early childhood and K-12 education · doi:10.4018/979-8-3693-1451-7.ch003
Polk, W., Hill, N. E., & Hughes, D. L. (2024) · AERA Open · doi:10.1177/23328584241258464
Scheel, N. L., Castillo, J. M., Ferron, J. M., Kincaid, D. K., & von der Embse, N. P. (2024) · Contemporary School Psychology · doi:10.1007/s40688-024-00513-8
“, a strong correlate of historically disparate climate and safety outcomes of students of color (Edwards, 2021; Saleem et al., 2020).”
Tufty, L. M., Kang, S., Ialongo, N. S., & Meinzer, M. C. (2024) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-024-01244-3
“…exposure may be especially salient/unique for racial/ ethnic minorities where discrimination and marginalization could contribute to increased exposure to traumatic events/ potentially traumatic events as well as differing post-trauma symptomatology (Bernard et al., 2021; Saleem et al., 2020).”
Alvarez, A. J. (2024) · Qualitative Inquiry · doi:10.1177/10778004241288589
“For example, structural racism embodies a set of White-dominant, legalistic, cultural, and historical norms and values that intentionally disadvantage and wound people of color (Jones et al., 2023; Saleem et al., 2020).”
Prevention with Children and Youth
Hage, S. M. (2024) · Cambridge University Press eBooks · doi:10.1017/9781009244503.005 · Cited by 1
Vera, E. M., Furtado, C., & Yanuaria, C. (2024) · Cambridge University Press eBooks · doi:10.1017/9781009244503.008
Ortiz, S., & Proulx, J. A. (2025) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-025-02298-9
Racial trauma and substance use behaviors in Black Americans
Fischer, S. M., Comoglio, G., Whitaker, T., & Sanders, S. M. (2025) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2025.2572334
Pollock, M. L., Brooks, J. R., & Bernard, D. L. (2025) · Journal of Research on Adolescence · doi:10.1111/jora.70086
African Americans and Extended HT Concepts
Maercker, A. (2025) · Cambridge University Press eBooks · doi:10.1017/9781009629744.006
Maercker, A. (2025) · Cambridge University Press eBooks · doi:10.1017/9781009629744.003
Birnkammer, S., Eicher, S., & Calvano, C. (2025) · BMC Digital Health · doi:10.1186/s44247-025-00181-5
“…need for a discrimination-sensitive approach among younger participants with higher mental distress can be understood in the context of identity formation and life transitions typical of this stage, reflecting their desire for support during critical phases of personal and social development [88].”
Cognitive Behavior Therapy with Diverse Youth
Park, A. L., Velez, C. V., & Kim, R. E. (2026) · Neuromethods · doi:10.1007/978-1-0716-5134-6_14
Decolonizing Trauma-Informed Care: Pathways to Healing Racial Trauma
BlackDeer, A. A., & Benedict, M. (2026) · Families in Society The Journal of Contemporary Social Services · doi:10.1177/10443894251398705
Assessing Children and Adolescents Exposed to Trauma
McMickens, C. L., French, A., Hardeman, J., & Durham, M. P. (2026) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2025.11.002
Teacher Coaching to Support Trauma-Informed Classroom Management
Santiago, R. T., Garbacz, S. A., Chafouleas, S. M., & Reinke, W. M. (2026) · Journal of Educational and Psychological Consultation · doi:10.1080/10474412.2026.2626911
“For example, youth of color experience racialized trauma (Saleem et al., 2020), and youth exposed to substance use are more likely to experience trauma than their peers (National Child Traumatic Stress Network, 2018).”
Willis, H. A., Polanco-Roman, L. A., & Galán, C. A. (2026) · Current Psychology · doi:10.1007/s12144-026-09068-8 · Cited by 1
“Second, the developmental and ecological model of youth racial trauma (DEMYth-RT) highlights how chronic exposure and re-exposure to racial discrimination over time leads to the emergence of traumatic stress symptoms (Saleem et al., 2020).”
InfluentialMcKenny, M., Ramclam, A. N., & Rando, A. A. (2026) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2026.04.004
Metadata
- Authors
- Saleem, F. T., Anderson, R. E., & Williams, M.
- Affiliations
- University of California, Los Angeles (US)
- University of Michigan (US)
- University of Ottawa (CA)
- Corresponding author
- Saleem, Farzana T.
- Venue
- Clinical Child and Family Psychology Review
- Published
- 2019-10-23
- Volume
- 23
- Issue
- 1
- Pages
- 1-14
- ISSN
- 1096-4037 (ISSN-L)
- 1573-2827
- PMC
- PMC8845073
- OpenAlex
- W2982208430
- Cited by
- 210
- References
- 157
- Citations by year
- 2026: 19 · 2025: 32 · 2024: 34 · 2023: 46 · 2022: 46 · 2021: 25 · 2020: 6 · 2019: 2
- FWCI
- 4.98
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Child and Family Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (P30AG015281)
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
- Keywords
- racial trauma, racial stress, youth of color, children and adolescents, trauma symptoms, coping, family and community context, post-traumatic stress disorder, DSM-5 diagnostic criteria, conceptual model
- MeSH terms
- Psychological Trauma, Adaptation, Psychological, Adolescent, Child, Humans, Models, Psychological, Stress, Psychological, Racism
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