Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Nov;7(4):375-379.
doi: 10.1037/sah0000417. Epub 2022 Oct 13.

Race Moderates the Relation between Internalized Stigma and Suicidal Thoughts and Behaviors in Youth with Psychosis-Risk Syndromes and Early Psychosis

Affiliations

Race Moderates the Relation between Internalized Stigma and Suicidal Thoughts and Behaviors in Youth with Psychosis-Risk Syndromes and Early Psychosis

LeeAnn Akouri-Shan et al. Stigma Health. 2022 Nov.

Abstract

Suicide is a leading cause of death among youth on the psychosis spectrum. Internalized mental health stigma is one risk factor for suicide that may be particularly salient for youth with psychosis-risk syndromes and early psychosis. Among this population, Black youth may face exposure to racism-related stressors that may exacerbate the negative effects of internalized stigma. This study examined whether internalized stigma and race interact to predict suicidal thoughts and behaviors (STB) in a help-seeking sample of Black and White adolescents with psychosis-risk syndromes and early psychosis. Findings suggest that Black youth with early psychosis spectrum disorders may be particularly vulnerable to the negative effects of internalized stigma as they pertain to STB. Internalized stigma may therefore represent an important treatment target in suicide prevention efforts among this population.

Keywords: clinical high risk; early psychosis spectrum; internalized stigma; race; suicidal thoughts and behaviors.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest All authors declare that they have no conflicts of interest.

Similar articles

Cited by

References

    1. Anglin DM, Ereshefsky S, Klaunig MJ, Bridgwater MA, Niendam TA, Ellman LM, DeVylder J, Thayer G, Bolden K, Musket CW, Grattan RE, Lincoln SH, Schiffman J, Lipner E, Bachman P, Corcoran CM, Mota NB, & van der Ven E (2021). From womb to neighborhood: A racial analysis of social determinants of psychosis in the United States. The American Journal of Psychiatry, 178(7), 599–610. 10.1176/appi.ajp.2020.20071091 - DOI - PMC - PubMed
    1. Anglin DM, Greenspoon M, Lighty Q, & Ellman LM (2016). Race-based rejection sensitivity partially accounts for the relationship between racial discrimination and distressing attenuated positive psychotic symptoms. Early Intervention in Psychiatry, 10(5), 411–418. 10.1111/eip.12184 - DOI - PubMed
    1. Arshanapally S, Werner KB, Sartor CE, & Bucholz KK (2018). The association between racial discrimination and suicidality among African-American adolescents and young adults. Archives of Suicide Research, 22(4), 584–595. 10.1080/13811118.2017.1387207 - DOI - PMC - PubMed
    1. Baiden P, LaBrenz CA, Asiedua-Baiden G, & Muehlenkamp JJ (2020). Examining the intersection of race/ethnicity and sexual orientation on suicidal ideation and suicide attempt among adolescents: Findings from the 2017 Youth Risk Behavior Survey. Journal of Psychiatric Research, 125, 13–20. 10.1016/j.jpsychires.2020.02.029 - DOI - PubMed
    1. Bridge JA, Horowitz LM, Fontanella CA, Sheftall AH, Greenhouse J, Kelleher KJ, & Campo J. v. (2018). Age-related racial disparity in suicide rates among US youths from 2001 through 2015. In JAMA Pediatrics (Vol. 172, Issue 7, pp. 697–699). 10.1001/jamapediatrics.2018.0399 - DOI - PMC - PubMed