title: Cultural considerations in adolescent suicide prevention and psychosocial treatment.
abstract: Ethnic groups differ in rates of suicidal behaviors among youths, the context within which suicidal behavior occurs (e.g., different precipitants, vulnerability and protective factors, and reactions to suicidal behaviors), and patterns of help-seeking. In this article, the authors discuss the cultural context of suicidal behavior among African American, American Indian and Alaska Native, Asian American and Pacific Islander, and Latino adolescents, and the implications of these contexts for suicide prevention and treatment. Several cross-cutting issues are discussed, including acculturative stress and protective factors within cultures; the roles of religion and spirituality and the family in culturally sensitive interventions; different manifestations and interpretations of distress in different cultures; and the impact of stigma and cultural distrust on help-seeking. The needs for culturally sensitive and community- based interventions are discussed, along with future opportunities for research in intervention development and evaluation.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, Nc 27101, USA. david.goldston@duke.edu
authors.forename: David B
authors.initials: DB
authors.lastname: Goldston
authors.forename: Sherry Davis
authors.initials: SD
authors.lastname: Molock
authors.forename: Leslie B
authors.initials: LB
authors.lastname: Whitbeck
authors.forename: Jessica L
authors.initials: JL
authors.lastname: Murakami
authors.forename: Luis H
authors.initials: LH
authors.lastname: Zayas
authors.forename: Gordon C Nagayama
authors.initials: GC
authors.lastname: Hall
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D003469:Culture; D005006:Ethnicity / Q000523:psychology*; D006801:Humans; D001523:Mental Disorders / Q000150:complications / Q000523:psychology / Q000628:therapy*; D000297:Psychology, Adolescent / Q000379:methods / Q000639:trends; D044469:Racial Groups / Q000523:psychology*; D012737:Sex Factors; D012919:Social Behavior; D013315:Stress, Psychological / Q000150:complications / Q000523:psychology / Q000628:therapy; D013405:Suicide / Q000523:psychology / Q000706:statistics & numerical data; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology / Q000706:statistics & numerical data; D014481:United States; D000092864:Suicide Prevention