The Role of Familial Incarceration and Ethnic Identity in Suicidal Ideation and Suicide Attempt: Findings from a Longitudinal Study of Latinx Young Adults in California

Suicide is a leading cause of death among young adults; however, contextual risks and cultural factors are rarely studied in the context of ethnic minority suicidal ideation (SI) and suicidal attempt (SA). This study assessed the association between familial incarceration and suicide behaviors and examined ethnic identity as a potential moderator. Data from a longitudinal study of health among Hispanics (n = 1,094) in California were used to test associations between familial incarceration, ethnic identity, and SA and SI, adjusting for demographic factors and covariates. Approximately 18% and 8% of respondents reported SI and SA, respectively. Compared to no incarceration, or the incarceration of a relative, parental incarceration was associated with higher odds (AOR: 2.09, 95% CI: 1.23–3.34) of SI whereas higher affective ethnic identity reduced the odds (AOR: 0.52, 95% CI: 0.31–0.89) of SA. Ethnic identity moderated the association between parental incarceration and SI (AOR: 0.33, 95% CI: 0.13–0.79). Incarceration of a family member can set the stage for exclusion from critical institutions and can have long‐term consequences for adult mental health. Promoting a positive ethnic identity may be a promising prevention strategy that could bolster resilience among at‐risk, urban minority youth.     

Similarities and Differences in Precipitating Events Between Black and Anglo Suicide Attempts

ABSTRACT: The rapid rise in suicide among young Blacks in America the past decade is of increasing concern to mental health practitioners and suicidologists. While there are some similarities among suicide attempts by Blacks and Whites, the pattern is that Black suicide attempters are distinctly more youthful. This exploratory study tests the hypothesis that the precipitating events for young Blacks who consider, plan, and attempt suicide is more likely to be “the loss or threatened loss of a love partner in the context of a negative value-orientation and intragroup pressures” than among Anglo suicide attempters. Specific strategies are recommended that use a family perspective for assisting Blacks who consider, plan and attempt suicide.     

8 African-American Suicide: A Cultural Paradox

African-American suicide rates have traditionally been lower than White rates despite a legacy of racial discrimination, persistent poverty, social isolation, and lack of community resources. This paper focuses on four issues: (1) patterns and trends of Black suicide across the lifespan; (2) risk and protective factors in subgroups of Blacks; (3) the influence of cultural factors on suicide patterns of Blacks; and (4) implications of these patterns for prevention and early intervention of suicidal behavior among African Americans. Risk factors for Black suicide include: male sex, early adulthood, substance abuse, psychiatric disorders, family or interpersonal conflict, antisocial behavior, and homosexuality. Protective factors that mitigate the risks of suicide include religiosity, older age, southern residence, and social support. Implications for preventive policies and programs are discussed to counter the recent trend of rising suicide rates among adolescents and very elderly Blacks.     

The moderating role of pessimism in the association between retrospective relational peer victimization,interpersonal risk factors,and suicide ideation

Peer victimization (PV) is a serious concern for youth and is associated with subsequent suicide ideation in young adulthood. The interpersonal theory of suicide may provide a framework for understanding suicide ideation in this population. Specifically, thwarted belongingness (TB) and perceived burdensomeness (PB) have been significantly associated with suicide ideation among young adults with a history of peer victimization. Additionally, the personality trait of pessimism is associated with elevated suicide ideation. Thus, this study tested the association between self-reported frequency of retrospective relational (i.e., verbal and indirect) PV in primary and secondary school, thwarted interpersonal needs (TB and PB), and current suicide ideation, as well as how these relations may vary based on current pessimism. Participants were 330 undergraduate students. Nonparametric bootstrap moderated mediation procedures were used to test hypotheses. Results indicated significant indirect effects of frequency of retrospective relational PV and suicide ideation through PB and TB. Contrary to predictions, results did not indicate significant moderated mediation; however, the association between PB and suicide ideation was stronger at lower pessimism levels. We also provide supplemental analysis with optimism as the moderator. These findings suggest that clinicians may consider targeting TB, PB, as well as pessimism and optimism among those with a history of relational PV when assessing and intervening on current suicide ideation. Implications, limitations, and future directions are further discussed.     

Psychosocial–Environmental Risk Factors for Suicide Attempts in Adolescents with Suicidal Ideation: Findings from a Sample of 73,238 Adolescents

We determined risk factors that discriminate between suicide attempt (SA) adolescents and suicidal ideation only (SI only) adolescents using data from the 2010 Korea Youth Risk Behavior Web‐based Survey (12–19 years; N = 73,238). In males, heavy alcohol use, drug use, and high perceived sadness/hopelessness showed significant effects on the presence of SA versus the presence of SI only. In females, along with these variables, low academic achievement, poor perceived health status, high perceived stress, and unhealthy coping strategy were also significantly related to the presence of SA versus SI only. Therefore, clinical interventions targeting adolescents' psychological distress are warranted to prevent suicide.     

Own-Ethnicity Bias in the Recognition of Black,East Asian,Hispanic, and White Faces

Black, East Asian, Hispanic, and White young adult Americans were asked to view and later recognize ethnic faces (Black, East Asian, Hispanic, and White) of children and young adults in a study of own-ethnicity and own-age bias. Own-ethnicity and own-age biases were found. Hispanics recognized Hispanic and White faces better than Asian and Black faces, Blacks recognized Black and White faces better than Asian and Hispanic faces, Asians recognized Asian faces better than Black faces and marginally better than White and Hispanic faces, and Whites recognized White faces better than those of other ethnicities. Results are discussed with respect to contact and facial encoding hypotheses.     

Suicide among adolescents and young adults: a cross-national comparison of 34 countries

Few cross-national reports have examined suicide rates among adolescents and young adults. A survey of suicides among 15-24-year-olds in 34 of the wealthiest nations demonstrated that 15,555 youths killed themselves in a 1-year study period. Thirty-four percent of these suicides were firearm-related. Finland led the participating nations in total and firearm-related suicide rates. An association was found between divorce rates and youth suicide rates, firearm-related suicide among youths, and suicide rates among young males. For a smaller sample of countries, an association was found between firearm availability and firearm-related suicide rates among youths and suicide rates among young males.     

Trajectories of perceived adult and peer discrimination among Black, Latino, and Asian American adolescents: patterns and psychological correlates

This article presents results from a 3-year longitudinal study of the growth patterns and correlates of perceived discrimination by adults and by peers among Black, Latino, and Asian American high school students. Results revealed a linear increase over time in levels of perceived discrimination by adults, whereas perceptions of discrimination by peers remained stable over time. Asian American and non-Puerto Rican Latino adolescents (primarily Dominican) reported higher levels of peer and/or adult discrimination than did Puerto Rican youth, whereas Black adolescents reported a steeper increase over time in levels of perceived discrimination by peers and by adults than did Puerto Rican adolescents. Peer and adult discrimination was significantly associated with decreased self-esteem and increased depressive symptoms over time. Ethnic identity and ethnicity were found to moderate the relationships between perceived discrimination and changes in psychological well-being over time. Results underscore the need to include perceptions of discrimination when studying the development and well-being of ethnic minority adolescents.     

Cognitive and Social Factors Associated with NSSI and Suicide Attempts in Psychiatrically Hospitalized Adolescents

Although non-suicidal self-injury (NSSI) and suicide attempts (SA) frequently co-occur among youth, there is increasing evidence that both the risk factors and the phenomenology of the behaviors are distinct. This study examined how individuals who engage in NSSI only, individuals who attempt suicide only, and those who have histories of both NSSI and at least one suicide attempt may differ in terms of cognitions and perceived social support. Participants were 185 adolescents (78.1 % female) between the ages of 13 and 18 recruited from a psychiatric inpatient facility in the northeastern United States. One hundred forty-eight teens were identified with a history of self-injurious behavior and divided into three groups: NSSI only (n?=?45), SA only (n?=?24) or both NSSI and SA (NSSI+SA; n?=?79). Analyses showed that the NSSI+SA group exhibited more cognitive errors, negative self-statements, and negative views of self, world, and future, as well as less perceived familial support than either the NSSI or SA only groups. There were no differences between groups on perceived support from teachers or peers. No significant demographic or diagnostic differences were found between the NSSI and SA groups. Limitations and clinical implications of the current research are discussed.     

Association between obesity and suicide in woman,but not in man: a population-based study of young adults

The relationship between obesity and suicide risk is still unclear with controversial research results. The aim of this study is to investigate the relationship between obesity and suicide risk for men and women in a population-based study of young adults. This is a cross-sectional population-based study that identified young adults between 18 and 35 years of age. Suicide risk was investigated through the structured clinical interview Mini. Weight and height were assessed, and participants were classified as normal-weight body mass index (BMI < 30) or obese (BMI > 30). The prevalence of obesity was of 19.9% of the total sample (n = 1953). Obesity was more prevalent among women and participants between 27 and 35 years of age. Suicide risk was present in 13.0% of the sample and more prevalent among women. In our study we found an association between obesity and suicide risk for women, but not for men. Obesity was associated with a higher prevalence of suicide risk in women. Given the strength of the relationship between BMI and suicide, identifying the mechanisms associated with obesity, especially for women, can lead to new insights into the prevention of suicide risk     

Sex differences in the effects of disinhibition,perceived peer drinking,and delay discounting on drinking among Japanese college students

Disinhibition, perceived peer drinking, and delay discounting are considered significant predictors of drinking in young adults. This study examined whether perceived peer drinking and delay discounting mediate the association between disinhibition and drinking for young men and women. In this study, 258 Japanese college students (109 men and 149 women, mean age 19.17 (SD = 1.20) years old) completed a self-administered questionnaire that included four measures—the disinhibition subscale of the Sensation Seeking Scale for Japanese Adolescents, the proportion of friends who drink as an index of perceived peer drinking behaviors, the Monetary Choice Questionnaire, and participants’ own drinking behavior. In the multiple mediator models analyzed using structural equation modeling, for both sexes, perceived peer drinking had the largest direct effect on participants’ drinking, followed by disinhibition and delay discounting. However, the results of mediation analyses indicated that perceived peer drinking mediated the association between disinhibition and drinking for only women. The results of this study imply that it is important to consider sex differences in the association between personality traits and peer influence to develop programs aiming to reduce drinking among young adults in Japan.     

Seemingly Harmless Racial Communications Are Not So Harmless: Racial Microaggressions Lead to Suicidal Ideation by Way of Depression Symptoms

Racial microaggressions, a contemporary form of subtle discrimination that occurs in everyday interactions, are associated with a variety of negative mental health outcomes. Research has not extended the connection between racial microaggressions and negative mental health to include suicide risk. Given the well‐known association between negative mental health outcomes and suicide risk, the current study examined whether racial microaggressions predicted suicidal ideation through depression symptoms among 405 young adults of color. Depression symptoms mediated the relationship between racial microaggressions and suicidal ideation. This is the first study to associate racial microaggressions to suicide risk. Societal and clinical implications are discussed.     

Suicide Attempts within 12 Months of Treatment for Substance Use Disorders

There are limited prospective data on suicide attempts (SA) during the months following treatment for substance use disorders (SUD), a period of high risk. In an analysis of the Drug Abuse Treatment Outcomes Study, a longitudinal naturalistic multisite study of treated SUDs, variables associated with SA in the 12 months following SUD treatment were examined. Participants included 2,966 patients with one or more SUDs. By 12 months, 77 (2.6%) subjects had attempted suicide. Multivariate logistic regression analyses were used to identify variables associated with SA. Variables collected at baseline that were associated with SA included lifetime histories of SA, suicidal ideation (SI), depression, cocaine as primary substance of use, outpatient methadone treatment, and short‐term inpatient treatment. Male sex, older age, and minority race or ethnicity were associated with lower likelihood of SA. After controlling for baseline predictors, variables assessed at 12 months associated with SA included SI during follow‐up and daily or more use of cocaine. The data contribute to a small but growing literature of prospective studies of SA among treated SUDs, and suggest that SUDs with cocaine use disorders in particular should be a focus of prevention efforts.     

Maternal Socialization Goals,Parenting Styles,and Social-Emotional Adjustment Among Chinese and European American Young Adults: Testing a Mediation Model

The authors compared the associations among perceived maternal socialization goals (self-development, filial piety, and collectivism), perceived maternal parenting styles (authoritative, authoritarian, and training), and the social-emotional adjustment (self-esteem, academic self-efficacy, and depression) between Chinese and European American young adults. The mediation processes in which socialization goals relate to young adults’ adjustment outcomes through parenting styles were examined. Results showed that European American participants perceived higher maternal self-development socialization goals, whereas Chinese participants perceived higher maternal collectivism socialization goals as well as more authoritarian parenting. Cross-cultural similarities were found in the associations between perceived maternal authoritative parenting and socioemotional adjustment (e.g., higher self-esteem and higher academic self-efficacy) across the two cultural groups. However, perceived maternal authoritarian and training parenting styles were found only to be related to Chinese participants’ adjustment (e.g., higher academic self-efficacy and lower depression). The mediation analyses showed that authoritative parenting significantly mediated the positive associations between the self-development and collectivism goal and socioemotional adjustment for both cultural groups. Additionally, training parenting significantly mediated the positive association between the filial piety goal and young adults’ academic self-efficacy for the Chinese group only. Findings of this study highlight the importance of examining parental socialization goals in cross-cultural parenting research.     

Minorities' acculturation and social adjustment: The moderator role of meta‐perceptions of majority's acculturation attitudes

Two studies addressed the role of Black meta‐perception of acculturation attitudes on the relation between minority acculturation attitudes and their social adjustment (school achievement and perceived quality of intergroup relations). Participants in both studies were Black Lusophone adolescents living in Portugal. Study 1 (N = 140) indicated that participants' attitude regarding the host culture was positively correlated with their school achievement and to their evaluation of intergroup relations. It also indicated that participants' meta‐perception of majority attitude add to the explained variance of participants' social adjustment. Study 2 (N = 62) manipulated the perceived majority high/low support of immigrants' learning the host culture. The dependent variable (DV) was perceived quality of intergroup relations. Only in the low support condition were participants' attitudes towards the host culture positively related to perceived quality of Black–White relationships. These results suggest that perceived social context is central to understand the relationship between minority adolescents' acculturation attitudes and key dimensions of their adjustment to host societies.     

Assessing White Racial Consciousness and Perceived Comfort with Black Individuals: A Preliminary Study

This research examined the relationship between White racial consciousness development and perceived comfort with Black individuals. Participants were 339 White undergraduate students from a large southeastern state university who were asked to complete a two-part inventory: part one measuring White racial consciousness development (a five-stage scale) and part two measuring perceived comfort in situations involving Black individuals. An eta coefficient was calculated, providing evidence for the existence of a strong curvilinear relationship between White racial consciousness and perceived comfort with Black individuals η =.23 at p<.0001. These findings suggest that Whites who are completely foreclosed (stage one) or who are well acquainted with Blacks (stage five) are more comfortable in situations with Blacks than Whites who had a moderate amount of contact with them (stages two, three, and four).     

Perceived control effects on religiosity and quality of life among young adults

The study investigated the mediating role of perceived control in the association between religiosity and quality of life among young adults in south-west Nigeria. Data were collected from a sample of 1 050 young adults (mean age = 29.8, SD = 4.61; female = 38.7%). Regression analysis was utilised to predict quality of life from religiosity, partialling out perceived control. Findings suggest internal religiosity to predict an environmental domain of quality of life through perceived control. Perceived constraints appear to explain the association between internal religiosity and the environmental domain of quality of life.     

Religious Attendance Serves as a Protective Variable Against Suicidal Ideation During Treatment

Several studies have proposed potential mediators of the association between religion and mental health, including social support (SS), locus of control (LOC), and substance abuse (SA), but have been limited by their use of non-clinical samples. The current study, therefore, drew from a clinical sample at risk of violence to self to test associations among these variables, specifically examining the effect of these variables on the relation between religious attendance (RA) and suicidal ideation (SI). A total of 144 adult outpatient psychotherapy clients evidencing SI during treatment were assessed pre-treatment for diagnostic presentation and frequency of RA. Subsequently, before each therapy session, SI, SS, SA, and external LOC (eLOC) during the preceding week were assessed via self-report. RA exerted a significant direct effect on SI within this clinical sample, with increased attendance associated with decreased SI. In contrast to prior reports based on non-clinical samples, SS, SA, or eLOC did not mediate the association of RA to SI. However, these variables did work in tandem, independent of RA, to affect SI. Findings support prior research suggesting that focusing on SS, SA, and LOC may be beneficial to clients experiencing SI. Additionally, for those clients who hold religious practices as a personal value, incorporating discussion of RA may help thwart SI.     

Perceived burdensomeness and suicide ideation in older adults

Older adults have the highest risk of death by suicide in the United States. Improving our understanding of the factors that lead to increased risk of suicide in older adults will greatly inform our ability to prevent suicide in this high-risk group. Two studies were conducted to test the effect of perceived burdensomeness, a component of the interpersonal-psychological theory of suicide (Joiner, 2005), on suicide ideation in older adults. Further, gender was examined as a moderator of this association to determine if perceived burdensomeness exerted a greater influence on suicide ideation in males. The results of these studies suggest that perceived burdensomeness accounts for significant variance in suicide ideation, even after predictors such as depressive symptoms, hopelessness, and functional impairment are controlled. Gender did not moderate the association. The implications of these findings for treatment of older adults with suicide ideation and elevated suicide risk are discussed.     

Shame,Guilt, and Suicide Ideation among Bondage and Discipline,Dominance and Submission,and Sadomasochism Practitioners: Examining the Role of the Interpersonal Theory of Suicide

To date, no study has examined rates of suicide ideation or theory‐based risk factors for suicide ideation among bondage and discipline, dominance and submission, and sadomasochism (BDSM) practitioners. Participants were 321 adults that endorsed BDSM involvement. Thirty‐seven percent of the sample indicated a nonzero level of suicide ideation. Thwarted belongingness and perceived burdensomeness (PB) were positively associated with suicide ideation and their interactive effect predicted additional variance in suicide ideation after adjusting for depressive symptoms. Overall, shame and guilt were positively associated with suicide ideation and these relations were mediated by thwarted belongingness and PB in parallel adjusting for depressive symptoms; however, there were some differences between demographic subgroups. Among BDSM practitioners, stigma‐related internalized feelings (i.e., shame and guilt) may be associated with increased thwarted belongingness and PB, which are associated with suicide ideation.