Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Perceived Racial Discrimination, Psychological Distress, and Suicidal Behavior in Adolescence: Secondary Analysis of Cross-Sectional Data from a Statewide Youth Survey

Version 1 : Received: 2 April 2024 / Approved: 3 April 2024 / Online: 3 April 2024 (11:06:28 CEST)

How to cite: Cahill, M.; Illback, R.; Peiper, N. Perceived Racial Discrimination, Psychological Distress, and Suicidal Behavior in Adolescence: Secondary Analysis of Cross-Sectional Data from a Statewide Youth Survey. Preprints 2024, 2024040251. https://doi.org/10.20944/preprints202404.0251.v1 Cahill, M.; Illback, R.; Peiper, N. Perceived Racial Discrimination, Psychological Distress, and Suicidal Behavior in Adolescence: Secondary Analysis of Cross-Sectional Data from a Statewide Youth Survey. Preprints 2024, 2024040251. https://doi.org/10.20944/preprints202404.0251.v1

Abstract

Developmental, clinical, and epidemiological research have demonstrated the salience of perceived racial discrimination (PRD) as a contributor to negative mental health outcomes in adolescence. This article summarizes secondary analyses of cross-sectional data from a large-scale youth survey within a predominantly rural state to estimate the prevalence and strength of association between PRD and serious psychological distress, suicidal ideation, and prior suicidal attempts. Data from 93,812 students enrolled in Grades 6, 8, 10, and 12 within 129 school districts across Kentucky were examined to determine prevalence rates for subgroups within the cohort. Logistic regression analyses assessed differences and established comparative strength of association among these variables for racial/ethnic subgroups. PRD was self-reported at high rates across several demographic subgroups and was most evident among Black (24.5%) and Asian (22.1%) students. Multiracial students experienced the highest rates of both SPD and suicidality. Both for the entire cohort and for each racial/ethnic subgroup, PRD was significantly associated with increased likelihood of negative mental health outcomes, although the strength of these associations varied across subgroups and developmental levels. Implications for early intervention and prevention are discussed.

Keywords

racial discrimination; psychological distress; suicidal ideation; suicide attempts; adolescence

Subject

Social Sciences, Psychiatry and Mental Health

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