Culturally responsive assessment of suicidal thoughts and behaviors in youth of color
Open accessAbstract
The significance of youth suicide as a public health concern is underscored by the fact that it is the second-leading cause of death for youth globally. While suicide rates for White groups have declined, there has been a precipitous rise in suicide deaths and suicide-related phenomena in Black youth; rates remain high among Native American/Indigenous youth. Despite these alarming trends, there are very few culturally tailored suicide risk assessment measures or procedures for youth from communities of color. This article attempts to address this gap in the literature by examining the cultural relevancy of currently widely used suicide risk assessment instruments, research on suicide risk factors, and approaches to risk assessment for youth from communities of color. It also notes that researchers and clinicians should consider other, nontraditional but important factors in suicide risk assessment, including stigma, acculturation, and racial socialization, as well as environmental factors like health care infrastructure and exposure to racism and community violence. The article concludes with recommendations for factors that should be considered in suicide risk assessment for youth from communities of color. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Contextual factors have potentially differential implications for diagnosis and treatment in youth of color and minoritized youth who may experience poorer or delayed access to care.
“These contextual factors have potentially differential implications for diagnosis and treatment in youth of color and minoritized youth who may experience poorer or delayed access to care.47,51”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [51]
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- Authors
- Molock, S. D., Boyd, R. C., Alvarez, K., Cha, C., Denton, E.-G., Glenn, C. R., Katz, C. C., Mueller, A. S., Meca, A., Meza, J. I., Miranda, R., Ortin-Peralta, A., Polanco-Roman, L., Singer, J. B., Zullo, L., & Miller, A. B.
- Affiliations
- George Washington University (US)
- Children's Hospital of Philadelphia (US)
- Columbia University (US)
- College of Staten Island (US)
- Old Dominion University (US)
- City University of New York (US)
- Indiana University Bloomington (US)
- The University of Texas at San Antonio (US)
- University of California, Los Angeles (US)
- The New School (US)
- Loyola University Chicago (US)
- RTI International (US)
- ORCID
- Venue
- American Psychologist
- Published
- 2023-10
- Volume
- 78
- Issue
- 7
- Pages
- 842-855
- ISSN
- 0003-066X (ISSN-L)
- 1935-990X
- PMC
- PMC10497725
- OpenAlex
- W4324021062
- Cited by
- 58
- References
- 71
- Citations by year
- 2026: 22 · 2025: 15 · 2024: 14 · 2023: 7
- FWCI
- 16.91
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- American Psychologist (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- National Institute of Mental Health (SC1MH091873, R01MH112147-04S1, K23MH112841, P50MH127511, K01MH116325)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Keywords
- youth suicide, suicidal ideation, suicide risk assessment, culturally responsive assessment, youth of color, Black youth, suicide risk factors, stigma, acculturation, racial socialization, racism, community violence, health infrastructure
- MeSH terms
- Health Disparate Minority and Vulnerable Populations, Adolescent, Black or African American, Humans, Indians, North American, Suicide, Violence, Risk Assessment, Racial Groups, Cultural Competency, Suicidal Ideation, Racism, Social Determinants of Health
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