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Cited by 53Suicide and Self-Harm StudiesLGBTQ Health, Identity, and PolicyHomicide, Infanticide, and Child Abuse

One Size Does Not Fit All: Making Suicide Prevention and Interventions Equitable for Our Increasingly Diverse Communities

Open access
Meza, Jocelyn I., Bath, Eraka·2021·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1016/j.jaac.2020.09.019
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Abstract

According to the National Center for Health Statistics, the age-adjusted suicide rate in the United States has increased by 33% from 1999 to 2017, and the largest increases are among female individuals aged 10 to 14 years (240% increase) and 15 to 24 years (93% increase).1 Currently, suicide is the second leading cause of death for youths aged 10 to 24 nationally. Decades of studies have noted that the most consistent predictors of death by suicide are previous self-injurious thoughts and behaviors (SITBs), which are disproportionately elevated among Black and Latinx youths. In response, robust efforts have been mobilized to reduce youth suicide, including National Institute of Mental Health (NIMH) funding for several Zero Suicide Studies, with the aims of reducing suicide for individuals receiving treatment within health care systems. More recently, in 2019, the NIMH generated a report for Identifying Research Priorities in Child Suicide Risk. Despite these collective efforts, limited progress has been made on the development of culturally adapted treatments for suicide, a missing opportunity given the statistics of disproportionate rates of suicide attempts and high lethality attempts among Black and Latinx youths.

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  • BIPOC young people may be more likely to visit an emergency department owing to many obstacles to receiving care in other clinical settings, including exposures to structural racism and social determinants of health.

    “black, indigenous, or persons of color (BIPOC) young people may be more likely to visit an emergency department owing to many obstacles to receiving care in other clinical settings, including exposures to structural racism and social determinants of health.”

    From Suicide in young people: screening, risk assessment, and intervention (2023) · cites this paper as [85]

    Section 4 (p. 3) says Black and Latinx youth face more structural barriers when seeking and engaging in treatment, including poor access to care. Section 2 (p. 2) identifies systemic racism and discrimination as factors affecting minoritized youth. The paper does not say these barriers make BIPOC youth more likely to visit an emergency department. (LLM, conf=0.84)

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  • Latina girls have reported the highest rates of suicidal ideation and attempts for decades in the national Youth Risk Behavior Survey.

    “Latina girls have reported the highest rates of suicidal ideation and attempts for decades in the national Youth Risk Behavior Survey”

    From Structural Racism and Suicide Prevention for Ethnoracially Minoritized Youth: A Conceptual Framework and Illustration Across Systems (2022) · cites this paper as [20]

  • In the last two Youth Risk Behavior Surveys, Black girls reported the highest rates of suicide attempts.

    “while in the last two surveys the highest rates of attempts have been reported by Black girls (18–20)”

    From Structural Racism and Suicide Prevention for Ethnoracially Minoritized Youth: A Conceptual Framework and Illustration Across Systems (2022) · cites this paper as [20]

  • Need-based, community-driven, strength-oriented gatekeeper models, including church and faith-based ones, exemplify how current suicide prevention strategies can be adapted culturally and contextually.

    “Gatekeeper models that are need-based, community-driven, and strength-oriented such as those involving the church and other faith-based communities offer an example of how existing suicide prevention strategies can be culturally and contextually adapted (20, 130).”

    From Structural Racism and Suicide Prevention for Ethnoracially Minoritized Youth: A Conceptual Framework and Illustration Across Systems (2022) · cites this paper as [20]

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Authors
Meza, J. I., & Bath, E.
Affiliations
University of California, Los Angeles (US)
Corresponding author
Meza, Jocelyn I.
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2021-02
Volume
60
Issue
2
Pages
209-212
ISSN
0890-8567 (ISSN-L)
DOI
10.1016/j.jaac.2020.09.019
OpenAlex
W3092815123
Cited by
53
References
12
Citations by year
2026: 8 · 2025: 10 · 2024: 19 · 2023: 7 · 2022: 5 · 2021: 4
Type
journal article
Language
en
Update notices
erratum (2021-06-01)
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • National Institute of Mental Health
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
youth suicide, suicide prevention, cultural equity, Black youth, Latinx youth, self-injurious thoughts and behaviors, suicide risk, suicide attempts, suicide lethality, adolescent mental health
MeSH terms
Adolescent, Adult, Black or African American, Child, Female, Humans, National Institute of Mental Health (U.S.), Suicide, Attempted, United States, Violence, Self-Injurious Behavior, Young Adult

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