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Longitudinal Associations Between Perceived Discrimination and Suicidality in Youth
Arielle T Pearlman1, Mikela A Murphy2, Sorana Raiciulescu3
1Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), Bethesda, MD.
Discrimination significantly increases suicidality risk in adolescents. Experiencing discrimination based on weight, race, or sexual orientation, especially multiple forms, elevates the odds of suicidal ideation and behavior.
Area of Science:
- Psychiatry and Mental Health
- Adolescent Psychology
- Sociology of Health
Background:
- Adult research shows strong links between discrimination and suicidality.
- The impact of discrimination on youth suicidality remains under-researched.
Purpose of the Study:
- To investigate the association between various forms of discrimination and suicidality in adolescents.
- To determine if experiencing multiple types of discrimination amplifies suicidality risk.
Main Methods:
- Utilized data from the Adolescent Brain Cognitive Development study (n=10,312).
- Assessed discrimination based on multiple attributes.
- Evaluated depressive disorders and suicidality (ideation, behavior) one year later using the Kiddie Schedule for Affective Disorders and Schizophrenia.
- Employed logistic regression, controlling for covariates like age, sex, race/ethnicity, income, prior depressive disorders, and body composition.
Main Results:
- Discrimination based on weight (OR: 2.19), race/ethnicity/color (OR: 3.21), and sexual orientation (OR: 3.83) were significantly associated with increased odds of suicidality.
- Nationality-based discrimination did not show a significant association with suicidality.
- Adolescents reporting discrimination based on two or more attributes had nearly five times greater odds of recent suicidality (OR: 4.72).
Conclusions:
- Discrimination, particularly multiple forms, poses a significant risk factor for adolescent suicidality.
- Weight, race/ethnicity, and sexual orientation are key attributes linked to discrimination-related suicidality in youth.
- Findings underscore the critical need for interventions addressing discrimination to improve adolescent mental health.
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