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Service utilization characteristics among adolescents from racial and ethnic minority groups at elevated risk for suicide: A scoping review

Publication ,  Journal Article
Bravo, LG; Frazier, TA; Antonio Garcia, B; Briggs, EC; Ford, JD; Jones, CB; Livas Stein, G; Gonzalez-Guarda, RM; Woods-Giscombe, C
Published in: Children and Youth Services Review
May 1, 2024

Background: Adolescents from racial and ethnic minority groups (herein ethnoracially minoritized) in the US contemplate and/or attempt suicide at higher rates than other youths. To address suicide risk, access to and utilization of mental health services is necessary. However, service utilization characteristics for these adolescents at elevated risk for suicide are not well understood. Purpose: To systematically synthesize service utilization characteristics and identify factors associated with utilization among ethnoracially minoritized adolescents reporting elevated suicide risk (i.e., suicidal ideation, attempts, non-suicidal self-injury). Methods: This review follows established scoping review guidelines and Andersen's Behavioral Model of Health Service Use to guide data synthesis. We systematically searched five scientific databases with no restriction to dates of publication. Results: A total of 15 records (12 unique studies) were reviewed. Studies primarily focused on female adolescents (n = 12), suicide attempts (n = 6), and predominantly Hispanic/Latinx samples (n = 4). Crisis oriented services after a suicide attempt were the most reported service utilization outcomes (n = 7). Factors that informed service utilization include the adolescent's psychiatric symptom presentation and family characteristics. Discussion: Studies suggest limited access to preventative services for ethnoracially minoritized adolescents at risk for suicide. Future studies must examine service utilization more broadly to include non-healthcare service utilization and structural and socio-cultural factors associated with utilization. Limitations of this review and implications for future research are discussed.

Duke Scholars

Published In

Children and Youth Services Review

DOI

ISSN

0190-7409

Publication Date

May 1, 2024

Volume

160

Related Subject Headings

  • Social Work
  • 4410 Sociology
  • 4409 Social work
  • 1607 Social Work
  • 1402 Applied Economics
 

Citation

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ICMJE
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Bravo, L. G., Frazier, T. A., Antonio Garcia, B., Briggs, E. C., Ford, J. D., Jones, C. B., … Woods-Giscombe, C. (2024). Service utilization characteristics among adolescents from racial and ethnic minority groups at elevated risk for suicide: A scoping review. Children and Youth Services Review, 160. https://doi.org/10.1016/j.childyouth.2024.107603
Bravo, L. G., T. A. Frazier, B. Antonio Garcia, E. C. Briggs, J. D. Ford, C. B. Jones, G. Livas Stein, R. M. Gonzalez-Guarda, and C. Woods-Giscombe. “Service utilization characteristics among adolescents from racial and ethnic minority groups at elevated risk for suicide: A scoping review.” Children and Youth Services Review 160 (May 1, 2024). https://doi.org/10.1016/j.childyouth.2024.107603.
Bravo LG, Frazier TA, Antonio Garcia B, Briggs EC, Ford JD, Jones CB, et al. Service utilization characteristics among adolescents from racial and ethnic minority groups at elevated risk for suicide: A scoping review. Children and Youth Services Review. 2024 May 1;160.
Bravo, L. G., et al. “Service utilization characteristics among adolescents from racial and ethnic minority groups at elevated risk for suicide: A scoping review.” Children and Youth Services Review, vol. 160, May 2024. Scopus, doi:10.1016/j.childyouth.2024.107603.
Bravo LG, Frazier TA, Antonio Garcia B, Briggs EC, Ford JD, Jones CB, Livas Stein G, Gonzalez-Guarda RM, Woods-Giscombe C. Service utilization characteristics among adolescents from racial and ethnic minority groups at elevated risk for suicide: A scoping review. Children and Youth Services Review. 2024 May 1;160.
Journal cover image

Published In

Children and Youth Services Review

DOI

ISSN

0190-7409

Publication Date

May 1, 2024

Volume

160

Related Subject Headings

  • Social Work
  • 4410 Sociology
  • 4409 Social work
  • 1607 Social Work
  • 1402 Applied Economics