“…First, there are sociocultural differences in the expression of depression and/or suicidal intent; that is, black youths are more likely to be verbally abusive, to report somatic symptoms, to express sullen or hostile affect, to fail or act out in school, and to have very conflictual relationships with peers (Grier & Cobbs, 1968; Hendin, 1969; Smith & Carter, 1986). Second, persistent risk taking, involvement in sexual promiscuity, substance abuse, and delinquency in black youths are behaviors that may signal feelings of alienation, hopelessness, and despair, often resulting in self‐destructive activities or violent confrontations with the police (Gibbs, 1982). Third, the accumulation of life stress indicators should be noted, including such factors as loss of a parent by death or divorce; poverty; frequent mobility; chronic health problems; child abuse; parental unemployment; and parental history of psychiatric disorder, substance abuse, or criminal behavior.…”