@article{ref1,
title="Racial/ethnic differences in preceding circumstances of suicide and potential suicide misclassification among US adolescents",
journal="Journal of racial and ethnic health disparities",
year="2021",
author="Rockett, Ian R. H. and Ali, Bina and Leonardo, Jennifer B. and Miller, Ted R.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: There is a paucity of research on racial/ethnic differences in preceding circumstances of suicide among adolescents aged 10-19 years and consequential  potential misclassification of suicide deaths (i.e., manner of death classified as  injury of undetermined intent). This study (1) examined preceding circumstances of  suicide among non-Hispanic White, non-Hispanic Black, non-Hispanic Asian/Pacific  Islander (A/PI), non-Hispanic American Indian/Alaskan Native (AI/AN), and Hispanic  adolescent decedents; and (2) investigated potential suicide misclassification of  racial/ethnic minority decedents. <br><br>METHODS: We used data from the 2006-2015 National  Violent Death Reporting System Restricted Access Database. Multivariable logistic  regression analyses examined differences in depressed mood, mental health problem  and treatment, crisis in the past 2 weeks, problems with school, intimate partner,  family relationship, and other relationships (e.g., friend) among racial/ethnic  minority decedents compared to White decedents. A separate logistic regression  analysis assessed potential suicide misclassification of racial/ethnic minority  decedents relative to White counterparts. <br><br>RESULTS: Adjusting for sex and suicide  history and circumstances, all racial/ethnic minority decedents had significantly  lower odds of documented mental health problem and treatment compared to White  decedents. Racial/ethnic differences in relationship problems were also identified. Black decedents had significantly higher odds of manner-of-death classification as  undetermined intent than did White decedents, suggesting greater likelihood of  suicide misclassification. <br><br>CONCLUSIONS: Circumstances contributing to suicide among  adolescents differ by race/ethnicity, indicating the need for culturally tailored  suicide prevention efforts.<p /> <p>Language: en</p>",
language="en",
issn="2197-3792",
doi="10.1007/s40615-020-00957-7",
url="http://dx.doi.org/10.1007/s40615-020-00957-7"
}