Mental health science最新文献

{"title":"Interrupting the “Costs of Competence” Through Mindfulness Intervention for High Achieving Minoritized Students: A Protocol for the Project STRIVE Mechanistic Trial","authors":"Anna S. Lau,&nbsp;Joey J. Fung,&nbsp;Farzana T. Adjah,&nbsp;M. Alejandra Arce,&nbsp;Han Du,&nbsp;Stacey N. Doan","doi":"10.1002/mhs2.70011","DOIUrl":"https://doi.org/10.1002/mhs2.70011","url":null,"abstract":"<p>In racially minoritized communities, students who overcome structural challenges to succeed academically are regarded as resilient. However, the same self-regulation skills that help minoritized youth excel despite chronic stress may also lead to physiological dysregulation that can contribute to health disparities. Structural racism and race-related stress may compel motivated youth to adopt a Striving Persistent Behavioral Style (SPBS), a high effort coping strategy that involves emotion suppression, experiential avoidance, and unmodulated perseverance. Mindfulness intervention has the potential to target these aspects of self-regulation while conserving achievement. We will conduct a randomized controlled trial in which 504 high-achieving students of color will be randomly assigned to either a mindfulness intervention or an attention control. Assessments will include self-report and behavioral measures of self-regulation, and self-report and biomarker measures of health outcomes at baseline, post-treatment, and 1-year follow-up. Project STRIVE (STudents RIsing aboVE) will address three aims: (1) Examine the impact of the STRIVE intervention on self-regulation processes associated with SPBS, (2) Assess the effects of the STRIVE intervention on the primary outcomes of allostatic load (a multisystem indicator of chronic physiological stress), health complaints, and internalizing mental health symptoms, and (3) Test the mechanistic pathways linking SPBS to health outcomes. Project STRIVE is a reverse translational study that uses a randomized trial design to provide a causal test of hypothesized mechanisms by which health disparities persist among upwardly mobile racially minoritized individuals. This trial is registered in the ClinicalTrials.gov Protocol and Results Registration System (NCT05846282).</p><p><b>Trial Registration:</b> ClinicalTrials.gov under ID NCT05846282.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689356","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":"Therapy and Parental Acceptance for LGBTQ+ Latinx and Black Youth: A Moderated Mediation Analysis of Internalized Stigma, School Bullying, and Psychological Distress","authors":"Aldo M. Barrita,&nbsp;Joshua G. Parmenter,&nbsp;Roberto L. Abreu,&nbsp;Jules P. Sostre,&nbsp;Ryan J. Watson","doi":"10.1002/mhs2.70009","DOIUrl":"https://doi.org/10.1002/mhs2.70009","url":null,"abstract":"<p>Research on bullying and LGBTQ+ Black and Latinx youth is limited, yet findings suggest experiencing bullying is associated with high levels of psychological distress, which can be internalized. Similarly, research on aspects such as parental acceptance and informed therapy suggest these can operate as protective factors when experiencing oppression. Yet, these relations are often tested individually. Thus, using an intersectional approach, we explore the cumulative effect of these variables using a sample of LGBTQ+ Black and Latinx youth to highlight specific mental health disparities among these groups. Using a national online cross-sectional survey with LGBTQ+ Black and Latinx youth (<i>N</i> = 2414), we assessed the relation between school bullying (predictor), internalized LGBTQ+ stigma (mediator), and psychological distress (outcome) and tested the influence of access to therapy (moderator 1) and parental acceptance (moderator 2) in a moderated mediation analysis. Additionally, a second moderated mediation analysis tested among participants who have access to therapy if LGBTQ+ informed therapy (moderator 1) and parental acceptance (moderator 2) influenced the relation between our main variables. Using a moderated mediation analysis PROCESS Model 11 for two models, results suggested in model 1 that internalized stigma mediated the relation between school bullying and psychological distress. Furthermore, both parental acceptance and access to therapy moderated the association between school bullying and internalized LGBTQ+ stigma. The second model found that for those with access to therapy, receiving LGBTQ+ -informed therapy and high parental acceptance disrupted the relationship between school bullying and internalized LGBTQ+ stigma. Our findings suggested that LGBTQ+ Black and Latinx youth receiving LGBTQ+ informed therapy reported less internalized LGBTQ+ stigma, particularly when parental acceptance is high. Implications and limitations are discussed.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595101","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":"Strategies to Improve Engagement of Latino Adolescents in Mental Health Research","authors":"Allison McCord Stafford,&nbsp;Camila A. Pulgar,&nbsp;Tatiana Villarreal-Otálora","doi":"10.1002/mhs2.70005","DOIUrl":"https://doi.org/10.1002/mhs2.70005","url":null,"abstract":"<p>While Latino adolescents of all genders in the US experience inequities in depressive symptoms, suicide attempts, and access to mental health services in comparison to non-Latino White peers, they are underrepresented in adolescent mental health research. Additionally, little has been written on how to best engage Latino adolescents in mental health research. Given that this population has unique developmental and cultural needs, our purpose is to outline strategies for increasing engagement of Latino teens in mental health-focused studies based on lessons learned from three investigators’ programs of research. This manuscript describes the research programs of three bilingual investigators who have dedicated their research careers to addressing mental health inequities of Latino adolescents. We synthesize lessons learned across all aspects of study design, focusing on recommendations to facilitate the engagement of Latino adolescents in mental health research. Based on the successes and challenges in our programs of research, we provide four key recommendations to increase engagement of Latino adolescents in mental health research: (1) Become knowledgeable about the values, culture, and language of the local Latino community; (2) Consider recruitment strategies that are inclusive of both clinical and community Latino teen samples; (3) Balance the autonomy of the Latino teen with family values throughout the research process; and (4) Offer flexible data collection options knowing that teens and parents may have various levels of comfort with sharing information about themselves and their mental health. Researchers can build upon the lessons from our combined almost 40 years of research experience with Latino adolescents, emerging adults, and parents. Through consideration of these recommendations, the recruitment of diverse groups of Latino teens into mental health research can be bolstered with the goal of generating translatable knowledge to help address mental health inequities faced by this population.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595102","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":"Suicide: The Experiences of Attempters in the Greater Accra Region of Ghana","authors":"Abigail Ansere Buertey","doi":"10.1002/mhs2.70008","DOIUrl":"https://doi.org/10.1002/mhs2.70008","url":null,"abstract":"<p>Suicide is a major public health concern that has negatively impacted people worldwide socioeconomically, physically, and psychologically. Every instance is a heart-breaking loss that deeply impacts families, communities and nations, leaving lasting repercussions for those left behind. The aim of the study was to explore precipitating factors of people who experienced a suicide attempt. A qualitative descriptive exploratory design was used with the help of a semi-structured interview guide to collect data from thirteen (13) suicide attempters' with ages between 20 and 48 years. The data were transcribed verbatim after it had been audio recorded digitally. The data were analyzed using thematic analysis with MAXQDA 20. Information gathered yielded two major themes and six subthemes as the precipitating factors for suicide attempt. The two main themes were (1) Social/family issues, with its subthemes; mistrust, wasted resources and parental pressure (2) Psychological issues with the subthemes; Childhood experiences, emotional breakdown and difficult life pursuits. The study showed that suicide is a very complex problem in every society and there is general ignorance about the triggers, signs and appropriate help seeking strategies. It is therefore vital to create massive public awareness on suicide attempt triggers and symptoms through health education to help save lives.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143447065","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":"Barriers and Facilitators to Accessing Mental Health Services for Adults in Sub-Saharan Africa: A Systematic Review","authors":"Clement K. Komu,&nbsp;Michael Ngigi,&nbsp;Ambrose J. Melson","doi":"10.1002/mhs2.70006","DOIUrl":"https://doi.org/10.1002/mhs2.70006","url":null,"abstract":"<p>In Sub-Saharan Africa (SSA), despite a high prevalence of mental health conditions, less than 10% of those living with mental illness access professional mental health services (MHS). This systematic review aimed to identify, appraise, and synthesise studies conducted in SSA seeking to understand the barriers and facilitators to accessing MHS for adults in SSA. A systematic search of PsycINFO, MEDLINE, and CINAHL databases was conducted using key terms (Barriers, Facilitators, Access, Mental Health Services, and Sub-Saharan Africa) with 16 studies meeting the eligibility criteria for inclusion. The quality of the included studies was assessed using the Critical Appraisal Skills Programme (CASP) and Joanna Briggs Institute (JBI) Critical Appraisal tools based on the articles’ study methodology. Data from the included studies were extracted using a standardised proforma and grouped into source details, methodology, participants’ characteristics and the main finding(s). A narrative synthesis was adopted to systematically summarise and evaluate included studies. Only nine of 46 Sub-Saharan African countries were represented in the included studies. Barriers included lack of or little knowledge of mental disorders and professional services; negative attitudes held towards mental health services; cultural and religious beliefs leading to over-reliance on traditional and spiritual interventions; and stigmatising beliefs that included self-stigmatisation, stigma and discrimination from family, the community, and healthcare providers. Facilitators to accessing mental health services were more limited and included awareness of mental disorders and the services offered; social support and acceptance by family members and the community; and the availability of community-based mental health services. This systematic review identified barriers such as limited knowledge, stigma, and reliance on traditional interventions inhibiting access to mental health services in Sub-Saharan Africa. The region's limited representation and scarcity of facilitators highlights an urgent need for targeted interventions to improve mental health accessibility.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424213","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":"Culturally Adapting a Mental Health Literacy Intervention With Youth (Stakeholders) for Implementation in Malawi Universities","authors":"Joel Nyali,&nbsp;Gloria Chirwa,&nbsp;Beatrice Cynthia Chitalah,&nbsp;Sandra Jumbe","doi":"10.1002/mhs2.70007","DOIUrl":"https://doi.org/10.1002/mhs2.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 <p>In Malawi, it is difficult to promote positive mental health due to poverty, cultural beliefs, and stigma associated with mental illness. Mental health literacy (MHL) is not integrated into the education system despite evidence suggesting educational settings as ideal to deliver MHL programmes. Stakeholder input is crucial during development of interventions. This paper reports on our work with diverse stakeholders to culturally adapt a MHL course (MHLc) for implementation in Malawi universities. The MHLc structure and content development involved focus group discussions (FGDs) with 44 Malawian youth from universities and youth organisations, a national MHL survey and a systematic review exploring adolescent substance use in Africa. The MHLc was delivered to 35 first-year university students. Students’ MHL was assessed using two questionnaires before and 3 months after MHLc delivery during an evaluation session which also included FGDs with 20 participants to explore course satisfaction. MHL questionnaire responses were analysed using paired t-tests and FGD transcripts were thematically analysed. Overall student attendance rate during the MHLc delivery was 92%. However, only 57% attended the evaluation session. Students’ MHL increased after course completion (pre and post scores were 116.7 and 117.9 respectively) however this change was not significant. Student feedback about the MHLc was positive. They highlighted acquiring considerable mental health knowledge and skills that they would utilise in their lives daily. A key challenge raised was disruption of course delivery due to electricity outages. The MHLc content was acceptable among university students with high attendance rates and positive feedback regarding impact on participants’ mental health knowledge and attitudes. This paper highlights the value of stakeholders’ input when designing mental health interventions. In future, we need to mitigate disruption of the MHLc delivery and consider incentives to reduce participant dropout at follow up points.</p>\u0000 </section>\u0000 </div>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389340","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":"Hopelessness as a Mediator of the Association Between Parenting Factors and Adolescent Suicidality and Substance Use Among Juvenile Justice-Referred Youth","authors":"Natalie Guerrero,&nbsp;Lauren O'Reilly,&nbsp;Trey V. Dellucci,&nbsp;Casey Pederson,&nbsp;Zachary W. Adams,&nbsp;Leslie Hulvershorn,&nbsp;Tamika C. B. Zapolski,&nbsp;Matthew C. Aalsma","doi":"10.1002/mhs2.70000","DOIUrl":"https://doi.org/10.1002/mhs2.70000","url":null,"abstract":"<p>Youth involved in the juvenile justice system are more likely to have a substance use disorder and/or suicidality (e.g., suicidal thoughts and behavior) compared to other youth. Although parental support and monitoring may play an important role in youth substance use and suicidality outcomes, the potential mechanisms have not been elucidated. Our purpose was to evaluate the extent to which parental support and monitoring were associated with latent, continuous construct scores of suicidality and substance use and to determine whether youths’ hopelessness may indirectly affect these relationships among a sample of youth referred to the juvenile justice system. The sample included juvenile justice-referred youth aged 14–17 (<i>N</i> = 77; 69% White, 58% male, 74% non-Hispanic). The primary predictors of interest were parental support and monitoring, measured by the Parent Support Scale and Parental Monitoring Scale. The primary potential mediator of interest was hopelessness. Linear regression was used to model continuous suicidality and substance use severity scores, measured via a computer adaptive test, on parental support and monitoring. We tested hopelessness as a potential mediator. All analyses controlled for age, sex assigned at birth, race, ethnicity, and family income. After adjustment, parental support was associated with decreased suicidality severity (<i>β</i> = −0.30, <i>p</i> = 0.002). Parent support and monitoring were associated with youth-reported hopelessness. The indirect mediation effects of hopelessness in the relationship between parental support (<i>β</i> = −0.18 [SE, 1.73]), as well as parental monitoring (<i>β</i> = −0.17 [SE, 0.20]), and suicidality severity were statistically significant. Parental support and youth hopelessness may be important intervention targets for improving and addressing disparities in substance use and suicidality among juvenile justice-referred youth. Hope-based interventions may be effectively integrated into existing juvenile justice programs, and their potential to improve both mental health and behavioral outcomes among justice-involved youth should be examined.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143380628","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":"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}