Evidence map›Paper›PMID 34425231›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2022

Association Between Discrimination Stress and Suicidality in Preadolescent Children.

Stirling T Argabright, Elina Visoki, Tyler M Moore, Dallas T Ryan, Grace E DiDomenico, Wanjikũ F M Njoroge, Jerome H Taylor, Sinan Guloksuz, Ruben C Gur, Raquel E Gur and 2 more

Abstract readPublished Erratum
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

  1. Article
  2. Association between self-reported discrimination and body weight dissatisfaction among adolescents in a city in Santa Catarina, Brazil.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2026
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  11. State-level structural racism and sleep disturbances among Black and Latinx adolescents: Findings from the adolescent brain cognitive development study.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  12. Article
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  15. Article
  16. Race, Ethnicity, and the Medical "One-Liner": How Child and Adolescent Psychiatry Can Chart Its Own Antiracist Path Forward.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2024
    Article
  17. The Role of Individual Discrimination and Structural Stigma in the Mental Health of Sexual Minority Youth.Journal of the American Academy of Child and Adolescent Psychiatry · 2024
    Article
  18. Article
  19. Article
  20. Strategic Directions in Preventive Intervention Research to Advance Health Equity.Prevention science : the official journal of the Society for Prevention Research · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Stirling T ArgabrightChildren's Hospital of Philadelphia, Pennsylvania; Lifespan Brain Institute of Children's Hospital of Philadelphia and Penn Medicine, Pennsylvania.
Elina VisokiChildren's Hospital of Philadelphia, Pennsylvania; Lifespan Brain Institute of Children's Hospital of Philadelphia and Penn Medicine, Pennsylvania.
Tyler M MooreLifespan Brain Institute of Children's Hospital of Philadelphia and Penn Medicine, Pennsylvania; Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Dallas T RyanLifespan Brain Institute of Children's Hospital of Philadelphia and Penn Medicine, Pennsylvania.
Grace E DiDomenicoChildren's Hospital of Philadelphia, Pennsylvania; Lifespan Brain Institute of Children's Hospital of Philadelphia and Penn Medicine, Pennsylvania.
Wanjikũ F M NjorogeChildren's Hospital of Philadelphia, Pennsylvania; Lifespan Brain Institute of Children's Hospital of Philadelphia and Penn Medicine, Pennsylvania; Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Jerome H TaylorChildren's Hospital of Philadelphia, Pennsylvania; Lifespan Brain Institute of Children's Hospital of Philadelphia and Penn Medicine, Pennsylvania; Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Sinan GuloksuzSchool for Mental Health and Neuroscience, Maastricht University Medical Centre, the Netherlands; Yale University School of Medicine, New Haven, Connecticut.
Ruben C GurLifespan Brain Institute of Children's Hospital of Philadelphia and Penn Medicine, Pennsylvania; Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Raquel E GurChildren's Hospital of Philadelphia, Pennsylvania; Lifespan Brain Institute of Children's Hospital of Philadelphia and Penn Medicine, Pennsylvania; Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Tami D BentonChildren's Hospital of Philadelphia, Pennsylvania; Lifespan Brain Institute of Children's Hospital of Philadelphia and Penn Medicine, Pennsylvania; Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Ran BarzilayChildren's Hospital of Philadelphia, Pennsylvania; Lifespan Brain Institute of Children's Hospital of Philadelphia and Penn Medicine, Pennsylvania; Perelman School of Medicine, University of Pennsylvania, Philadelphia. Electronic address: ran.barzilay@pennmedicine.upenn.edu.

Funding

ABCD-USA Consortium: Coordinating CenterU24DA041147 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SANDRA A BROWN, TERRY L. JERNIGAN · 2015 to 2026
$54.7M
ABCD-USA Consortium: Data Analysis, Informatics and Resource CenterU24DA041123 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ANDERS M DALE · 2015 to 2026
$51.5M
Adolescent Substance Use Initiation: Disentangling neurocognitive risks from consequences using longitudinal and genetically-informed methodsU01DA041120 · NIDA · UNIVERSITY OF MINNESOTA · PI Monica Luciana, Sylia Wilson · 2015 to 2026
$34.5M
ABCD-USA Consortium: Research ProjectU01DA041089 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Joanna Jacobus, Susan F. Tapert · 2015 to 2026
$31.7M
Prospective Research Studies of Maturation (PRISM)- Research ProjectU01DA041134 · NIDA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI ERIN MCGLADE, PERRY FRANKLIN RENSHAW · 2015 to 2026
$29.2M
ABCD-USA CONSORTIUM: RESEARCH PROJECTU01DA041048 · NIDA · CHILDREN'S HOSPITAL OF LOS ANGELES · PI Megan Marie Herting, ELIZABETH R SOWELL · 2015 to 2026
$28.7M
ABCD-USA Consortium: Research ProjectU01DA041106 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Mary M Heitzeg, Chandra Sekhar Sripada · 2015 to 2026
$24.9M
FIU-ABCD: Pathways and Mechanisms to Addiction in the Latino Youth of South FloridaU01DA041156 · NIDA · FLORIDA INTERNATIONAL UNIVERSITY · PI Raul Gonzalez, Angela R Laird · 2015 to 2026
$22.8M
ABCD-USA Consortium: Research ProjectU01DA041148 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI Damien A Fair, Rebekah S Huber · 2015 to 2026
$22.3M
ABCD-USA: NYC Research ProjectU01DA041174 · NIDA · YALE UNIVERSITY · PI Arielle Ryan Baskin-Sommers, Betty J Casey · 2015 to 2026
$19.7M
Adolescent Brain Cognitive Development (ABCD) Prospective Research in Studies of Maturation (PRISM) ConsortiumU01DA041117 · NIDA · UNIVERSITY OF MARYLAND BALTIMORE · PI LINDA CHANG, THOMAS M ERNST · 2015 to 2026
$19.5M
15/21 ABCD-USA Consortium: Research Project Site at LIBRU01DA050989 · NIDA · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI ROBIN L AUPPERLE, MARTIN P. PAULUS · 2020 to 2026
$14.7M
NIDA NIH HHS U01 DA041022NIDA NIH HHS U01 DA041025NIDA NIH HHS U01 DA041028NIDA NIH HHS U01 DA041048NIDA NIH HHS U01 DA041089NIDA NIH HHS U01 DA041093NIDA NIH HHS U01 DA041106NIDA NIH HHS U01 DA041117NIDA NIH HHS U01 DA041120NIDA NIH HHS U01 DA041134NIDA NIH HHS U01 DA041148NIDA NIH HHS U01 DA041156NIDA NIH HHS U01 DA041174NIDA NIH HHS U01 DA050987NIDA NIH HHS U01 DA050988NIDA NIH HHS U01 DA050989NIDA NIH HHS U01 DA051016NIDA NIH HHS U01 DA051018NIDA NIH HHS U01 DA051037NIDA NIH HHS U01 DA051038NIDA NIH HHS U01 DA051039NIDA NIH HHS U24 DA041123NIDA NIH HHS U24 DA041147NIMH NIH HHS K23 MH120437NIMH NIH HHS R01 MH117014NIMH NIH HHS R21 MH123916
6 · The paper itself

Abstract

objectiveYouth suicide rates in the United States have been increasing in recent years, especially in Black Americans, the reasons for which are unclear. Environmental adversity is key in youth suicidality; hence there is a need to study stressors that have a disproportionate impact on Black youths. We aimed to disentangle the unique contribution of racial/ethnic discrimination from other adversities associated with childhood suicidal ideation and attempts (suicidality).

methodWe analyzed data from the Adolescent Brain Cognitive Development (ABCD) Study, which included a large, diverse sample of US children (N = 11,235, mean age 10.9 years, 20.2% Black), assessed for multiple environmental adversities including discrimination. Multivariate regression models tested the association of self-reported racial/ethnic discrimination with suicidality, covarying for multiple confounders including other discrimination types (toward non-US-born individuals, sexual orientation-based, and weight-based). Matched analyses contrasted effects of racial/ethnic discrimination and racial identity on suicidality.

resultsBlack youths reported more discrimination and higher suicidality rates than non-Black youths. High racial/ethnic discrimination was positively and significantly associated with suicidality, adjusting for other discrimination types (odds ratio = 2.6, 95% CI = 2.1-3.2). Findings remained significant after adjusting for multiple suicidality risk factors. Once experienced, racial/ethnic discrimination was similarly associated with suicidality in White, Black, and Hispanic youths. Matched analyses revealed that racial/ethnic discrimination was associated with suicidality (relative risk = 2.7, 95% CI = 2-3.5), whereas Black race was not (relative risk = 0.9, 95% CI = 0.7-1.2).

conclusionRacial/ethnic discrimination is disproportionately experienced by Black children, and is associated with preadolescent suicidality, over and above other adversities. Findings highlight the need to address discrimination as part of suicide prevention strategies. Cross-sectional design hampers causal inferences.

Indexed as

child psychiatrydiscriminationexposomeracesuicide

Identifiers

PMID34425231
PMCPMC8917360

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.