Associations between Perceived Discrimination and Suicidal Ideation and Behavior in Youth

2021 ◽  
Author(s):  
Arielle T. Pearlman ◽  
Mikela Murphy ◽  
Nia Johnson ◽  
David A Klein ◽  
Joshua Gray ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Suicidal Ideation ◽  
Perceived Discrimination ◽  
Structured Interview ◽  
Cumulative Impact ◽  
Childhood Experiences ◽  
Race Ethnicity ◽  
And Behaviors ◽  
One Year ◽  
And Behavior

Objective: Among adults, discrimination is associated with adverse mental health sequelae, including suicidal ideation and behaviors. However, these associations have not been assessed among youth, who may be vulnerable to experiences of discrimination based upon multiple attributes. Method: The current study, therefore, assessed perceived discrimination based on: 1) race/ethnicity/color; 2) nationality; 3) weight; and 4) sexual orientation among a sample of 10-11 year old youths and associations with both suicidal ideation and behaviors, as assessed by a computerized semi-structured interview. Results: Participants were 11,015 youths (Mage: 10.92 ± .64y, 47.8% female, 53.4% White, 14.1% Black, 9.1% multi-racial, 2.1% Asian, and 19.8% Hispanic) participating in the one-year in-person visit of the ABCD Study. Experiences of discrimination were reported by 1.6 ‒ 6.0% of the sample. Suicidal ideation and behavior were reported by 8.1% and 1.5% of participants, respectively. Adjusting for covariates, including the presence of any lifetime depressive disorder, all forms of discrimination were associated with suicidal ideation (ORs: 2.1 ‒ 5.0; ps < .001), and discrimination based on weight (OR: 4.0), race/ethnicity/color (OR: 2.8), and sexual orientation (OR: 7.1) were associated with suicidal behavior (ps < .001). The odds of both suicidal ideation and behavior increased with each additional type of discrimination reported. Conclusions: Findings indicate that beginning in childhood, experiences of reported discrimination may be linked to suicidality. Further, multiple forms of discrimination may have a cumulative impact on youths with intersecting marginalized identities. Reported discrimination and victimization should be routinely assessed among youth in clinical settings.

Race, Ethnicity, and Sexual Orientation: Still a Void in Sport and Exercise Psychology?

2004 ◽  
Vol 26 (2) ◽  
pp. 250-268 ◽  
Author(s):  
Nilam Ram ◽  
Joanna Starek ◽  
Jay Johnson
Keyword(s):  
Sexual Orientation ◽  
Race And Ethnicity ◽  
Human Cognition ◽  
Exercise Psychology ◽  
Marginalized Groups ◽  
Race Ethnicity ◽  
Psychology Literature ◽  
Sport And Exercise ◽  
And Behavior ◽  
The Impact

The impact of race, ethnicity, and sexual orientation on human cognition, affect, and behavior has been well documented in the psychology, sociology, and counseling literature. Sport and exercise psychology, however, has minimized the importance of these variables (Duda & Allison, 1990). The purpose of the current study was to determine how race, ethnicity, and sexual orientation have been addressed in the recent sport and exercise psychology literature. Duda and Allison’s previous research was replicated and extended by analyzing the content of 982 manuscripts published in JSEP, JASP, and TSP between 1987 and 2000. Overall, 19.86% of manuscripts included references to race/ethnicity and 1.22% included references to sexual orientation. Detailed results demonstrate that, despite an increase in the number of papers that include references to race and ethnicity, there has been no systematic attempt to include the experience of marginalized groups in the literature. Researchers and practitioners are encouraged to incorporate appropriate questions, reporting, and sensitivity with regard to race, ethnicity, and sexual orientation into their work.

Prevalence of suicidal ideation and desire for death in a group of female muslim students one year after exposure to suicide bomb attack in Pakistan

2011 ◽  
Vol 26 (S2) ◽  
pp. 1663-1663 ◽  
Author(s):  
R. Faruqui ◽  
A. Bashir ◽  
R. Taj ◽  
A. Khan ◽  
F. Yousaf ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Structured Interview ◽  
University Education ◽  
Full Time ◽  
Exposed Population ◽  
Study Population ◽  
Bomb Attack ◽  
Desire For Death ◽  
One Year ◽  
Study Participants

IntroductionPsychological distress and suicide are known to be associated with exposure to traumatic life events. No literature is available on prevalence of suicidal ideation in the aftermath of terrorist attacks in Pakistan.ObjectivesTo study suicidal ideation and desire for death in trauma exposed population in Pakistan.AimsTo estimate the prevalence of suicidal ideation and desire for death one year after exposure to extreme trauma in a well-defined and accessible group in Pakistan.MethodsSubjects were examined 1 year after exposure to a bomb blast in Islamabad, Pakistan. A semi-structured interview schedule and Beck Scale for Suicidal Ideation were used to assess a group of female University students. Assessment record of 50 consecutive study participants were evaluated to estimate point prevalence of suicidal ideation and desire for death in the study population.ResultsAll subjects were enroled in full time university education at the time of assessment. 17 subjects (34%) presented with weak desire for death whilst 5 subjects (10%) presented with moderate to severe desire for death. 15 Subjects (30%) presented with active suicidal ideation at the time of assessment. However, ony 3 subjects (6%) presented with moderate to severe suicidal ideation. The subjects presenting with suicidal ideation described family ties, religious beliefs, fear of irreversible injury as protective factors against their suicidal thoughts. Only 2 subjects (4%) had engaged in some degree of planning towards committing suicide.ConclusionsThis study provides the first structured estimate of prevalence of suicidal ideation in trauma exposed population of Pakistan.

Racial/Ethnic Inequities in Adverse Childhood Experiences and Selected Health-Related Behaviors and Problems Among Maryland Adolescents

2021 ◽  
pp. 152483992110082
Author(s):  
Renee M. Johnson ◽  
Ashley V. Hill ◽  
Vanya C. Jones ◽  
Terrinieka W. Powell ◽  
Lorraine T. Dean ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Adolescent Health ◽  
Emotional Distress ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Health Related Behaviors ◽  
Health Related ◽  
Race Ethnicity ◽  
Racial Ethnic

We examined racial/ethnic inequities in the prevalence of adverse childhood experiences (ACEs) and examined the association between ACEs and selected health-related behaviors and problems. Data for this cross-sectional study come from the 2018 Maryland Youth Risk Behavior Survey/Youth Tobacco Survey, a statewide survey of high school students (n = 40,188). ACEs included caregiver verbal abuse and household food insecurity, substance use or gambling, mental illness, and involvement with the criminal justice system. We estimated the prevalence of ACEs overall and by race/ethnicity, and then used multiple logistic regression to determine associations between ACEs and emotional/behavioral problems, adjusting for race/ethnicity. Outcome variables included emotional distress, poor school performance, suicidal ideation, fighting, alcohol use, and marijuana use. More than one fifth of students reported each individual ACE. Differences in the prevalence of ACEs by race/ethnicity were statistically significant (p < .001). More than one fourth (25.8%) reported one of the five ACEs, 15.1% reported two, and 15.4% reported three or more. For each ACE, reporting having experienced it (vs. not) was associated with a >30% higher prevalence for each of the outcome variables. Among students who reported three or more ACEs (relative to none), the odds of emotional distress and suicidal ideation were more than 8 times greater. Among Maryland adolescents, ACEs are common, are inequitably distributed by race/ethnicity, and are strongly linked to behavioral health. Findings suggest the need to monitor ACEs as a routine component of adolescent health surveillance and to refocus assessment and intervention toward “upstream” factors that shape adolescent health.

scholarly journals Self-Injurious Thoughts and Behaviors Interview-Korean Version: Psychometric Properties

2021 ◽  
Vol 18 (2) ◽  
pp. 157-165
Author(s):  
Seo Jeong Lee ◽  
Ye Jin Cho ◽  
Myoung Ho Hyun
Keyword(s):  
Suicidal Ideation ◽  
Assessment Tool ◽  
Reliability And Validity ◽  
Structured Interview ◽  
The Self ◽  
Self Report ◽  
Korean Version ◽  
And Behaviors ◽  
Suicidal Thoughts And Behaviors ◽  
Psychometric Validity

Objective There is currently no structured interview tool developed that comprehensively evaluates self-injurious thoughts and behaviors (SITB) in Korea. The Self-injurious Thoughts and Behaviors Interview (SITBI) collectively measures suicidal ideation, plans, gestures, attempts, and non-suicidal self-injuries (NSSI). The SITBI’s reliability and validity have been established with it being widely used in English speaking countries. This study evaluated the psychometric validity of the Korean version of the SITBI (SITBI-K).Methods The SITBI’s validity as a diagnostic assessment tool for NSSI and suicidal behavior disorder (SBD), as defined by the Diagnostic and Statistical Manual of Mental Disorders-5th edition, was examined. Analyses were performed on 108 university students reporting experiences of suicidal thoughts and behaviors (female 84.26%, mean age=22.10, ±SD 3.33).Results The SITBI-K displayed excellent interrater reliability, with a credible test-retest reliability at two months. Construct validity examined the correlation between the SITBI-K’s modules and approved the self-report results. Appropriate convergent and discriminant validities were obtained for suicidal ideation, plans, gestures, attempts, and NSSI.Conclusion The SITBI-K showed excellent psychometric validity at a level comparable to the original. Its clinical utility for both NSSI and SBD diagnoses was confirmed.

scholarly journals Evaluating the association of adverse childhood experiences, mood and anxiety disorders, and suicidal ideation among behavioral health patients at a large federally qualified health center

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254385
Author(s):  
April Joy Damian ◽  
May Oo ◽  
Daniel Bryant ◽  
Joseph J. Gallo
Keyword(s):  
Suicidal Ideation ◽  
Anxiety Disorders ◽  
Generation X ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Behavioral Healthcare ◽  
Mood And Anxiety Disorders ◽  
Adverse Childhood ◽  
Race Ethnicity ◽  
The Relationship

Although numerous studies have examined the relationship between adverse childhood experiences (ACEs) and suicide, research is needed that studies the effects of specific ACEs, including subclasses of ACEs, independent of the effect of other ACEs. We explored the relationship between ACEs and suicidal ideation (SI) with special attention to patterns according to generation cohort (millennials: 22–37 years old, generation X: 38–53 years old, and baby boomers: 54–72 years old), and assessed the extent to which mood and anxiety disorders account for the relationship between ACEs and suicidal ideation. Patients in behavioral healthcare services of a large federally qualified health center (n = 4,392) were assessed at baseline on ACEs, SI, and mood and anxiety disorders. Logistic regression modeling was used to examine the data. Emotional neglect was the strongest predictor of SI among Millennials (OR = 1.59), Generation X (OR = 1.81), and Baby Boomers (OR = 1.88) after controlling for mood and anxiety disorders, race/ethnicity, and gender. Findings suggest ACEs predict an increased likelihood of having SI over and above the influence of mood and anxiety disorders, in models adjusted for gender and race/ethnicity. Across generations, the association with suicidal ideation was strongest for any child abuse and neglect, but not for household dysfunction. The observed association of ACEs with suicidal ideation suggests that ACEs should be considered as a risk factor and incorporated into screening assessments for suicidal ideation. Lastly, additional research on the association of ACEs and suicidality in individuals not actively being managed in behavioral healthcare settings is also warranted.

scholarly journals Sexual Orientation Change Efforts, Adverse Childhood Experiences, and Suicide Ideation and Attempt Among Sexual Minority Adults, United States, 2016–2018

2020 ◽  
Vol 110 (7) ◽  
pp. 1024-1030 ◽  
Author(s):  
John R. Blosnich ◽  
Emmett R. Henderson ◽  
Robert W. S. Coulter ◽  
Jeremy T. Goldbach ◽  
Ilan H. Meyer
Keyword(s):  
United States ◽  
Sexual Orientation ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Sexual Minority ◽  
Adverse Childhood Experiences ◽  
Sexual Minorities ◽  
Childhood Experiences ◽  
Orientation Change ◽  
Adverse Childhood

Objectives. To examine how sexual orientation change efforts (SOCE) are associated with suicide morbidity after controlling for adverse childhood experiences (ACEs). Methods. Cross-sectional survey data are from the Generations survey, a nationally representative sample of 1518 nontransgender sexual minority adults recruited between March 28, 2016, and March 30, 2018, in the United States. Self-identified transgender individuals were included in a separate, related TransPop study. We used weighted multiple logistic regression analyses to assess the independent association of SOCE with suicidal ideation and suicide attempt while controlling for demographics and ACEs. Results. Approximately 7% experienced SOCE; of them, 80.8% reported SOCE from a religious leader. After adjusting for demographics and ACEs, sexual minorities exposed to SOCE had nearly twice the odds of lifetime suicidal ideation, 75% increased odds of planning to attempt suicide, and 88% increased odds of a suicide attempt with minor injury compared with sexual minorities who did not experience SOCE. Conclusions. Over the lifetime, sexual minorities who experienced SOCE reported a higher prevalence of suicidal ideation and attempts than did sexual minorities who did not experience SOCE. Public Health Implications. Evidence supports minimizing exposure of sexual minorities to SOCE and providing affirming care with SOCE-exposed sexual minorities.

Bullying and Suicidal Ideation and Behaviors: A Meta-Analysis

2018 ◽  
pp. 53-72
Author(s):  
Melissa K. Holt ◽  
Alana M. Vivolo-Kantor ◽  
Joshua R. Polanin ◽  
Kristin M. Holland ◽  
Sarah DeGue ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Meta Analysis ◽  
Assessment Method ◽  
Effect Sizes ◽  
Significant Heterogeneity ◽  
Bullying Perpetration ◽  
Victim Status ◽  
And Behaviors ◽  
Meta Analyses ◽  
And Behavior

BACKGROUND AND OBJECTIVES Over the last decade there has been increased attention to the association between bullying involvement (as a victim, perpetrator, or bully-victim) and suicidal ideation/behaviors. We conducted a meta-analysis to estimate the association between bullying involvement and suicidal ideation and behaviors. METHODS We searched multiple online databases and reviewed reference sections of articles derived from searches to identify cross-sectional studies published through July 2013. Using search terms associated with bullying, suicide, and youth, 47 studies (38.3% from the United States, 61.7% in non-US samples) met inclusion criteria. Seven observers independently coded studies and met in pairs to reach consensus. RESULTS Six different meta-analyses were conducted by using 3 predictors (bullying victimization, bullying perpetration, and bully/victim status) and 2 outcomes (suicidal ideation and suicidal behaviors). A total of 280 effect sizes were extracted and multilevel, random effects meta-analyses were performed. Results indicated that each of the predictors were associated with risk for suicidal ideation and behavior (range, 2.12 [95% confidence interval (CI), 1.67–2.69] to 4.02 [95% CI, 2.39–6.76]). Significant heterogeneity remained across each analysis. The bullying perpetration and suicidal behavior effect sizes were moderated by the study’s country of origin; the bully/victim status and suicidal ideation results were moderated by bullying assessment method. CONCLUSIONS Findings demonstrated that involvement in bullying in any capacity is associated with suicidal ideation and behavior. Future research should address mental health implications of bullying involvement to prevent suicidal ideation/behavior.

Suicidal Ideation and Behavior Rethinking: The Mindsponge Approach

2021 ◽  
Author(s):  
Minh-Hoang Nguyen
Keyword(s):  
Information Processing ◽  
Suicidal Ideation ◽  
New Approach ◽  
Complex Suicide ◽  
And Behaviors ◽  
And Behavior

Within the literature related to suicidal ideation, several theories have been proposed. However, given the complexity and dynamics in the formation of suicidal ideation and behavior, I propose a new approach - Mindsponge mechanism - that considers suicidal ideation and behaviors as a result of an individual’s information processing. The approach is expected to make sense of previous literature’s inconsistencies and help comprehend complex suicide-related phenomena, such as suicide contagion, etc.

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