Factors precipitating suicide attempts vary across race

Rosario-Williams, Beverlin; Rowe-Harriott, Sashana; Ray, Marielle; Jeglic, Elizabeth L.; Miranda, Regina

doi:10.1080/07448481.2020.1757680

Cited by 14 publications

(13 citation statements)

References 36 publications

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“…From 1980 to 1995, suicide among African American youth increased more than 233% in ages 10 to 14 years and by 126% in ages 15 to 19 years, while suicide among Latinx teenagers increased by 145% (Sharma & Pumariega, 2018). A recent study found that Hispanic, Asian, and biracial young adults are more likely to report interpersonal precipitants of suicide attempts than Black young adults (Rosario-Williams et al, 2020).…”

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confidence: 99%

Systematic Review of Arts-Based Interventions to Address Suicide Prevention and Survivorship in Australia, Canada, the United Kingdom, and the United States of America

Sonke

Sams

Morgan-Daniel

et al. 2021

Health Promotion Practice

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Study Objective. Suicide is a serious health problem that is shaped by a variety of social and mental health factors. A growing body of research connects the arts to positive health outcomes; however, no previous systematic reviews have examined the use of the arts in suicide prevention and survivorship. This review examined how the arts have been used to address suicide prevention and survivorship in nonclinical settings in Australia, Canada, the United Kingdom, and the United States of America. Design and Setting. Ten bibliographic databases, five research repositories, and reference sections of articles were searched to identify published studies. Articles presenting outcomes of interventions conducted between 2014 and 2019 and written in English, were included. Primary Results. Nine studies met inclusion criteria, including qualitative, quantitative randomized controlled trials, quantitative nonrandomized, quantitative descriptive, and mixed-methods studies. The programs studied used film and television (n = 3), mixed-arts (n = 3), theatre (n = 2), and quilting (n = 1). All nine interventions used the arts to elicit emotional involvement, while seven also used the arts to encourage engagement with themes of health. Study outcomes included increased self-efficacy, awareness of mental health issues, and likelihood for taking action to prevent suicide, as well as decreases in suicidal risk and self-harming behaviors. Conclusions. Factors that influence suicide risk and survivorship may be effectively addressed through arts-based interventions. While the current evidence is promising with regard to the potential for arts programs to positively affect suicide prevention and survivorship, this evidence needs to be supplemented to inform recommendations for evidence-based arts interventions.

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confidence: 99%

Systematic Review of Arts-Based Interventions to Address Suicide Prevention and Survivorship in Australia, Canada, the United Kingdom, and the United States of America

Sonke

Sams

Morgan-Daniel

et al. 2021

Health Promotion Practice

View full text Add to dashboard Cite

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“…Research has shown that STBs may correlate differently to risk factors such as stress in White and Black children, youth, and adults [ 43 , 44 ]. In a study of 229 18–33-year-old young adults, racial groups reported what had precipitated their STBs [ 45 ]. Although, overall, suicidal ideation was most frequently precipitated by an intrapersonal factor, followed by an interpersonal factor, Whites reported less interpersonal precipitation before their STBs than Hispanic, Asian, and biracial young adults [ 45 ].…”

Section: Introductionmentioning

confidence: 99%

“…In a study of 229 18–33-year-old young adults, racial groups reported what had precipitated their STBs [ 45 ]. Although, overall, suicidal ideation was most frequently precipitated by an intrapersonal factor, followed by an interpersonal factor, Whites reported less interpersonal precipitation before their STBs than Hispanic, Asian, and biracial young adults [ 45 ]. A growing literature shows that stress may have a differential association for Black and White individuals’ mental health.…”

Section: Introductionmentioning

confidence: 99%

“…Such results may inform policies, practices, and interventions that can target racial subgroups and focus on those most vulnerable to STBs. The information on racial differences in correlates of STBs may help tailor suicide prevention programs for diverse populations for Black children and their families [ 45 ]. Still, we know little about how race may interact with family conflict as an STB risk factor [ 58 ].…”

Section: Introductionmentioning

confidence: 99%

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Race, Family Conflict and Suicidal Thoughts and Behaviors among 9–10-Year-Old American Children

Assari

Boyce

Bazargan

et al. 2021

IJERPH

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Family conflict is known to operate as a major risk factor for children’s suicidal thoughts and behaviors (STBs). However, it is unknown whether this effect is similar or different in Black and White children. Objectives: We compared Black and White children for the association between family conflict and STBs in a national sample of 9–10-year-old American children. Methods: This cross-sectional study used data from the Adolescent Brain Cognitive Development (ABCD) study. This study included 9918 White or Black children between the ages of 9 and 10 living in married households. The predictor variable was family conflict. Race was the moderator. The outcome variable was STBs, treated as a count variable, reflecting positive STB items that were endorsed. Covariates included ethnicity, sex, age, immigration status, family structure, parental education, and parental employment, and household income. Poisson regression was used for data analysis. Results: Of all participants, 7751 were Whites, and 2167 were Blacks. In the pooled sample and in the absence of interaction terms, high family conflict was associated with higher STBs. A statistically significant association was found between Black race and family conflict, suggesting that the association between family conflict and STBs is stronger in Black than White children. Conclusion: The association between family conflict and STBs is stronger in Black than White children. Black children with family conflict may be at a higher risk of STBs than White children with the same family conflict level. These findings align with the literature on the more significant salience of social relations as determinants of mental health of Black than White people. Reducing family conflict should be regarded a significant element of suicide prevention for Black children in the US.

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“…This study questions the assumed NHB advantage in suicidality (lower than NHWs) among college students [ 19 ]. In another study of 229 18–33-year-old young adults, racial groups differed in the factors that precipitated their suicidality [ 20 ]. While other racial and ethnic groups such as Hispanic and Asian young adults were more likely than NHWs to report interpersonal stressors as a precipitating factor of their suicidality, NHB young adults were less likely than NHWs to report suicidality due to interpersonal stress [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Race by Sex Intersectionality Research on Suicidality in the Adolescent Brain Cognitive Development (ABCD) Study

2021

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Intersectional research on childhood suicidality requires studies with a reliable and valid measure of suicidality, as well as a large sample size that shows some variability of suicidality across sex by race intersectional groups. Objectives: We aimed to investigate the feasibility of intersectionality research on childhood suicidality in the Adolescent Brain Cognitive Development (ABCD) study. We specifically explored the reliability and validity of the measure, sample size, and variability of suicidality across sex by race intersectional groups. Methods: We used cross-sectional data (wave 1) from the ABCD study, which sampled 9013 non-Hispanic white (NHW) or non-Hispanic black (NHB) children between the ages of 9 and 10 between years 2016 and 2018. Four intersectional groups were built based on race and sex: NHW males (n = 3554), NHW females (n = 3158), NHB males (n = 1164), and NHB females (n = 1137). Outcome measure was the count of suicidality symptoms, reflecting all positive history and symptoms of suicidal ideas, plans, and attempts. To validate our measure, we tested the correlation between our suicidality measure and depression and Child Behavior Checklist (CBCL) sub-scores. Cronbach alpha was calculated for reliability across each intersectional group. We also compared groups for suicidality. Results: We observed some suicidality history in observed 3.2% (n = 101) of NHW females, 4.9% (n = 175) of NHW males, 5.4% (n = 61) of NHB females, and 5.8% (n = 68) of NHB males. Our measure’s reliability was acceptable in all race by sex groups (Cronbach alpha higher than .70+ in all intersectional groups). Our measure was valid in all intersectional groups, documented by a positive correlation with depression and CBCL sub-scores. We could successfully model suicidality across sex by race groups, using multivariable models. Conclusion: Given the high sample size, reliability, and validity of the suicidality measure, variability of suicidality, it is feasible to investigate correlates of suicidality across race by sex intersections in the ABCD study. We also found evidence of higher suicidality in NHB than NHW children in the ABCD study. The ABCD rich data in domains of social context, self-report, schools, parenting, psychopathology, personality, and brain imaging provides a unique opportunity to study intersectional differences in neural circuits associated with youth suicidality.

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Factors precipitating suicide attempts vary across race

Cited by 14 publications

References 36 publications

Systematic Review of Arts-Based Interventions to Address Suicide Prevention and Survivorship in Australia, Canada, the United Kingdom, and the United States of America

Systematic Review of Arts-Based Interventions to Address Suicide Prevention and Survivorship in Australia, Canada, the United Kingdom, and the United States of America

Race, Family Conflict and Suicidal Thoughts and Behaviors among 9–10-Year-Old American Children

Feasibility of Race by Sex Intersectionality Research on Suicidality in the Adolescent Brain Cognitive Development (ABCD) Study

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