biostudies-literatureArgabright STNIDA NIH HHSNIMH NIH HHS686-697https://www.ebi.ac.uk/biostudies/studies/S-EPMC8917360biostudies-literatureUnknown61(5)<h4>Objective</h4>Youth suicide rates in the United States have been increasing in recent years, especially in Black Americans, the reasons for which are unclear. Environmental adversity is key in youth suicidality; hence there is a need to study stressors that have a disproportionate impact on Black youths. We aimed to disentangle the unique contribution of racial/ethnic discrimination from other adversities associated with childhood suicidal ideation and attempts (suicidality).<h4>Method</h4>We analyzed data from the Adolescent Brain Cognitive Development (ABCD) Study, which included a large, diverse sample of US children (N = 11,235, mean age 10.9 years, 20.2% Black), assessed for multiple environmental adversities including discrimination. Multivariate regression models tested the association of self-reported racial/ethnic discrimination with suicidality, covarying for multiple confounders including other discrimination types (toward non-US-born individuals, sexual orientation-based, and weight-based). Matched analyses contrasted effects of racial/ethnic discrimination and racial identity on suicidality.<h4>Results</h4>Black youths reported more discrimination and higher suicidality rates than non-Black youths. High racial/ethnic discrimination was positively and significantly associated with suicidality, adjusting for other discrimination types (odds ratio = 2.6, 95% CI = 2.1-3.2). Findings remained significant after adjusting for multiple suicidality risk factors. Once experienced, racial/ethnic discrimination was similarly associated with suicidality in White, Black, and Hispanic youths. Matched analyses revealed that racial/ethnic discrimination was associated with suicidality (relative risk = 2.7, 95% CI = 2-3.5), whereas Black race was not (relative risk = 0.9, 95% CI = 0.7-1.2).<h4>Conclusion</h4>Racial/ethnic discrimination is disproportionately experienced by Black children, and is associated with preadolescent suicidality, over and above other adversities. Findings highlight the need to address discrimination as part of suicide prevention strategies. Cross-sectional design hampers causal inferences.Journal of the American Academy of Child and Adolescent PsychiatryAssociation Between Discrimination Stress and Suicidality in Preadolescent Children.PMC8917360U01 DA041117U24 DA041123U24 DA041147U01 DA041174U01 DA041134U01 DA041156U01 DA041093U01 DA051037R21 MH123916U01 DA041106U01 DA041028R01 MH117014K23 MH120437U01 DA041089U01 DA041022U01 DA041120U01 DA041148U01 DA041048U01 DA041025U01 DA051039U01 DA051016U01 DA051038U01 DA051018U01 DA050988U01 DA050987U01 DA050989Gur RCBenton TDGur REDiDomenico GENjoroge WFMMoore TMGuloksuz SArgabright STBarzilay RVisoki ERyan DTTaylor JHfalseAssociation Between Discrimination Stress and Suicidality in Preadolescent Children.<h4>Objective</h4>Youth suicide rates in the United States have been increasing in recent years, especially in Black Americans, the reasons for which are unclear. Environmental adversity is key in youth suicidality; hence there is a need to study stressors that have a disproportionate impact on Black youths. We aimed to disentangle the unique contribution of racial/ethnic discrimination from other adversities associated with childhood suicidal ideation and attempts (suicidality).<h4>Method</h4>We analyzed data from the Adolescent Brain Cognitive Development (ABCD) Study, which included a large, diverse sample of US children (N = 11,235, mean age 10.9 years, 20.2% Black), assessed for multiple environmental adversities including discrimination. Multivariate regression models tested the association of self-reported racial/ethnic discrimination with suicidality, covarying for multiple confounders including other discrimination types (toward non-US-born individuals, sexual orientation-based, and weight-based). Matched analyses contrasted effects of racial/ethnic discrimination and racial identity on suicidality.<h4>Results</h4>Black youths reported more discrimination and higher suicidality rates than non-Black youths. High racial/ethnic discrimination was positively and significantly associated with suicidality, adjusting for other discrimination types (odds ratio = 2.6, 95% CI = 2.1-3.2). Findings remained significant after adjusting for multiple suicidality risk factors. Once experienced, racial/ethnic discrimination was similarly associated with suicidality in White, Black, and Hispanic youths. Matched analyses revealed that racial/ethnic discrimination was associated with suicidality (relative risk = 2.7, 95% CI = 2-3.5), whereas Black race was not (relative risk = 0.9, 95% CI = 0.7-1.2).<h4>Conclusion</h4>Racial/ethnic discrimination is disproportionately experienced by Black children, and is associated with preadolescent suicidality, over and above other adversities. Findings highlight the need to address discrimination as part of suicide prevention strategies. Cross-sectional design hampers causal inferences.2022-01-01T00:00:00Z2022 May2026-06-03T13:26:52.82Z2025-04-19T13:31:21.812ZS-EPMC89173603442523110.1016/j.jaac.2021.08.011