Ecological factors influencing suicidal ideation-to-action among Latinx adolescents: An exploration of sex differences

Villarreal-Otálora, Tatiana; Boyas, Javier F.; Alvarez-Hernandez, Luis R.; Fatehi, Mariam

doi:10.1016/j.childyouth.2020.105444

Cited by 10 publications

(11 citation statements)

References 39 publications

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“…Additionally, throughout the interviews, Latina immigrant caregivers verbalized a yearning for overall knowledge regarding this phenomenon. Their yearning supports previous studies noting the overall low levels of suicide literacy among communities in the United States, especially minoritized individuals (Calear et al, 2016;Dueweke & Bridges, 2017;Villarreal-Otálora, Gibbs, & Boyas, 2023). They also asked for practical, direct suicide prevention skills, which they can role play within a program.…”

Section: Discussionsupporting

confidence: 68%

“…Testimonies could be incorporated and used as an opening for role plays to enhance existing programs for Latino adolescent suicide prevention. These petitions make sense, as quantitative findings suggest that caregivers lack confidence when engaging in those direct skills (Czyz et al, 2018;Villarreal-Otálora, Gibbs, & Boyas, 2023). As a needed component of SPC programming, Latina immigrant caregivers also focused on communication and affect regulation skills to strengthen familism within the family unit.…”

Section: Discussionmentioning

confidence: 99%

“…Several cross-cultural studies indicate that caregivers are more likely to engage in suicide prevention if they perceive themselves as capable of successfully carrying out those activities (Jones & Prinz, 2005;Jurecska et al, 2011;Klassen, 2004). Research with diverse sets of caregiver samples suggests that exposure to suicide prevention techniques can increase the caregivers' perceived self-efficacy to engage in life-saving behaviors (Czyz et al, 2018;Villarreal-Otálora, Gibbs, & Boyas, 2023). Yet, with the very few Latino-specific evidence-based suicide prevention programs in the United States , Latino caregivers' exposure to suicide prevention is limited.…”

Section: Engaging Latino Families In Suicide-related Prevention Activ...mentioning

confidence: 99%

“…While research notes multiple system-level factors associated with Latino adolescent suicide (e.g., substance use, depression, trauma, family, acculturation), most risk factors are housed within two systems: school and family. Within the school system, violence (e.g., bullying, sexual assault) along with overall conflict are positively correlated with suicidal attempts among Latino adolescents (Gonzalves et al, 2023; Vélez-Grau & Lindsey, 2022; Villarreal-Otálora et al, 2020). Additionally, ethnic-based discrimination, which Latino adolescents frequently experience within the school context, significantly increases their suicide risk (Cervantes et al, 2014).…”

Section: Latino Adolescent Suicidementioning

confidence: 99%

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Adolescent suicide prevention program recommendations from Latina immigrant mothers: “Starting with the word”.

Villarreal-Otálora,

Gulbas

2024

Journal of Latinx Psychology

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As suicide continues to rise among Latino adolescents in the United States, Latino caregivers' inclusion in prevention efforts is scant: Most suicide research is primarily based on and informed by White European-American individuals with few culturally tailored prevention programs. This study aimed to understand what Latino immigrant caregivers believe an effective suicide prevention program would look like for themspecifically, giving voice to Latina immigrant mothers' suicide prevention program recommendations. Toward this aim, we conducted 22 semistructured interviews with Latina immigrant mothers. Structural and inductive coding assisted in identifying the participant's recommendations and expressed preferences. Three essential themes outline the participants' visions of a culturally tailored suicide prevention program for Latino immigrant caregivers and position them as collaborators. These themes were (a) engaging the community via a multistep effort in culturally relevant spaces, (b) providing psychoeducation in culturally meaningful ways, and (c) offering tangible takeaways. Overall, the mother's recommendations provide practitioners and researchers with a sketch for developing a culturally tailored suicide prevention program that places Latino immigrant caregivers as active partners in the fight against adolescent suicide within their communities. Public Significance StatementThis study takes the first step toward prioritizing Latino caregivers as agents of change and recognizing their role in the fight against adolescent suicide. Findings suggest that Latina immigrant mothers desire to be involved in suicide prevention but experience significant anxiety related to the topic. Thus, clinicians should engage caregivers in a nonthreatening manner through primary prevention efforts focused on adolescent well-being, followed by brief psychoeducational suicide prevention workshops.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Engaging Latino Families In Suicide-related Prevention Activ...mentioning

confidence: 99%

Section: Latino Adolescent Suicidementioning

confidence: 99%

See 2 more Smart Citations

Adolescent suicide prevention program recommendations from Latina immigrant mothers: “Starting with the word”.

Villarreal-Otálora,

Gulbas

2024

Journal of Latinx Psychology

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“…Another construct other than race that strongly influences suicidality is sex. While suicidal ideation has been more common in females [ 22 , 23 , 24 ], suicidal attempt tends to be more common among males than females [ 25 ]. This is in part because suicidal behaviors may be a sub-domain of externalizing behaviors [ 3 ], which are more common in males than females [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Race by Sex Intersectionality Research on Suicidality in the Adolescent Brain Cognitive Development (ABCD) Study

2021

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Intersectional research on childhood suicidality requires studies with a reliable and valid measure of suicidality, as well as a large sample size that shows some variability of suicidality across sex by race intersectional groups. Objectives: We aimed to investigate the feasibility of intersectionality research on childhood suicidality in the Adolescent Brain Cognitive Development (ABCD) study. We specifically explored the reliability and validity of the measure, sample size, and variability of suicidality across sex by race intersectional groups. Methods: We used cross-sectional data (wave 1) from the ABCD study, which sampled 9013 non-Hispanic white (NHW) or non-Hispanic black (NHB) children between the ages of 9 and 10 between years 2016 and 2018. Four intersectional groups were built based on race and sex: NHW males (n = 3554), NHW females (n = 3158), NHB males (n = 1164), and NHB females (n = 1137). Outcome measure was the count of suicidality symptoms, reflecting all positive history and symptoms of suicidal ideas, plans, and attempts. To validate our measure, we tested the correlation between our suicidality measure and depression and Child Behavior Checklist (CBCL) sub-scores. Cronbach alpha was calculated for reliability across each intersectional group. We also compared groups for suicidality. Results: We observed some suicidality history in observed 3.2% (n = 101) of NHW females, 4.9% (n = 175) of NHW males, 5.4% (n = 61) of NHB females, and 5.8% (n = 68) of NHB males. Our measure’s reliability was acceptable in all race by sex groups (Cronbach alpha higher than .70+ in all intersectional groups). Our measure was valid in all intersectional groups, documented by a positive correlation with depression and CBCL sub-scores. We could successfully model suicidality across sex by race groups, using multivariable models. Conclusion: Given the high sample size, reliability, and validity of the suicidality measure, variability of suicidality, it is feasible to investigate correlates of suicidality across race by sex intersections in the ABCD study. We also found evidence of higher suicidality in NHB than NHW children in the ABCD study. The ABCD rich data in domains of social context, self-report, schools, parenting, psychopathology, personality, and brain imaging provides a unique opportunity to study intersectional differences in neural circuits associated with youth suicidality.

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Applying the Stress Process Theory to Assess Correlates of Suicide Ideation-to-Action Among Persons on Parole in the United States

Boyas

McCoy

Woodiwiss

et al. 2022

Community Ment Health J

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There is limited knowledge regarding precipitating factors associated with suicidality among persons on parole. Pairing the suicide ideation-to-action framework and stress process theory, the present study aimed to characterize sources of major stress (drug use, physical health, and mental health) and their associations to suicide ideation, planning, and attempt among a national sample of persons on parole. This study included a subsample of persons on parole (N = 1725) using pooled national data from the National Survey on Drug Use and Health (2015-2019). A series of logistic regression results indicate that various drug use, physical health, and mental health factors significantly influenced all three suicidality measures. Due to this population's unique experiences and numerous barriers following release from prison, it is essential to personalize interventions geared toward this population to meet their specific needs and address suicidality based on where they fall on this continuum.

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Ecological factors influencing suicidal ideation-to-action among Latinx adolescents: An exploration of sex differences

Cited by 10 publications

References 39 publications

Adolescent suicide prevention program recommendations from Latina immigrant mothers: “Starting with the word”.

Adolescent suicide prevention program recommendations from Latina immigrant mothers: “Starting with the word”.

Feasibility of Race by Sex Intersectionality Research on Suicidality in the Adolescent Brain Cognitive Development (ABCD) Study

Applying the Stress Process Theory to Assess Correlates of Suicide Ideation-to-Action Among Persons on Parole in the United States

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