Identifying Risk and Protective Factors in Research on Mental Health and Black American Adolescents: 1990 Through 2022

This literature review synthesizes research on Black American adolescents’ mental health published between 1990 and 2022 to identify prominent risk factors and highlight key protective factors for their mental health. Two research questions guided this review: (1) How did researchers examine mental health in Black American adolescents; and (2) What are the risk and protective factors that contribute to mental health outcomes among Black American adolescents? Across more than 30 years of investigation and over 300 published articles, researchers identified several prominent factors that pose risk to Black American adolescents’ mental health, including neighborhood conditions, violence exposure and victimization, racism and racial discrimination, and more recently, the COVID-19 pandemic. However, research also elucidated factors that protect or directly promote Black American adolescents’ mental health, including family, racial and ethnic socialization, racial and ethnic identity, out-of-school time activities, interpersonal relationships, coping, sleep, and social-cognition. The authors conclude with future directions for research and implications for practice.