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image of Suicide and Substance Use among African American Adolescents

Abstract

Background

Suicide among African American adolescents is a significant and preventable public health issue in the United States. Recently, the suicide rate among this group has significantly increased. At the same time, that for White adolescents has remained relatively stable, and those for Hispanic, Asian American, Pacific Islander, and other adolescents have decreased. While multiple factors influence suicidality, substance use is a significant factor that links to increased suicidal ideation, suicide attempts, and suicide. This review paper aims to discuss the relevant factors contributing to suicide and substance use among African American adolescents.

Objectives

(1) The objective was to investigate (historical), socio-economic, cultural, and environmental factors that contribute to higher rates of suicide and substance use among this population. (2) Explore the impact of systemic racism, poverty, and community violence on suicide and substance use in African American adolescents and (3) Identify and discuss resilience factors that can help mitigate the risks of suicide and substance use.

Methods

A qualitative review was conducted to identify selected relevant articles on suicide and substance use among African American adolescents published between 1990 and 2023 in PubMed, PsycInfo, Cochrane Library, Medline, and Psychiatry Online.

Results

Historical risk factors associated with adolescent suicide generally have not been inclusive or relevant to differing racial and ethnic backgrounds. Assessing suicidality using “common” suicide risk factors poses a major problem. It is a less reliable predictor of suicide for African American adolescents, thus leading to ineffective suicide prevention and intervention. Relevant risk factors are self-esteem, family support, racism and racial discrimination, poverty, and the intersection of different marginalized identities. The relevant protective factors are religiosity and spirituality, family support, social support, private regard/strong African American identity, and personal factors.

Conclusion

Research on suicide among African American adolescents is still emerging, particularly in identifying relevant risk and protective factors for accurately assessing suicidal ideation. Substance use serves as one coping mechanism for dealing with the challenges of structural racism, discrimination, and oppression.

© 2024 Bentham Science Publishers
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2024-11-22

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References

  1. Abram K.M. Paskar L.D. Washburn J.J. Teplin L.A. Perceived barriers to mental health services among youths in detention. J. Am. Acad. Child Adolesc. Psychiatry 2008 47 3 301 308 10.1097/CHI.0b013e318160b3bb 18216738
    [Google Scholar]
  2. APS Sounding the alarm on black youth suicide. 2021 Available From: https://www.apa.org/news/apa/2020/black-youth-suicide
  3. Adelabu D.H. Future time perspective, hope, and ethnic identity among african american adolescents. Urban Educ. 2008 43 3 347 360 10.1177/0042085907311806
    [Google Scholar]
  4. Akkas F. Corr A. Black adolescent suicide rate reveals urgent need to address mental health care barriers. 2024 Available From: https://www.pewtrusts.org/en/research-and-analysis/articles/2024/04/22/black-adolescent-suicide-rate-reveals-urgent-need-to-address-mental-health-care-barriers
  5. Arshanapally S. Werner K.B. Sartor C.E. Bucholz K.K. The association between racial discrimination and suicidality among african-american adolescents and young adults. Arch. Suicide Res. 2018 22 4 584 595 10.1080/13811118.2017.1387207 29120269
    [Google Scholar]
  6. Assari S. Moghani Lankarani M. Caldwell C. Discrimination increases suicidal ideation in black adolescents regardless of ethnicity and gender. Behav. Sci. (Basel) 2017 7 4 75 10.3390/bs7040075 29113117
    [Google Scholar]
  7. Assari S. Smith J. Mistry R. Farokhnia M. Bazargan M. Substance use among economically disadvantaged African American older adults; objective and subjective socioeconomic status. Int. J. Environ. Res. Public Health 2019 16 10 1826 10.3390/ijerph16101826 31126049
    [Google Scholar]
  8. Baiden P. LaBrenz C.A. Kim Y.J. Muehlenkamp J.J. Thrasher S. Risk and protective factors associated with suicidal ideation and suicide attempts among black adolescents based on the 2017 youth risk behavior survey. J. Black Psychol. 2023 49 3 319 358 10.1177/00957984231170494
    [Google Scholar]
  9. Bennett M.D. Jr Joe S. Exposure to Community Violence, Suicidality, and Psychological Distress Among African American and Latino Youths: Findings From the CDC Youth Violence Survey. J. Hum. Behav. Soc. Environ. 2015 25 8 775 789 10.1080/10911359.2014.922795
    [Google Scholar]
  10. Bronfenbrenner U. Morris P. The bioecological model of human development. Handbook of Child Psychology Hoboken, New Jersey Wiley 2006
    [Google Scholar]
  11. Buckner J.D. Lemke A.W. Jeffries E.R. Shah S.M. Social anxiety and suicidal ideation: Test of the utility of the interpersonal-psychological theory of suicide. J. Anxiety Disord. 2017 45 60 63 10.1016/j.janxdis.2016.11.010 27940416
    [Google Scholar]
  12. Burgess-Proctor A. Intersections of Race, Class, Gender, and Crime. Fem. Criminol. 2006 1 1 27 47 10.1177/1557085105282899
    [Google Scholar]
  13. Burstein M. Burstein M. Case B. Conway K.P. Dierker L. He J. Merikangas K.R. Use and abuse of alcohol and illicit drugs in US adolescents: Results of the National Comorbidity Survey-Adolescent Supplement. Arch. Gen. Psychiatry 2012 69 4 390 398 10.1001/archgenpsychiatry.2011.1503 22474107
    [Google Scholar]
  14. Catalano R.F. Hawkins J.D. Krenz C. Gillmore M. Morrison D. Wells E. Abbott R. Using research to guide culturally appropriate drug abuse prevention. J. Consult. Clin. Psychol. 1993 61 5 804 811 10.1037/0022‑006X.61.5.804 8245277
    [Google Scholar]
  15. CDC Risk and protective factors for suicide. 2024 Available From: https://www.cdc.gov/suicide/risk-factors/index.html
  16. Centers for Disease Control and Prevention CDC WISQARS. 2019 Available From: https://www.cdc.gov/injury/wisqars/index.html
  17. Centers for Disease Control and Prevention CDC Wonder. 2021 Available From: https://wonder.cdc.gov/
  18. Chatters L.M. Taylor R.J. Lincoln K.D. Nguyen A. Joe S. Church-based social support and suicidality among African Americans and Black Caribbeans. Arch. Suicide Res. 2011 15 4 337 353 10.1080/13811118.2011.615703 22023642
    [Google Scholar]
  19. Chavis A. Johnson D. Internalized Racism and Racial Self-Identity Formation in Black Children. Pediatrics 2023 152 2 e2023061292 10.1542/peds.2023‑061292 37403636
    [Google Scholar]
  20. 2024 Children in poverty by race and ethnicity in United States. KCDC Available From: https://datacenter.aecf.org/data/tables/44-children-in-poverty-by-race-and-ethnicity#detailed/1/any/false/1095
  21. Clark K.B. Clark M.P. Emotional Factors in Racial Identification and Preference in Negro Children. J. Negro Educ. 1950 19 3 341 10.2307/2966491
    [Google Scholar]
  22. Clark T.T. Belgrave F.Z. Abell M. The mediating and moderating effects of parent and peer influences upon drug use among african american adolescents. J. Black Psychol. 2012 38 1 52 80 10.1177/0095798411403617
    [Google Scholar]
  23. Clark T.T. Nguyen A.B. Family factors and mediators of substance use among African American adolescents. J. Drug Issues 2012 42 4 358 372 10.1177/0022042612461770 30760939
    [Google Scholar]
  24. Clark T.T. Nguyen A.B. Belgrave F.Z. Tademy R. Understanding the dimensions of parental influence on alcohol use and alcohol refusal efficacy among African American Adolescents. Soc. Work Res. 2011 35 3 147 157 10.1093/swr/35.3.147 37829824
    [Google Scholar]
  25. Compton M.T. Thompson N.J. Kaslow N.J. Social environment factors associated with suicide attempt among low-income African Americans: The protective role of family relationships and social support. Soc. Psychiatry Psychiatr. Epidemiol. 2005 40 3 175 185 10.1007/s00127‑005‑0865‑6 15742221
    [Google Scholar]
  26. Cooper M.L. Motivations for alcohol use among adolescents: Development and validation of a four-factor model. Psychol. Assess. 1994 6 2 117 128 10.1037/1040‑3590.6.2.117
    [Google Scholar]
  27. Cooper M.L. Krull J.L. Agocha V.B. Flanagan M.E. Orcutt H.K. Grabe S. Dermen K.H. Jackson M. Motivational pathways to alcohol use and abuse among Black and White adolescents. J. Abnorm. Psychol. 2008 117 3 485 501 10.1037/a0012592 18729604
    [Google Scholar]
  28. Coulter R.W.S. Egan J.E. Kinsky S. Friedman M.R. Eckstrand K.L. Frankeberger J. Folb B.L. Mair C. Markovic N. Silvestre A. Stall R. Miller E. Mental health, drug, and violence interventions for sexual/gender minorities: A systematic review. Pediatrics 2019 144 3 e20183367 10.1542/peds.2018‑3367 31427462
    [Google Scholar]
  29. Crosby A.E. Molock S.D. Introduction: Suicidal Behaviors in the African American Community. J. Black Psychol. 2006 32 3 253 261 10.1177/0095798406290552 17047727
    [Google Scholar]
  30. Cullins L.M. Solages M.M. McKnight S. Depression in African American and Black Caribbean Youth and the Intersection of Spirituality and Religion. Child Adolesc. Psychiatr. Clin. N. Am. 2019 28 3 473 482 10.1016/j.chc.2019.02.012 31076121
    [Google Scholar]
  31. Deas D. Brown E.S. Adolescent substance abuse and psychiatric comorbidities. J. Clin. Psychiatry 2006 67 7 e02 10.4088/JCP.0706e02 17107227
    [Google Scholar]
  32. Denton E.D. Musa G.J. Hoven C. Suicide behaviour among Guyanese orphans: Identification of suicide risk and protective factors in a low- to middle-income country. J. Child Adolesc. Ment. Health 2017 29 3 187 195 10.2989/17280583.2017.1372286 29092690
    [Google Scholar]
  33. Droege J.R. Robinson W.L. Jason L.A. Suicidality protective factors for african american adolescents: A systematic review of the research literature. SOJ Nurs. Health Care 2017 3 2 1 15 10.15226/2471‑6529/3/2/00130 33344874
    [Google Scholar]
  34. Dubois M. Guaspare C. From cellular memory to the memory of trauma: Social epigenetics and its public circulation. Soc. Sci. Inf. (Paris) 2020 59 1 144 183 10.1177/0539018419897600
    [Google Scholar]
  35. Duncan T. Tildesley E. Duncan S.C. Hops H. The consistency of family and peer influences on the development of substance use in adolescence. Addiction 1995 90 12 1647 1660 10.1111/j.1360‑0443.1995.tb02835.x 8555956
    [Google Scholar]
  36. Evans E. Hawton K. Rodham K. Factors associated with suicidal phenomena in adolescents: A systematic review of population-based studies. Clin. Psychol. Rev. 2004 24 8 957 979 10.1016/j.cpr.2004.04.005 15533280
    [Google Scholar]
  37. Farahmand P. Arshed A. Bradley M.V. Systemic Racism and Substance Use Disorders. Psychiatr. Ann. 2020 50 11 494 498 10.3928/00485713‑20201008‑01
    [Google Scholar]
  38. Farrell C.T. Bolland J.M. Cockerham W.C. The role of social support and social context on the incidence of attempted suicide among adolescents living in extremely impoverished communities. J. Adolesc. Health 2015 56 1 59 65 10.1016/j.jadohealth.2014.08.015 25438969
    [Google Scholar]
  39. Fitzpatrick K.M. Piko B.F. Miller E. Suicide ideation and attempts among low-income African American adolescents. Suicide Life Threat. Behav. 2008 38 5 552 563 10.1521/suli.2008.38.5.552 19014307
    [Google Scholar]
  40. Friedman M.S. Marshal M.P. Guadamuz T.E. Wei C. Wong C.F. Saewyc E.M. Stall R. A meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and sexual nonminority individuals. Am. J. Public Health 2011 101 8 1481 1494 10.2105/AJPH.2009.190009 21680921
    [Google Scholar]
  41. Gabbidon J. Farrelly S. Hatch S.L. Henderson C. Williams P. Bhugra D. Dockery L. Lassman F. Thornicroft G. Clement S. Discrimination attributed to mental illness or race-ethnicity by users of community psychiatric services. Psychiatr. Serv. 2014 65 11 1360 1366 10.1176/appi.ps.201300302 25081996
    [Google Scholar]
  42. Garlow S.J. Purselle D. Heninger M. Ethnic differences in patterns of suicide across the life cycle. Am. J. Psychiatry 2005 162 2 319 323 10.1176/appi.ajp.162.2.319 15677597
    [Google Scholar]
  43. Garvey J.C. Mobley S.D. Jr Summerville K.S. Moore G.T. Queer and Trans* Students of Color: Navigating Identity Disclosure and College Contexts. J. Higher Educ. 2019 90 1 150 178 10.1080/00221546.2018.1449081
    [Google Scholar]
  44. Gaylord-Harden N.K. Bai G.J. Simic D. Examining a dual‐process model of desensitization and hypersensitization to community violence in African American Male Adolescents. J. Trauma. Stress 2017 30 5 463 471 10.1002/jts.22220 29024124
    [Google Scholar]
  45. Gibbons F.X. Etcheverry P.E. Stock M.L. Gerrard M. Weng C.Y. Kiviniemi M. O’Hara R.E. Exploring the link between racial discrimination and substance use: What mediates? What buffers? J. Pers. Soc. Psychol. 2010 99 5 785 801 10.1037/a0019880 20677890
    [Google Scholar]
  46. Goldston D.B. Conceptual issues in understanding the relationship between suicidal behavior and substance use during adolescence. Drug Alcohol Depend. 2004 76 Suppl. S79 S91 10.1016/j.drugalcdep.2004.08.009 15555819
    [Google Scholar]
  47. Greening L. Stoppelbein L. Religiosity, attributional style, and social support as psychosocial buffers for African American and white adolescents’ perceived risk for suicide. Suicide Life Threat. Behav. 2002 32 4 404 417 10.1521/suli.32.4.404.22333 12501965
    [Google Scholar]
  48. Gyamerah A.O. Collier K.L. Reddy V. Sandfort T.G.M. Sexuality Disclosure Among Black South African MSM and Responses by Family. J. Sex Res. 2019 56 9 1203 1218 10.1080/00224499.2018.1559917 30633588
    [Google Scholar]
  49. Hamed S. Bradby H. Ahlberg B.M. Thapar-Björkert S. Racism in healthcare: A scoping review. BMC Public Health 2022 22 1 988 10.1186/s12889‑022‑13122‑y 35578322
    [Google Scholar]
  50. Hastings J.F. Snowden L.R. African Americans and Caribbean Blacks: Perceived neighborhood disadvantage and depression. J. Community Psychol. 2019 47 2 227 237 10.1002/jcop.22117 30706518
    [Google Scholar]
  51. Hendin H. Black Suicide. Arch. Gen. Psychiatry 1969 21 4 407 422 10.1001/archpsyc.1969.01740220023003 5807750
    [Google Scholar]
  52. Hollingsworth D.W. Cole A.B. O’Keefe V.M. Tucker R.P. Story C.R. Wingate L.R. Experiencing racial microaggressions influences suicide ideation through perceived burdensomeness in African Americans. J. Couns. Psychol. 2017 64 1 104 111 10.1037/cou0000177 27854440
    [Google Scholar]
  53. Hudgins J.D. Porter J.J. Monuteaux M.C. Bourgeois F.T. Prescription opioid use and misuse among adolescents and young adults in the United States: A national survey study. PLoS Med. 2019 16 11 e1002922 10.1371/journal.pmed.1002922 31689290
    [Google Scholar]
  54. Huth-Bocks A.C. Kerr D.C.R. Ivey A.Z. Kramer A.C. King C.A. Assessment of psychiatrically hospitalized suicidal adolescents: Self-report instruments as predictors of suicidal thoughts and behavior. J. Am. Acad. Child Adolesc. Psychiatry 2007 46 3 387 395 10.1097/chi.0b013e31802b9535 17314725
    [Google Scholar]
  55. Ialongo N.S. Koenig-McNaught A.L. Wagner B.M. Pearson J.L. McCreary B.K. Poduska J. Kellam S. African American children’s reports of depressed mood, hopelessness, and suicidal ideation and later suicide attempts. Suicide Life Threat. Behav. 2004 34 4 395 407 10.1521/suli.34.4.395.53743 15585461
    [Google Scholar]
  56. Ivey-Stephenson A.Z. Demissie Z. Crosby A.E. Stone D.M. Gaylor E. Wilkins N. Lowry R. Brown M. Suicidal Ideation and Behaviors Among High School Students — Youth Risk Behavior Survey, United States, 2019. MMWR Suppl. 2020 69 1 47 55 10.15585/mmwr.su6901a6 32817610
    [Google Scholar]
  57. Jackson L. Jackson Z. Jackson F. Intergenerational resilience in response to the stress and trauma of enslavement and chronic exposure to institutionalized racism. J. Clin. Epigenet. 2018 4 3 100 10.21767/2472‑1158.1000100
    [Google Scholar]
  58. Joe S. Canetto S.S. Romer D. Advancing prevention research on the role of culture in suicide prevention. Suicide Life Threat. Behav. 2008 38 3 354 362 10.1521/suli.2008.38.3.354 18611134
    [Google Scholar]
  59. Joe S. Clarke J. Ivey A.Z. Kerr D. King C.A. Impact of Familial Factors and Psychopathology on Suicidality Among African American Adolescents. J. Hum. Behav. Soc. Environ. 2007 15 2-3 199 218 10.1300/J137v15n02_12 19672476
    [Google Scholar]
  60. Joe S. Niedermeier D.M. Social work research on African Americans and suicidal behavior: A systematic 25-year review. Health Soc. Work 2008 33 4 249 257 10.1093/hsw/33.4.249 19070272
    [Google Scholar]
  61. Johnson P.B. Richter L. Kleber H.D. McLellan A.T. Carise D. Telescoping of drinking-related behaviors: Gender, racial/ethnic, and age comparisons. Subst. Use Misuse 2005 40 8 1139 1151 10.1081/JA‑200042281 16040374
    [Google Scholar]
  62. Joiner T.E. Why people die by suicide. Cambridge, Massachusetts Harvard University Press 2005
    [Google Scholar]
  63. Joy A.D Post traumatic slave syndrome: America's Legacy of enduring injury and healing. Washington Joy Degruy Publications Inc 2005
    [Google Scholar]
  64. Kaslow N.J. Webb Price A. Wyckoff S. Bender Grall M. Sherry A. Young S. Scholl L. Millington Upshaw V. Rashid A. Jackson E.B. Bethea K. Person factors associated with suicidal behavior among African American women and men. Cultur. Divers. Ethnic Minor. Psychol. 2004 10 1 5 22 10.1037/1099‑9809.10.1.5 14992627
    [Google Scholar]
  65. Kilpatrick D.G. Acierno R. Saunders B. Resnick H.S. Best C.L. Schnurr P.P. Risk factors for adolescent substance abuse and dependence: Data from a national sample. J. Consult. Clin. Psychol. 2000 68 1 19 30 10.1037/0022‑006X.68.1.19 10710837
    [Google Scholar]
  66. Klonsky E.D. May A.M. The Three-Step Theory (3ST): A New Theory of Suicide Rooted in the “Ideation-to-Action” Framework. Int. J. Cogn. Ther. 2015 8 2 114 129 10.1521/ijct.2015.8.2.114
    [Google Scholar]
  67. Kubrin C.E. Wadsworth T. DiPietro S. Deindustrialization, Disadvantage and Suicide among Young Black Males. Soc. Forces 2006 84 3 1559 1579 10.1353/sof.2006.0052
    [Google Scholar]
  68. Lehrner A. Yehuda R. Cultural trauma and epigenetic inheritance. Dev. Psychopathol. 2018 30 5 1763 1777 10.1017/S0954579418001153 30261943
    [Google Scholar]
  69. Lewis B. Hoffman L. Garcia C.C. Nixon S.J. Race and socioeconomic status in substance use progression and treatment entry. J. Ethn. Subst. Abuse 2018 17 2 150 166 10.1080/15332640.2017.1336959 28846065
    [Google Scholar]
  70. Lindsey M.A. Joe S. Nebbitt V. Family Matters: The Role of Mental Health Stigma and Social Support on Depressive Symptoms and Subsequent Help Seeking Among African American Boys. J. Black Psychol. 2010 36 4 458 482 10.1177/0095798409355796 20953336
    [Google Scholar]
  71. Lindsey M.A. Sheftall A.H. Xiao Y. Joe S. Trends of Suicidal Behaviors Among High School Students in the United States: 1991–2017. Pediatrics 2019 144 5 e20191187 10.1542/peds.2019‑1187 31611338
    [Google Scholar]
  72. Liu R.T. Case B.G. Spirito A. Injection drug use is associated with suicide attempts but not ideation or plans in a sample of adolescents with depressive symptoms. J. Psychiatr. Res. 2014 56 65 71 10.1016/j.jpsychires.2014.05.001 24853457
    [Google Scholar]
  73. Luong C.T. Rew L. Banner M. Suicidality in Young Men Who Have Sex with Men: A Systematic Review of the Literature. Issues Ment. Health Nurs. 2018 39 1 37 45 10.1080/01612840.2017.1390020 29286830
    [Google Scholar]
  74. Madubata I. Spivey L.A. Alvarez G.M. Neblett E.W. Prinstein M.J. Forms of racial/ethnic discrimination and suicidal ideation: A prospective examination of african american and latinx youth. J. Clin. Child Adolesc. Psychol. 2019 2019 1 9 10.1080/15374416.2019.1655756 31517518
    [Google Scholar]
  75. Maier S.F. Seligman M.E. Learned helplessness: Theory and evidence. J. Exp. Psychol. Gen. 1976 105 1 3 46 10.1037/0096‑3445.105.1.3
    [Google Scholar]
  76. Marrast L. Himmelstein D.U. Woolhandler S. Racial and Ethnic Disparities in Mental Health Care for Children and Young Adults. Int. J. Health Serv. 2016 46 4 810 824 10.1177/0020731416662736 27520100
    [Google Scholar]
  77. Mereish E.H. Bradford J.B. Intersecting identities and substance use problems: Sexual orientation, gender, race, and lifetime substance use problems. J. Stud. Alcohol Drugs 2014 75 1 179 188 10.15288/jsad.2014.75.179 24411810
    [Google Scholar]
  78. Meza J.I. Patel K. Bath E. Black youth suicide crisis: Prevalence rates, review of risk and protective factors, and current evidence-based practices. Focus Am. Psychiatr. Publ. 2022 20 2 197 203 10.1176/appi.focus.20210034 37153125
    [Google Scholar]
  79. Molina K.M. James D. Discrimination, internalized racism, and depression: A comparative study of African American and Afro-Caribbean adults in the US. Group Process. Intergroup Relat. 2016 19 4 439 461 10.1177/1368430216641304 28405176
    [Google Scholar]
  80. Moradi B. Wiseman M.C. DeBlaere C. Goodman M.B. Sarkees A. Brewster M.E. Huang Y.P. LGB of Color and White Individuals’ Perceptions of Heterosexist Stigma, Internalized Homophobia, and Outness: Comparisons of Levels and Links. Couns. Psychol. 2010 38 3 397 424 10.1177/0011000009335263
    [Google Scholar]
  81. Mouzon D.M. McLean J.S. Internalized racism and mental health among African-Americans, US-born Caribbean Blacks, and foreign-born Caribbean Blacks. Ethn. Health 2017 22 1 36 48 10.1080/13557858.2016.1196652 27354264
    [Google Scholar]
  82. Mukolo A. Heflinger C.A. Rurality and African American Perspectives on Children’s Mental Health Services. J. Emot. Behav. Disord. 2011 19 2 83 97 10.1177/1063426609344604
    [Google Scholar]
  83. Murry V.M. Heflinger C.A. Suiter S.V. Brody G.H. Examining perceptions about mental health care and help-seeking among rural African American families of adolescents. J. Youth Adolesc. 2011 40 9 1118 1131 10.1007/s10964‑010‑9627‑1 21259067
    [Google Scholar]
  84. National Center for Drug Abuse Statistics Drug Abuse Statistics. 2020 Available From: https://drugabusestatistics.org/
  85. National Center for Drug Abuse Statistics Teenage drug & alcohol use: Statistics, facts and data. 2023 Available From: https://drugabusestatistics.org/teen-drug-use/
  86. National Institute of Mental Health Suicide. 2023 https://www.nimh.nih.gov/health/statistics/suicide
  87. Nazroo J.Y. Bhui K.S. Rhodes J. Where next for understanding race/ethnic inequalities in severe mental illness? Structural, interpersonal and institutional racism. Sociol. Health Illn. 2020 42 2 262 276 10.1111/1467‑9566.13001 31562655
    [Google Scholar]
  88. Neeleman J. Wessely S. Lewis G. Suicide acceptability in African- and white Americans: The role of religion. J. Nerv. Ment. Dis. 1998 186 1 12 16 10.1097/00005053‑199801000‑00003 9457142
    [Google Scholar]
  89. Nguyen A.W. Taylor R.J. Chatters L.M. Taylor H.O. Lincoln K.D. Mitchell U.A. Extended family and friendship support and suicidality among African Americans. Soc. Psychiatry Psychiatr. Epidemiol. 2017 52 3 299 309 10.1007/s00127‑016‑1309‑1 27838732
    [Google Scholar]
  90. O’Carroll P.W. Berman A.L. Maris R.W. Moscicki E.K. Tanney B.L. Silverman M.M. Beyond the Tower of Babel: A nomenclature for suicidology. Suicide Life Threat. Behav. 1996 26 3 237 252 10.1111/j.1943‑278X.1996.tb00609.x 8897663
    [Google Scholar]
  91. O’Connor R.C. Platt S. Gordon J. International Handbook of Suicide Prevention. Hoboken, New Jersey John Wiley & Sons 2011 10.1002/9781119998556
    [Google Scholar]
  92. O’Donnell L. O’Donnell C. Wardlaw D.M. Stueve A. Risk and resiliency factors influencing suicidality among urban African American and Latino youth. Am. J. Community Psychol. 2004 33 1-2 37 49 10.1023/B:AJCP.0000014317.20704.0b 15055753
    [Google Scholar]
  93. O’Donnell L. Stueve A. Wardlaw D. O’Donnell C. Adolescent suicidality and adult support: The reach for health study of urban youth. Am. J. Health Behav. 2003 27 6 633 644 10.5993/AJHB.27.6.6 14672394
    [Google Scholar]
  94. Opara I. Assan M.A. Pierre K. Gunn J.F. III Metzger I. Hamilton J. Arugu E. Suicide among Black Children: An Integrated Model of the Interpersonal-Psychological Theory of Suicide and Intersectionality Theory for Researchers and Clinicians. J. Black Stud. 2020 51 6 611 631 10.1177/0021934720935641 34305168
    [Google Scholar]
  95. Osiezagha K. Kaur A. Rahn N. Bailey K. Suicide and African Americans: An Overview 2009 Available From: https://journals.auctr.edu/index.php/challenge/article/download/15/15
  96. Palmer C. Rysiew M.J. Koob J.J. Self-Esteem, Locus of Control, and Suicide Risk. J. Ethn. Cult. Divers. Soc. Work 2003 12 4 49 63 10.1300/J051v12n04_03
    [Google Scholar]
  97. Perkins D.F. Hartless G. An ecological risk-factor examination of suicide ideation and behavior of adolescents. J. Adolesc. Res. 2002 17 1 3 26 10.1177/0743558402171001
    [Google Scholar]
  98. Peterson P.L. Hawkins J.D. Abbott R.D. Catalano R.F. Disentangling the effects of parental drinking, family management, and parental alcohol norms on current drinking by black and white adolescents. J. Res. Adolesc. 1994 4 2 203 227 10.1207/s15327795jra0402_3
    [Google Scholar]
  99. Planey A.M. Smith S.M. Moore S. Walker T.D. Barriers and facilitators to mental health help-seeking among African American youth and their families: A systematic review study. Child. Youth Serv. Rev. 2019 101 101 190 200 10.1016/j.childyouth.2019.04.001
    [Google Scholar]
  100. Poulin J.E. Racial differences in the use of drugs and alcohol among low income youth and young adults. J. Sociol. Soc. Welf. 1991 18 3 10.15453/0191‑5096.1995
    [Google Scholar]
  101. Quinn C.R. Duprey E.B. Boyd D.T. Lynch R. Mitchell M. Ross A. Handley E.D. Cerulli C. Individual and contextual risk and protective factors for suicidal thoughts and behaviors among black adolescents with arrest histories. Children (Basel) 2022 9 4 522 10.3390/children9040522 35455566
    [Google Scholar]
  102. Reed D. Adams R.D. Risk and Protective factor specific to african american youth and adolescents: A systematic review. J. Fam. Strengths 2020 20 2 10.58464/2168‑670X.1435
    [Google Scholar]
  103. Ribeiro J.D. Huang X. Fox K.R. Franklin J.C. Depression and hopelessness as risk factors for suicide ideation, attempts and death: Meta-analysis of longitudinal studies. Br. J. Psychiatry 2018 212 5 279 286 10.1192/bjp.2018.27 29587888
    [Google Scholar]
  104. Robinson W.L. Whipple C.R. Jason L.A. Flack C.E. African American adolescent suicidal ideation and behavior: The role of racism and prevention. J. Community Psychol. 2021 49 5 1282 1295 10.1002/jcop.22543 33675671
    [Google Scholar]
  105. Salway T. Ross L.E. Fehr C.P. Burley J. Asadi S. Hawkins B. Tarasoff L.A. A systematic review and meta-analysis of disparities in the prevalence of suicide ideation and attempt among bisexual populations. Arch. Sex. Behav. 2019 48 1 89 111 10.1007/s10508‑018‑1150‑6 29492768
    [Google Scholar]
  106. Samuel I.A. Utilization of mental health services among african-american male adolescents released from juvenile detention: Examining reasons for within-group disparities in help-seeking behaviors. Child Adolesc. Social Work J. 2015 32 1 33 43 10.1007/s10560‑014‑0357‑1
    [Google Scholar]
  107. Sani G. Tondo L. Koukopoulos A. Reginaldi D. Kotzalidis G.D. Koukopoulos A.E. Manfredi G. Mazzarini L. Pacchiarotti I. Simonetti A. Ambrosi E. Angeletti G. Girardi P. Tatarelli R. Suicide in a large population of former psychiatric inpatients. Psychiatry Clin. Neurosci. 2011 65 3 286 295 10.1111/j.1440‑1819.2011.02205.x 21507136
    [Google Scholar]
  108. Schilling E.A. Aseltine R.H. Jr Glanovsky J.L. James A. Jacobs D. Adolescent alcohol use, suicidal ideation, and suicide attempts. J. Adolesc. Health 2009 44 4 335 341 10.1016/j.jadohealth.2008.08.006 19306791
    [Google Scholar]
  109. Seelman K.L. Walker M.B. Do anti-bullying laws reduce in-school victimization, fear-based absenteeism, and suicidality for lesbian, gay, bisexual, and questioning youth? J. Youth Adolesc. 2018 47 11 2301 2319 10.1007/s10964‑018‑0904‑8 30117086
    [Google Scholar]
  110. Sellers R.M. Rowley S.A.J. Chavous T.M. Shelton J.N. Smith M.A. Multidimensional Inventory of Black Identity: A preliminary investigation of reliability and constuct validity. J. Pers. Soc. Psychol. 1997 73 4 805 815 10.1037/0022‑3514.73.4.805
    [Google Scholar]
  111. Sheftall A.H. Vakil F. Ruch D.A. Boyd R.C. Lindsey M.A. Bridge J.A. Black Youth Suicide: Investigation of Current Trends and Precipitating Circumstances. J. Am. Acad. Child Adolesc. Psychiatry 2022 61 5 662 675 10.1016/j.jaac.2021.08.021 34509592
    [Google Scholar]
  112. Sherry D.M. Risk and protective factors for suicide in black youth. Handbook of Youth Suicide Prevention Cham Springer 2021 10.1007/978‑3‑030‑82465‑5_17
    [Google Scholar]
  113. Sim W. Lim W.H. Ng C.H. Chin Y.H. Yaow C.Y.L. Cheong C.W.Z. Khoo C.M. Samarasekera D.D. Devi M.K. Chong C.S. The perspectives of health professionals and patients on racism in healthcare: A qualitative systematic review. PLoS One 2021 16 8 e0255936 10.1371/journal.pone.0255936 34464395
    [Google Scholar]
  114. Sosoo E.E. Bernard D.L. Neblett E.W. The influence of internalized racism on the relationship between discrimination and anxiety. Cultur. Divers. Ethnic Minor. Psychol. 2020 26 4 570 580 10.1037/cdp0000320 31886684
    [Google Scholar]
  115. Stone D.M. Mack K.A. Qualters J. Notes from the Field: Recent Changes in Suicide Rates, by Race and Ethnicity and Age Group — United States, 2021. MMWR Morb. Mortal. Wkly. Rep. 2023 72 6 160 162 10.15585/mmwr.mm7206a4 36757870
    [Google Scholar]
  116. Taylor R.J. Chatters L.M. Joe S. Religious involvement and suicidal behavior among African Americans and Black Caribbeans. J. Nerv. Ment. Dis. 2011 199 7 478 486 10.1097/NMD.0b013e31822142c7 21716062
    [Google Scholar]
  117. Toomey R.B. Syvertsen A.K. Flores M. Are developmental assets protective against suicidal behavior? differential associations by sexual orientation. J. Youth Adolesc. 2019 48 4 788 801 10.1007/s10964‑018‑0954‑y 30417268
    [Google Scholar]
  118. Harris T.L. Molock S.D. Cultural orientation, family cohesion, and family support in suicide ideation and depression among African American college students. Suicide Life Threat. Behav. 2000 30 4 341 353 10.1111/j.1943‑278X.2000.tb01100.x 11210059
    [Google Scholar]
  119. Tynes B.M. Umaña-Taylor A.J. Rose C.A. Lin J. Anderson C.J. Online racial discrimination and the protective function of ethnic identity and self-esteem for African American adolescents. Dev. Psychol. 2012 48 2 343 355 10.1037/a0027032 22369340
    [Google Scholar]
  120. Suicide Prevention Resource Center Understanding risk and protective factors for suicide: A primer for preventing suicide. 2019 Available From: https://sprc.org/online-library/understanding-risk-and-protective-factors-for-suicide-a-primer-for-preventing-suicide/
  121. Wagner B.M. Silverman M.A.C. Martin C.E. Family Factors in Youth Suicidal Behaviors. Am. Behav. Sci. 2003 46 9 1171 1191 10.1177/0002764202250661
    [Google Scholar]
  122. Walker R. Francis D. Brody G. Simons R. Cutrona C. Gibbons F. A longitudinal study of racial discrimination and risk for death ideation in African American Youth. Suicide Life Threat. Behav. 2017 47 1 86 102 10.1111/sltb.12251 27137139
    [Google Scholar]
  123. Wallace J.M. Jr Muroff J.R. Preventing substance abuse among african american children and youth: Race differences in risk factor exposure and vulnerability. J. Prim. Prev. 2002 22 3 235 261 10.1023/A:1013617721016
    [Google Scholar]
  124. Wallace J.M. Jr Bachman J.G. O’Malley P.M. Schulenberg J.E. Cooper S.M. Johnston L.D. Gender and ethnic differences in smoking, drinking and illicit drug use among American 8th, 10th and 12th grade students, 1976–2000. Addiction 2003 98 2 225 234 10.1046/j.1360‑0443.2003.00282.x 12534428
    [Google Scholar]
  125. Watt T.T. Race/ethnic differences in alcohol abuse among youth. J. Ethn. Subst. Abuse 2005 3 3 33 47 10.1300/J233v03n03_03 29019289
    [Google Scholar]
  126. Williams D.R. Lawrence J.A. Davis B.A. Racism and health: Evidence and needed research. Annu. Rev. Public Health 2019 40 1 105 125 10.1146/annurev‑publhealth‑040218‑043750 30601726
    [Google Scholar]
  127. Willis H.A. Sosoo E.E. Bernard D.L. Neal A. Neblett E.W. The associations between internalized racism, racial identity, and psychological distress. Emerg. Adulthood 2021 9 4 384 400 10.1177/21676968211005598 34395061
    [Google Scholar]
  128. Wills T.A. Yaeger A.M. Sandy J.M. Buffering effect of religiosity for adolescent substance use. Psychol. Addict. Behav. 2003 17 1 24 31 10.1037/0893‑164X.17.1.24 12665078
    [Google Scholar]
  129. Wu L.T. Woody G.E. Yang C. Pan J.J. Blazer D.G. Racial/ethnic variations in substance-related disorders among adolescents in the United States. Arch. Gen. Psychiatry 2011 68 11 1176 1185 10.1001/archgenpsychiatry.2011.120 22065533
    [Google Scholar]
/content/journals/aps/10.2174/0122106766297141241001073433
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Suicide and Substance Use among African American Adolescents
Bentham Science Publishers ; https://doi.org/10.2174/0122106766297141241001073433
/content/journals/aps/10.2174/0122106766297141241001073433
/content/journals/aps/10.2174/0122106766297141241001073433
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  • Article Type:     Review Article
Keywords: substance use ; Adolescent suicide ; risk factors ; suicide ; African American adolescents ; protective factors

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