Suicide prevention programming across ecological levels: Recommendations from Latinx immigrant origin youth and their parents.

Publisher: Families, Systems & Health, Inc Country of Publication: United States NLM ID: 9610836 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1939-0602 (Electronic) Linking ISSN: 10917527 NLM ISO Abbreviation: Fam Syst Health Subsets: MEDLINE

Original Publication: Vernon, NJ : Families, Systems & Health, Inc., c1996-

Emigrants and Immigrants*/psychology ; Emigrants and Immigrants*/statistics & numerical data ; Hispanic or Latino*/psychology ; Hispanic or Latino*/statistics & numerical data ; Focus Groups*/methods ; Suicide Prevention*; Humans ; Adolescent ; Female ; Male ; Qualitative Research ; Young Adult ; Parents/psychology

Introduction: Latinx immigrant-origin youth (IOY) have unique risks for suicidal thoughts and behaviors. It has been suggested that these risks should be addressed from an ecological perspective, addressing cultural and family context as well as structural and systemic barriers to prevention. This study sought to explore perspectives of immigrant-origin Latinx adolescents and their caregivers on suicide and its prevention, including the potential impact of stressors specific to immigrant status.
Method: Focus groups were conducted in 2018-2019 with Latinx immigrant-origin caregivers ( N = 41, 97.5% female) and adolescents (ages = 14-19, N = 56, 50% female). Participants were recruited from community-based organizations in two different cities. A codebook approach to thematic analysis was used to identify themes, which were subsequently mapped onto levels of the Center for Disease Control's Social-Ecological Framework for Violence Prevention.
Results: Participants identified both contributors to suicidal behavior and potential components of prevention programming across ecological levels. Specific recommendations for suicide prevention included engaging in recreation, parenting education and support, enhancing academic supports for adolescents, and enhancing school-family communication. Structural barriers (e.g., caregiver work schedules) to implementing recommendations were described.
Discussion: Our results highlight the potential role of access to school and community-based supports as public health-oriented suicide prevention strategies and suggest a need to address barriers faced by immigrant families in accessing these supports alongside addressing barriers to mental health treatment. Policies impacting immigrant families' financial stability and increasing the availability of recreational and academic opportunities may promote mental health and prevent suicidal thoughts and behavior among IOY. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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K23 MH112841 United States MH NIMH NIH HHS; K23 MH118431 United States MH NIMH NIH HHS; L60 MH124247 United States MH NIMH NIH HHS

Date Created: 20230824 Date Completed: 20240423 Latest Revision: 20240623

20240623

PMC10891300

10.1037/fsh0000835

37616106