What Works for Adolescent Black Males at Risk of Suicide

Joe, Sean; Scott, Marquisha Lawrence; Banks, Andrae

doi:10.1177/1049731517702745

Cited by 40 publications

(37 citation statements)

References 23 publications

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“…They, however, mentioned that crossover effects for multisystemic therapy for reducing the risk for suicide ideation and attempts in Black males might exist. Their review paper suggested that attachment-based family therapy is salient for use as a clinical practice component for Black children and youth treated for STBs [ 82 ].…”

Section: Discussionmentioning

confidence: 99%

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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Section: Discussionmentioning

confidence: 99%

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

Assari

Boyce

Bazargan

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…They, however, mentioned that crossover effects for multisystemic therapy for reducing the risk for suicide ideation and attempts in NHB males might exist. That paper suggested that attachment-based family therapy is an important element of NHB males’ suicide prevention [ 45 ].…”

Section: Discussionmentioning

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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“…Compared with White Americans, African Americans report more reasons for choosing not to kill themselves, and score higher on measures of survival and coping beliefs, and measures of moral objection to suicide (Morrison & Downey, 2000). In addition, some still hold conventional, yet refuted, beliefs that suicide is rare among African Americans (Joe et al, 2018). Third, racial differences have been noted among caregivers of individuals with physical health issues and mental illnesses (Janevic & Connell, 2001;Steuve et al, 1997).…”

Section: Study Data Analysis Was Informed By Grounded Theory Methodomentioning

confidence: 99%

Coping in the Aftermath of Youth's Suicidal Behaviors: A Comparison of Black Mothers and White Mothers

Doyle¹,

Weller

Goldston

et al. 2020

Family Relations

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ObjectiveTo better understand Black mothers' and White mothers' qualitative reactions to their adolescents' hospitalizations due to suicide attempts.BackgroundCaregivers of youth with suicidal behaviors play a vital role in youth's subsequent treatment and recovery. Yet little attention has been paid to how they are affected by youth's psychiatric hospitalizations or how their reactions may be influenced by race.MethodTwenty Black mothers (Mage = 42.50; SD = 8.48) and 20 White mothers (Mage = 44.85; SD = 6.86) were randomly selected from data originally collected for a larger longitudinal, mixed method, multisite study. Data analysis was informed by grounded theory methodology.ResultsFour themes emerged from the data: mothers' emotional distress; mothers' coping, needs, and supports; mothers' perceived need for increased monitoring; and improved mother–child relationships.ConclusionsBlack mothers and White mothers largely had similar reactions to youth's hospitalizations; however, nuanced differences also were noted regarding how they described their experiences and what they emphasized.ImplicationsDuring discharge planning, mothers need additional support (beyond referrals) in their roles as caregivers and for their own coping. Additional clinical and research implications are discussed.

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What Works for Adolescent Black Males at Risk of Suicide

Cited by 40 publications

References 23 publications

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

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

Coping in the Aftermath of Youth's Suicidal Behaviors: A Comparison of Black Mothers and White Mothers

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