Mental health science最新文献

{"title":"Attachment Style Predicts Emotion Regulation, Help-Seeking, and Recovery in Psychosis","authors":"Jacqui Tiller,&nbsp;Tess Maguire,&nbsp;Katherine Newman-Taylor","doi":"10.1002/mhs2.70002","DOIUrl":"https://doi.org/10.1002/mhs2.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 <p>Untreated psychosis can have a devastating impact on individuals and their families. Recommended therapies are underutilised. Attachment theory provides a framework to understand intra- and interpersonal responses to threat cues, such as voices and paranoia, which affect recovery. This is the first study to test a coherent set of theory-driven predictions about the impact of attachment style on people's ability to manage distress associated with psychosis, and seek help effectively. We used a cross-sectional design to examine the impact of attachment style on emotional regulation, help-seeking intentions, service engagement, and clinical and recovery outcomes in people with psychosis. We recruited a total of 65 participants with psychosis from community and NHS pathways. Participants completed standardized measures of predictor and dependent variables at one-time point. Regression analyses showed that insecure attachment (anxious and avoidant) predicted more use of unhelpful emotional regulation strategies, less help-seeking, and poorer clinical and recovery outcomes, with medium to large effects (<i>p </i>&lt; 0.05). We found no effects for service engagement. Attachment style predicts intra- and interpersonal responses to threat in psychosis, and may partially account for the considerable variation in engagement with recommended therapies, and longer-term outcomes. Routine assessment of attachment at initial service contact would identify people likely to struggle to seek and accept therapeutic interventions, who may in turn benefit from attachment-congruent engagement efforts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143120512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing System Challenges in Mental Health Services Research for Youth in the Child Welfare System: Insights From the Foster Care Family Navigator Trial","authors":"Marina Tolou-Shams,&nbsp;Megan Ramaiya,&nbsp;Jannet L. Salas,&nbsp;Adrian Aguilera,&nbsp;Martha Shumway,&nbsp;Brian Borsari,&nbsp;Emily Dauria,&nbsp;Jill D. Berrick","doi":"10.1002/mhs2.70003","DOIUrl":"https://doi.org/10.1002/mhs2.70003","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 <p>Child welfare-involved (CWI) youth have high rates of unaddressed mental health needs, and system-level barriers (e.g., inadequate coordination between child welfare agencies and other systems designed to serve CWI youth) are one major reason why disparities in mental health services' access continue to persist for CWI youth. This Research Note aims to inform the mental health services field about system-level challenges to conducting real-world, health services research with CWI youth and their families. We present challenges experienced in conducting our NIMH-funded Foster Care Family Navigator (FCFN) trial focused on development and preliminary testing of a clinic-embedded navigation intervention designed to improve detection of foster care youth services need, linkage to and engagement in community-based mental health services. Systems-level challenges that impacted proposed research trial design and data collection included: (1) Limited system staff time and compensation processes; (2) Staff training and knowledge; and (3) System disruptions. Health services research geared toward increasing access to mental health services to CWI youth must incorporate multiple complex design considerations prior to intervention development and delivery including longer (than 12 months) intervention development phases, detailed contingency plans for intervention delivery and integrated tailored, ongoing support and training for staff with existing clinic workflows. In this way, structural challenges to access to care that researchers are trying to ameliorate for CWI and other underserved, minoritized populations are not being inadvertently perpetuated through research study designs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143120190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathways to Hope: Redefining Suicide Prevention for Black LGBTQ Youth","authors":"Lindsey Siff,&nbsp;Sherry Molock","doi":"10.1002/mhs2.70004","DOIUrl":"https://doi.org/10.1002/mhs2.70004","url":null,"abstract":"&lt;p&gt;The deleterious impact of suicidal thoughts and behaviors (STBs) on Black LGBTQ youth is alarming and exponentially growing, as suicide is one of the leading causes of death among this population (Centers for Disease Control and Prevention &lt;span&gt;2020&lt;/span&gt;; Centers for Disease Control and Prevention &lt;span&gt;2023&lt;/span&gt;; Ream &lt;span&gt;2022&lt;/span&gt;). In 2023, 44% of Black LGBTQ youth reported active suicide ideation and 16% reported past-year suicide attempts (The Trevor Project &lt;span&gt;2024&lt;/span&gt;). Rates of active suicide ideation were significantly higher among Black transgender and nonbinary youth compared to cisgender Black LGBQ youth (59% vs. 37%, respectively; The Trevor Project &lt;span&gt;2021&lt;/span&gt;). Rates of suicide attempts were also significantly higher among Black transgender and nonbinary youth, as 26% reported past-year suicide attempts compared to 14% of their cisgender Black LGBQ counterparts. Black LGBTQ youth reported higher rates of suicide ideation and attempts compared to their white or Asian American/Pacific Islander LGBTQ youth counterparts (The Trevor Project &lt;span&gt;2024&lt;/span&gt;). Rates of STBs are much higher among Black LGBTQ youth, likely due to the impact of having multiple marginalized identities that are subject to STB risk factors such as racism, discrimination, anti-LGBTQ legislation and policies, and experiencing violence (Crenshaw &lt;span&gt;1989&lt;/span&gt;; The Trevor Project &lt;span&gt;2021&lt;/span&gt;). Other influential structural and systemic factors include various structures of domination (e.g., white supremacy, cisgenderism, and capitalism; Parchem, Poquiz, and Rider &lt;span&gt;2024&lt;/span&gt;). These structures, systems, and processes perpetuate the disproportionate rates of suicidal thoughts and behaviors among Black LGBTQ youth, underscoring the dire need for suicide prevention programs to address this public health priority.&lt;/p&gt;&lt;p&gt;Youth suicide prevention programs have been implemented in schools, communities, and healthcare systems. Youth suicide prevention programs of all types and in all settings are variable in their ability to reduce STBs, as not all programs are effective in reducing STBs (Calear et al. &lt;span&gt;2016&lt;/span&gt;; Walsh, Herring, and McMahon &lt;span&gt;2023&lt;/span&gt;; York et al. &lt;span&gt;2013&lt;/span&gt;). The existing suicide prevention programs tend to have the largest impact on increasing suicide awareness rather than reducing STBs (Brann et al. &lt;span&gt;2021&lt;/span&gt;). Additionally, there is a lack of outcome data specific to Black LGBTQ youth who participate in these programs. Given the disproportionate and increasing rates of STBs among Black LGBTQ youth, it is unknown if these prevention programs sufficiently prevent or reduce suicidal thoughts and behaviors among Black LGBTQ youth. It is likely that the success of suicide prevention programs among Black LGBTQ youth is hindered by the research gaps regarding STB risk and protective factors, inaccurate screening tools, lack of available culturally specific and LGBTQ-competent suicide preve","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143120191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Asian American Parenting and Youth Mental Health Outcomes: A Literature Review","authors":"Toni Yu,&nbsp;Connie Yuen,&nbsp;Zhiyuan Yu","doi":"10.1002/mhs2.101","DOIUrl":"https://doi.org/10.1002/mhs2.101","url":null,"abstract":"<p>Contrary to the “model minority” stereotype of being exceptionally healthy and successful, Asian American (AA) youth experience mental health disparities and are less likely to seek help. In 2020, suicide was the leading cause of death for AA youth aged 10–19. Parenting is essential for promoting youth mental health, and AA parenting is unique in the context of acculturation and enculturation. However, the impact of parenting on youth mental health among AA families remains underexplored and unsynthesized. This review aims to synthesize existing literature from 2003 onward on parenting and mental health outcomes among AA youth. Four databases were searched, yielding 44 articles published after 2003 for inclusion. Empirical studies meeting the following criteria were included: population focused on AA youth, study conducted in the U.S., included a mental health outcome, and included a parenting measure. Findings emphasize the importance of parenting in shaping the mental health outcomes of AA youth. Intergenerational acculturation gaps and family conflicts are associated with increased mental health risks, while parental warmth/support and family cohesion serve as protective factors. These findings highlight the need for culturally tailored parenting interventions to improve AA youth mental health. Future research should evaluate or adapt existing evidence-based parenting programs to ensure cultural appropriateness and effectiveness in improving mental health of AA youth, ultimately reducing mental health disparities.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143119856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toward a Scientific Understanding of Queer, Trans, and Two-Spirit (QT2S) Native Youth Mental Health Disparities","authors":"Autumn Asher BlackDeer","doi":"10.1002/mhs2.70001","DOIUrl":"https://doi.org/10.1002/mhs2.70001","url":null,"abstract":"<p>Queer, trans, and Two-Spirit native youth experience exponential increases in risk for health disparities, yet little is known about their distinct mental health needs. There remains a dearth of literature examining the unique intersection of Indigeneity, gender and sexuality, and age. As Indigenous populations in the United States have grown in the past decade, it is imperative to develop a comprehensive understanding of QT2S native youth mental health. The present work seeks to bridge the fields of scholarship on native youth and LGBTQ communities' mental health disparities to illuminate gaps in scientific understanding of QT2S native youth mental health. The current paper will discuss theoretical frameworks, methodological considerations, and mental health disparities scholarship on QT2S youth, concluding with research recommendations toward developing a scientific understanding of QT2S native youth mental health disparities.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143119525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing the Mental Health Needs of Older People in Prison: Development of an Initial Programme Theory (IPT) Based on Realist Synthesis","authors":"Lee D. Mulligan,&nbsp;Deborah Buck,&nbsp;Falaq Ghafur,&nbsp;Joshua Southworth,&nbsp;Matilda Minchin,&nbsp;Jenny Shaw,&nbsp;Jane Senior,&nbsp;Katrina Forsyth","doi":"10.1002/mhs2.105","DOIUrl":"https://doi.org/10.1002/mhs2.105","url":null,"abstract":"<p>The mental health needs of older people in prison (OPiP) are considerable but remain overlooked. This review aimed to develop an Initial Programme Theory (IPT) to understand how the mental health needs of OPiP can be addressed and how mental health care for older people in the community could be adapted for the prison environment. A review and realist synthesis pertaining to the mental health needs of OPiP was conducted across three stages, including: (1) a systematic review of empirical work; (2) a scoping review of prison guidance documents; and (3) a scoping review of community mental health guidance documents. Synthesis of eligible literature and development of the IPT followed realist principles and was supplemented by a stakeholder workshop of experts by personal and occupational experience. Overall, 122 sources were included. The IPT suggested that prisons can address the mental health needs of OPiP via micro-level mechanisms (i.e., screening, assessment, care planning, intervention, continuity of care/release), meso-level mechanisms (i.e., accommodation, environment, activities, religion/spirituality, peer support, family support) and macro-level mechanisms (i.e., staff training/education, governance). Each mechanism is underpinned by trauma-informed, integrated and patient-centered care principles and their implementation should be guided by a local assessment of prison-specific needs. Our IPT provides a framework for how prisons can address the mental health needs of OPiP, informed by community care provision, via several mechanisms across different levels. Future research should build on this work to inform a full evaluation of its impact on meaningful outcomes to promote equivalency of care for OPiP and non-discriminatory access to mental health support for those at risk of marginalization.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depressive and Anxiety Symptoms During Adolescence: The Protective Roles of Adolescent and Family Assets Within ECHO's Diverse National Population","authors":"Jody M. Ganiban,&nbsp;Courtney K. Blackwell,&nbsp;Chang Liu,&nbsp;Leslie Leve,&nbsp;Jenae Neiderhiser,&nbsp;Maxwell Mansolf,&nbsp;Zhaoying Chen,&nbsp;Bianca Acevedo,&nbsp;Patricia A. Brennan,&nbsp;Nicole R. Bush,&nbsp;Jean A. Frazier,&nbsp;Alison E. Hipwell,&nbsp;Daniel P. Keating,&nbsp;Kaja Z. LeWinn,&nbsp;Santiago Morales,&nbsp;Amanda Norona-Zhou,&nbsp;Alexandra Sullivan,&nbsp;Lihua Yao,&nbsp;Li Yi,&nbsp;Yeyi Zhu,&nbsp;program collaborators for the Environmental influences on Child Health Outcomes (ECHO) program","doi":"10.1002/mhs2.103","DOIUrl":"https://doi.org/10.1002/mhs2.103","url":null,"abstract":"<p>To understand the factors that preserve mental health amongst a diverse population of adolescents, we examined links between neighborhood-level resources, adolescents' self-reported personal assets (low perceived stress, meaning and purpose, life satisfaction), parent-reported family assets (household income, maternal mental health) and adolescents' self-reported depressive and anxiety symptoms. Participants included a racially and ethnically diverse national sample of 4325 adolescents (10–21 years) from the Environmental influences on Child Health Outcomes (ECHO) program. Neighborhood-level resources were not directly associated with depressive or anxiety symptoms. However, higher levels of personal and family assets were related to lower levels of symptoms, regardless of neighborhood resources (ß's: −0.09 to 0.55). Last, high neighborhood resources compensated for the absence of one asset—low perceived stress. For adolescents with levels of perceived stress that were just 0.17 SD above the sample mean, neighborhood resources were negatively associated with depressive symptoms. Findings did not vary across racial and ethnic groups. Results support the development of asset building endeavors that bolster positive child assets in adolescents and families to reduce mental health disparities. Implications for programs that seek to promote mental health amongst minoritized youth are discussed.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143115667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing the Validity of a Cultural Assessment of Suicide Risks in Black Adolescents","authors":"Samantha Francois,&nbsp;Leslie Adams,&nbsp;Chavez Phelps","doi":"10.1002/mhs2.104","DOIUrl":"https://doi.org/10.1002/mhs2.104","url":null,"abstract":"<p>Although rates of suicide among Black American youth have increased in recent years, few brief assessment tools have been culturally tailored and validated to better identify suicide risk for this population. The current study addresses this gap by testing the validity and reliability of the Cultural Assessment of Suicide Risk-short form (CARS-S) in an online sample of Black American adolescents. Three hundred eighty-one Black adolescents (<i>M</i>_age = 17.5) completed a 13-item CARS-S measure online. Cronbach's alpha and exploratory and confirmatory factor analysis were computed in Stata v.15 and Mplus v.8.0. The revised CARS-S scale demonstrated acceptable internal consistency (Cronbach's <i>α</i> = 0.82). A four-factor solution retained through exploratory analysis demonstrated the best model fit (<i>χ</i>² = 46.62, <i>p</i> &lt; 0.001; RMSEA = 0.05, 95% CI = 0.01–0.08 CFI = 0.99; TLI = 0.97) compared to other model solutions. Confirmatory analysis supported a four-factor model with no cross-loaded items. The four factors were: (1) Family conflict and idioms of distress-suicidal actions (four items); Social Support (two items); Minority-specific distress (three items); Idioms of distress-emotional/somatic and cultural sanctions (four items). Researchers conducting future suicide prevention research focused on Black American adolescents and including the CAR-S measure should consider the inclusion of items related to family conflict and racism-related stress to better capture risk.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of the COVID-19 Pandemic on the Well-Being of People With Borderline Personality Disorder: A National Australian Study","authors":"Parvaneh Heidari,&nbsp;Jillian H. Broadbear,&nbsp;Marita Mohammadshahi,&nbsp;Farzaneh Foroughinia,&nbsp;Rita Brown,&nbsp;Sathya Rao","doi":"10.1002/mhs2.102","DOIUrl":"https://doi.org/10.1002/mhs2.102","url":null,"abstract":"<p>Social isolation due to the COVID-19 pandemic was a significantly destabilizing factor for people with borderline personality disorder (BPD). The aim of this study was to investigate the well-being of Australians diagnosed with BPD during the initial lockdown to restrict the spread of COVID-19. An online survey asked Australian residents (≥ 18 years) who self-identified with having a diagnosis of BPD, about their experience of “coronaphobia” using the Coronavirus Anxiety Scale (CAS) as well as using open- and close-ended questions to measure demographic and health information. The CAS data were analyzed descriptively. The World Health Organisation definition of health was used for deductive thematic analysis of qualitative data. Thirty-five (24.5%) of the 143 participants who completed the CAS, experienced dysfunctional COVID-19 related anxiety. Nearly half (<i>n</i> = 76; 46.1%) reported that their mental health became a lot worse. Utilizing the WHO definition of health, two main themes were identified: (1) Physical Health, and (2) Mental and Social Well-being. Both themes included three subthemes that were variously affected by the national lockdown. Following the imposition of social restrictions to control the spread of the coronavirus, many people living with BPD experienced heightened challenges and greater vulnerability to adverse outcomes attributable to their underlying mental health symptoms.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143113617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opportunities to Address Health Disparities in Suicidality for Sexual and Gender Minority Youth in Public Systems","authors":"Dana M. Prince,&nbsp;Megan S. Schuler,&nbsp;Katherine Lewis,&nbsp;Michelle R. Munson,&nbsp;Aaron J. Blashill,&nbsp;Peter S. Hovmand","doi":"10.1002/mhs2.100","DOIUrl":"https://doi.org/10.1002/mhs2.100","url":null,"abstract":"&lt;p&gt;The prevention of self-injurious thoughts and behaviors (SITB) among youth continues to be a public health imperative. In the general population, suicide is the second-leading cause of death for ages 10–24 (Ruch et al. &lt;span&gt;2019&lt;/span&gt;). However, specific subgroups of youth are at significantly greater risk of SITB. Public systems involvement, LGBTQ+ status, and Black and/or Latinx youth are at elevated risk. Moreover, LGBTQ+ and Black/Latinx youth—and those who are both—are disproportionately overrepresented in the child welfare and juvenile justice systems. Child welfare and juvenile justice involved youth have approximately three times greater risk for suicide ideation, attempts, and completions (i.e., self-injurious thoughts and behaviors) than non-systems-involved youth (Agencies &lt;span&gt;2013&lt;/span&gt;; Casiano et al. &lt;span&gt;2013&lt;/span&gt;; Evans et al. &lt;span&gt;2017&lt;/span&gt;; Gallagher and Dobrin &lt;span&gt;2005&lt;/span&gt;; Gray et al. &lt;span&gt;2002&lt;/span&gt;; Hayes &lt;span&gt;2009&lt;/span&gt;; Katz et al. &lt;span&gt;2011&lt;/span&gt;; Scott, Underwood, and Lamis &lt;span&gt;2015&lt;/span&gt;; Vinnerljung, Hjern, and Lindblad &lt;span&gt;2006&lt;/span&gt;). Sexual and Gender Minority (SGM) youth in the general population have two to four times the risk of SITB compared to their heterosexual, cisgender peers (Luk et al.&lt;span&gt;2021&lt;/span&gt;; Nock et al. &lt;span&gt;2013&lt;/span&gt;; Perez-Brumer et al. &lt;span&gt;2017&lt;/span&gt;). Notably, SGM youth are disproportionately overrepresented in child welfare and juvenile justice, with estimates ranging from 16% to 32% (Grant et al. &lt;span&gt;2011&lt;/span&gt;; Majd, Marksamer, and Reyes &lt;span&gt;2009&lt;/span&gt;; Matarese et al. &lt;span&gt;2021&lt;/span&gt;; Wilson and Bouton &lt;span&gt;2022&lt;/span&gt;; Wilson and Kastanis &lt;span&gt;2018&lt;/span&gt;; Wilson et al. &lt;span&gt;2017&lt;/span&gt;) compared to 2%–8% in the general population (Conron et al. &lt;span&gt;2014&lt;/span&gt;). In sum, the risk of SITB for SGM youth who are involved with public systems is compounded (Dettlaff et al. &lt;span&gt;2018&lt;/span&gt;; Johns et al. &lt;span&gt;2020&lt;/span&gt;; Scannapieco, Painter, and Blau &lt;span&gt;2018&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Child welfare and juvenile justice systems can screen, assess, and refer to treatment youth who may not otherwise access services (Casiano et al. &lt;span&gt;2013&lt;/span&gt;; Gallagher and Dobrin &lt;span&gt;2005&lt;/span&gt;; Gray et al. &lt;span&gt;2002&lt;/span&gt;). The unique needs of system-involved SGM youth have been largely ignored, with few child welfare and juvenile justice jurisdictions systematically identifying SGM youth or providing SGM-affirming care (Busby et al. &lt;span&gt;2020&lt;/span&gt;; Call, Challa, and Telingator &lt;span&gt;2021&lt;/span&gt;; Evans et al. &lt;span&gt;2017&lt;/span&gt;; Rider et al. &lt;span&gt;2019&lt;/span&gt;). There is a clear and urgent need for system-level interventions to provide SGM youth with equitable care to improve SITB and other behavioral health outcomes. In this paper, we provide a conceptual framework that can guide system-level research in this area, as well as highlighting several key knowledge gaps and research opportunities.&lt;/p&gt;&lt;p&gt;Sexual and gender minority youth involved in public sy","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}