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The Role of Perceived Hyper-Surveillance in Adolescent Suicide Risk
Franchesca Castro-Ramirez1, Taylor C McGuire1, Maha Al-Suwaidi2
1Department of Psychology, Harvard University.
Summary
Adolescent suicide risk is linked to hyper-surveillance, a form of targeted monitoring. This study found that perceived hyper-surveillance worsens suicide ideation and attempts, especially for minoritized youth.
Area of Science:
- Public Health
- Psychology
- Criminology
Background:
- Adolescent suicide is a growing public health concern.
- Authoritarian policies disproportionately affect minoritized youth.
- The psychological impact of hyper-surveillance on adolescents is understudied.
Purpose of the Study:
- To operationalize perceived hyper-surveillance.
- To examine its association with suicide ideation severity, suicide attempts, and antisocial behavior.
- To explore its role beyond discrimination and violence exposure.
Main Methods:
- Cross-sectional study of 476 adolescents (13-17 years).
- Operationalized hyper-surveillance using validated measures across community and school settings.
- Used multivariable regression and thematic analysis.
Main Results:
- Hyper-surveillance and traumatic-stress symptoms independently predicted increased suicide ideation and attempts.
- Hyper-surveillance moderated the link between traumatic-stress symptoms and suicide risk.
- Adolescents with darker skin tones experienced more hyper-surveillance; over half linked hyper-surveillance to suicidal ideation.
Conclusions:
- Perceived hyper-surveillance is a modifiable risk factor for youth suicide.
- Clinical assessment of punitive surveillance experiences should be part of adolescent suicide risk evaluation.
- Findings highlight disparities in surveillance systems' operation.
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