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Evaluation ViewAttendees 2

Suicide and Self-Injury
Symposia

Symposium 121 - Suicide Prevention for Marginalized and Systematically Disadvantaged Youth: Advocating Change for Those with the Greatest Need

Sunday, November 17, 2024
8:30 AM – 10:00 AM EST
Location: 305/306, Level 3, Downtown Marriott
CE: 1.5

Keywords: Suicide, Adolescents, Service Delivery
Level of Familiarity: Basic to Moderate
Recommended Readings: Cha, C. B., Franz, P. J., M. Guzmán, E., Glenn, C. R., Kleiman, E. M., & Nock, M. K. (2018). Annual Research Review: Suicide among youth–epidemiology,(potential) etiology, and treatment. Journal of Child Psychology and psychiatry, 59(4), 460-482.,   Robinson, J., Bailey, E., Witt, K., Stefanac, N., Milner, A., Currier, D., ... & Hetrick, S. (2018). What works in youth suicide prevention? A systematic review and meta-analysis. EClinicalMedicine, 4, 52-91.,   Rudd, B. N., Davis, M., Doupnik, S., Ordorica, C., Marcus, S. C., & Beidas, R. S. (2022). Implementation strategies used and reported in brief suicide prevention intervention studies. JAMA psychiatry, 79(8), 829-831.,   Kasal, A., Táborská, R., Juríková, L., Grabenhofer-Eggerth, A., Pichler, M., Gruber, B., ... & Niederkrotenthaler, T. (2023). Facilitators and barriers to implementation of suicide prevention interventions: Scoping review. Cambridge Prisms: Global Mental Health, 10, e15.,  

Suicide is the second leading cause of death among youth in the US. Marginalized and systematically disadvantaged youth are at greater risk for experiencing suicidality compared to their peers. This symposium will bring together 5 presentations regarding suicide prevention among youth at greatest risk for suicide due to their lived experiences: youth with sexual and gender minoritized identities, low socioeconomic status, and those involved in legal systems. Throughout the symposium, we will highlight how community-based participatory methods enhanced the rigor of this work, common themes across efforts, and our teams’ focus on advocating for better suicide prevention for those with the greatest need for care.

First, we will present the current state of the literature on psychosocial interventions for sexual and gender minoritized (SGM) youth with suicidality. Findings emphasize the urgent need to expand our understanding of the risk and protective factors for SGM youths when designing or adapting evidence-based treatments for suicidality and tailor interventions to their unique stressors.

Second, we will present moderation analyses from a randomized clinical trial of the Zero Suicide framework versus the Zero Suicide plus stepped care among youth with a gender minoritized identity. Results suggest that the Zero Suicide plus stepped care was especially helpful for reducing self-harm for youth with a gender minoritized identity in comparison to cisgender youth. These findings underscore the urgent need to ensure healthcare systems can identify and support youth with a gender minority identity so we can move the needle on suicide.

Third, we will present data from public mental health clinics on the relationship between social determinants of health and suicidality in minoritized youth with PTSD. Findings highlight the need to understand the interconnectedness of systemic barriers when underserved youth seek care, and ultimately inform how to address suicidality within the public mental health clinic context.

We will then consider suicide prevention among system-involved youth. Our fourth presentation documents a high rate of suicidality among youth in Children’s Advocacy Centers and among youth with diverse identities served in this system. Results highlight the urgent need to implement universal screening for early identification and effective brief interventions in these settings to reduce disparities in suicide risk among vulnerable youth.
We will end by identifying the contextual factors that facilitate and hinder the implementation of suicide prevention in juvenile detention centers, which disproportionately confine Black and Brown youth. Findings emphasize the importance of targeting both inner (within the detention) and outer (outside the detention) contextual factors to improve implementation quality of suicide prevention available to youth.

Our discussant, an expert in leveraging community-engaged methods for suicide prevention in youth and implementation science, will highlight implications for adapting suicide prevention to meet the needs of underserved youth and future directions for implementing evidence-based suicide prevention in community settings that serve at-risk youth.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Explain the current state of literature of suicide prevention for marginalized and systemically disadvantaged youth.
  2. Identify opportunities to integrate suicide prevention for marginalized and systematically disadvantaged youth.
  3. Describe how minoritized identities influence treatment outcomes for marginalized and systematically disadvantaged youth.
  4. Discuss the urgent need for the implementation of brief suicide prevention practices in community settings that serve youth.
  5. Describe barriers and facilitators to implementing suicide prevention in applied settings for underserved youth.

Presentations:

  • 8:30 AM – 10:00 AM EST
    (SYM 121) Barriers and Facilitators to the Implementation of Suicide Prevention in Juvenile Detention Settings: A Contextual Inquiry

    Speaker: Clarisa Wijaya, M.A. (she/her/hers) – University of Illinois at Chicago

    Co-author: Brittany Rudd, Ph.D. (she/her/hers) – University of Illinois at Chicago

  • 8:30 AM – 10:00 AM EST
    (SYM 121) Systematic Scoping Review of Psychosocial Interventions for Sexual and Gender Minority Youth with Suicidal Thoughts and Behaviors

    Speaker: Sydney K Velotta, B.S. – Alpert Medical School of Brown University

    Co-author: Sarah Barnes, B.S. – Duke University School of Medicine

    Co-author: Caroline Corvin, B.S. (she/her/hers) – Alpert Medical School, Brown University

    Co-author: Irene Sanchez, B.S. (she/her/hers) – Alpert Medical School, Brown University

    Co-author: Andrea Torres Lopez, B.S. (she/her/hers) – Alpert Medical School, Brown University

    Co-author: Lucas Zullo, Ph.D. (he/him/his) – Thomas Jefferson University

    Co-author: Lauren Fletcher, MLIS (she/her/hers) – Brown University Library

    Co-author: Kaitlin Sheerin, Ph.D. (she/her/hers) – Alpert Medical School of Brown University

  • 8:30 AM – 10:00 AM EST
    (SYM 121) The Moderating Effect of Gender Identity in a Stepped Care Trial for Suicide and Self-harm Prevention Among Adolescents and Young Adults

    Speaker: Lucas Zullo, Ph.D. (he/him/his) – Thomas Jefferson University

    Co-author: Greg Clarke, PhD (he/him/his) – Kaiser Permanente

    Co-author: Joan Asarnow, Ph.D. – UCLA

  • 8:30 AM – 10:00 AM EST
    (SYM 121) Examining the Relationship Between Suicidality and Social Determinants of Health in Minoritized Youth Receiving Trauma Focused Cognitive Behavioral Therapy for Post-traumatic Stress Disorder

    Speaker: Chynna S. Mills, B.S. (she/her/hers) – Northwestern University Feinberg School of Medicine

    Co-author: Natalie L. Dallard, M.A. (she/her/hers) – Community Behavioral Health

    Co-author: Rinad Beidas, Ph.D. (she/her/hers) – Northwestern University Feinberg School of Medicine

  • 8:30 AM – 10:00 AM EST
    (SYM 121) Suicidality Among Youth Served by Children's Advocacy Centers

    Speaker: Elizabeth McGuier, Ph.D. (she/her/hers) – University of Pittsburgh School of Medicine

    Co-author: Elizabeth McGuier, Ph.D. (she/her/hers) – University of Pittsburgh School of Medicine

    Co-author: Lindsay Abdulahad, PhD (she/her/hers) – University of Utah

    Co-author: Kristine Campbell, MD (she/her/hers) – University of Utah

    Co-author: Kara Byrne, PhD (she/her/hers) – University of Utah

    Co-author: Brooks Keeshin, MD (he/him/his) – University of Utah