Scholars@Duke
Danielle R Busby

Danielle R Busby

Associate Professor in Psychiatry and Behavioral Sciences
Psychiatry, Child & Family Mental Health & Community Psychiatry
danielle.busby@duke.edu
411 West Chapel Hill Street, Durham, NC 27710
411 West Chapel Hill Street, Box 104426, Durham, NC 27710

Selected Publications

And still, we rise: A mixed-methods study examining derailment, posttraumatic stress, and resilience among Black adults during the COVID-19 pandemic.

Journal Article Cultur Divers Ethnic Minor Psychol · November 24, 2025 OBJECTIVES: Due to longstanding societal, racial, and health care disparities, Black communities were disproportionately impacted by the COVID-19 pandemic, yet investigations of resulting mental health sequelae in this community remain limited. Utilizing a ... Full text Link to item Cite

Measurement Choices for Youth Suicidality.

Journal Article Child Psychiatry Hum Dev · October 2025 Suicide is among the leading causes of death among individuals ages 10-24, making suicidal thoughts and behaviors (STBs) a serious public health crisis among youth. Suicide risk screening and assessment are vital to addressing this public health crisis. In ... Full text Link to item Cite

Cultural Consensus Modeling to identify culturally relevant reasons for and against suicide among Black adolescents.

Journal Article Suicide Life Threat Behav · February 2025 INTRODUCTION: The development of evidence-based treatments relies on accurate theoretical frameworks sensitive to the lived realities of the populations from which they are derived. Yet, the perspectives of Black youth are vastly underrepresented in extant ... Full text Link to item Cite

Trends in Suicidality and Bullying among New York City Adolescents across Race and Sexual Identity: 2009-2019.

Journal Article J Urban Health · June 2024 Despite evidence showing rising suicidality among lesbian, gay, and bisexual (LGB) and Black adolescents, separately, there is scant research on suicide risk trajectories among youth groups across both racial and sexual identities. Thus, we examined trajec ... Full text Link to item Cite

Systemic White Supremacy: U.S. State Policy, Policing, Discrimination, and Suicidality Across Race and Sexual Identity

Journal Article Journal of Psychopathology and Clinical Science · April 25, 2024 Although suicide rates are stable or decreasing among White communities, rates are increasing among Black communities, a trend that appears to be disproportionately affecting Black lesbian, gay, bisexual, and queer (LGBQ) people. To understand the structur ... Full text Cite

Quantifying the Representation of Black Adolescents in Suicide Intervention Research.

Journal Article Res Child Adolesc Psychopathol · February 2024 This systematic review aimed to quantify the representation of Black youth in U.S. suicide intervention research. Specifically, we sought to evaluate Black youth representation in terms of (a) equity of inclusion (i.e., the inclusion of Black youth in rese ... Full text Link to item Cite

Examining The Associations Between Racial Identity and Suicidal Ideation Among Black Youth

Journal Article Journal of Applied Research on Children · January 1, 2023 Against the background of increasing rates of suicide among Black youth, researchers have identified the relation Black youth have to their identity as an important factor that may provide insight into the risk of suicide in this population. Preliminary wo ... Full text Cite

Racial Discrimination and Trajectories of Problematic Alcohol Use Among African American Emerging Adults: The Role of Organizational Religious Involvement.

Journal Article Health Educ Behav · April 2022 Racial discrimination jeopardizes a wide range of health behaviors for African Americans. Numerous studies demonstrate significant negative associations between racial discrimination and problematic alcohol use among African Americans. Culturally specific ... Full text Link to item Cite

University students presenting for psychiatric emergency services: Socio-demographic and clinical factors related to service utilization and suicide risk.

Journal Article J Am Coll Health · April 2022 ObjectiveGiven increases in mental health utilization among college and university students, this study examines clinical and socio-demographic characteristics in students presenting to psychiatric emergency services. Participants: University students (N = ... Full text Link to item Cite

Intersecting Structural Oppression and Suicidality Among Black Sexual Minority Male Adolescents and Emerging Adults.

Journal Article J Res Adolesc · March 2022 This study examined associations between structural racism, anti-LGBTQ policies, and suicide risk among young sexual minority men (SMM). Participants were a 2017-2018 Internet-based U.S. national sample of 497 Black and 1536 White SMM (ages 16-25). Structu ... Full text Link to item Cite

Suicidal behaviors in youth with foster care experience

Chapter · January 11, 2022 Youth with foster care experience are more likely than their peers outside of the system to report child maltreatment, mental illness, and inadequate social support. The interaction of these experiences likely contributes to the fact that these youth are t ... Full text Cite

Racial, ethnic, and neighborhood income disparities in childhood posttraumatic stress and grief: Exploring indirect effects through trauma exposure and bereavement.

Journal Article J Trauma Stress · October 2021 Previous findings suggest that experiences with systems of oppression that disproportionately affect individuals based on race and neighborhood residency (e.g., systemic racism, neighborhood income disadvantage [NID]) can be associated with higher odds of ... Full text Link to item Cite

Black college students at elevated risk for suicide: Barriers to mental health service utilization.

Journal Article J Am Coll Health · April 2021 To examine differences between Black students who do and do not screen positive for suicide risk; to describe barriers to mental health service utilization (MHSU) among participants with a positive screen and no current MHSU and; to determine if barriers v ... Full text Link to item Cite

Variation in Suicide Risk among Subgroups of Sexual and Gender Minority College Students.

Journal Article Suicide Life Threat Behav · October 2020 OBJECTIVE: Sexual and gender minorities are at elevated risk for suicide, yet few studies have examined differences in risk within many sexual and gender minority subgroups. The purpose of this study was to examine differences in prevalence for suicide ris ... Full text Link to item Cite

Suicidal behaviour in transition-aged youth with out-of-home care experience: Reviewing risk, assessment, and intervention

Journal Article Child and Family Social Work · August 1, 2020 The rates of suicidal behaviours in youth with out-of-home care experience, particularly those who are on the verge of emancipation, appear to be alarmingly high. The purpose of the current study is to highlight the rates of suicidal ideation and behaviour ... Full text Cite

Sociodemographic differences in barriers to mental health care among college students at elevated suicide risk.

Journal Article J Affect Disord · June 15, 2020 BACKGROUND: College student mental health (MH) problems and suicide risk have steadily increased over the past decade and a significant number of students with MH problems do not seek treatment. While some barriers to mental health care service utilization ... Full text Link to item Cite

Suicide risk among gender and sexual minority college students: The roles of victimization, discrimination, connectedness, and identity affirmation.

Journal Article J Psychiatr Res · February 2020 BACKGROUND: Little is known about how victimization and discrimination relate to suicide risk among sexual and gender minority (SGM) college students, or what is protective for these students. The current study will: 1.) determine the extent to which inter ... Full text Link to item Cite

Adolescents' Engagement with Crisis Hotline Risk-management Services: A Report from the Emergency Department Screen for Teen Suicide Risk (ED-STARS) Study.

Journal Article Suicide Life Threat Behav · February 2020 OBJECTIVE: This study examines the feasibility of a risk-management protocol for adolescent research participants at risk for suicide that relies on engagement with telephone crisis counselors. The study also examines whether engagement is moderated by ado ... Full text Link to item Cite

Evidence-Based Interventions for Youth Suicide Risk.

Journal Article Curr Psychiatry Rep · January 18, 2020 PURPOSE OF REVIEW: To review and discuss recent advances in evidence-based interventions (EBIs) for youth suicide risk. RECENT FINDINGS: There is a growing body of research on the effectiveness of interventions targeting suicidal ideation and behavior amon ... Full text Link to item Cite

Daily patterns in nonsuicidal self-injury and coping among recently hospitalized youth at risk for suicide.

Journal Article Psychiatry Res · November 2019 Among adolescents at high suicide risk, using a daily diary design, this study examined: (1) the co-occurrence between nonsuicidal self-injury (NSSI) and suicidal ideation, (2) the link between NSSI and coping, and (3) endorsement of using NSSI to cope wit ... Full text Link to item Cite

Predicting 3-month risk for adolescent suicide attempts among pediatric emergency department patients.

Journal Article J Child Psychol Psychiatry · October 2019 BACKGROUND: The incidence of adolescent suicide is rising in the United States, yet we have limited information regarding short-term prediction of suicide attempts. Our aim was to identify predictors of suicide attempts within 3-months of an emergency depa ... Full text Link to item Cite

Association of the Youth-Nominated Support Team Intervention for Suicidal Adolescents With 11- to 14-Year Mortality Outcomes: Secondary Analysis of a Randomized Clinical Trial.

Journal Article JAMA Psychiatry · May 1, 2019 IMPORTANCE: The prevalence of suicide among adolescents is rising, yet little is known about effective interventions. To date, no intervention for suicidal adolescents has been shown to reduce mortality. OBJECTIVE: To determine whether the Youth-Nominated ... Full text Link to item Cite

Neighborhood social processes as moderators between racial discrimination and depressive symptoms for African American adolescents

Journal Article Journal of Community Psychology · August 1, 2018 Racial discrimination is associated with numerous psychological consequences, including increased depressive symptoms for African American adolescents (Brody et al., 2006; Wong, Eccles, & Sameroff, 2003). Adolescents’ perceptions of their neighborhood can ... Full text Cite

The Impact of African American Parents' Racial Discrimination Experiences and Perceived Neighborhood Cohesion on their Racial Socialization Practices.

Journal Article J Youth Adolesc · July 2016 Parental racial socialization is a parenting tool used to prepare African American adolescents for managing racial stressors. While it is known that parents' racial discrimination experiences affect the racial socialization messages they provide, little is ... Full text Link to item Cite

Psychological symptoms linking exposure to community violence and academic functioning in African American adolescents.

Journal Article J Youth Adolesc · February 2013 African American adolescents are exposed disproportionately to community violence, increasing their risk for emotional and behavioral symptoms that can detract from learning and undermine academic outcomes. The present study examined whether aggressive beh ... Full text Link to item Cite