Evidence map›Paper›PMID 35599542›Full record

ReviewThe American journal of psychiatry2022

Structural Racism and Suicide Prevention for Ethnoracially Minoritized Youth: A Conceptual Framework and Illustration Across Systems.

Kiara Alvarez, Lillian Polanco-Roman, Aaron Samuel Breslow, Sherry Molock

Registry-linked trialOpen access · greenAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in The American journal of psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06349915 (A Pilot Evaluation of a Digital Peer Support Intervention for Suicidal Adolescents), which is not on this map. Cited by 64 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 3 pooled it
21.5field-weighted citation impact, top 1% of its field
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.

NCT06349915 narecruitingnot on this mapstarted 2026, after this paper: background citation

A Pilot Evaluation of a Digital Peer Support Intervention for Suicidal Adolescents

TypeinterventionalSponsorAlbert Einstein College of MedicineRan2026 to 2028Enrolled46ConditionsSuicideArmsSupporting Wellbeing with Everyday Experiences of Peers (SWEEP)
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 3 syntheses or guidelines pooled it, 122 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Data-Driven and State-Tailored Strategies to Promote Suicide Prevention in Corrections Facilities.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Family Dysfunction, Interpersonal Risk Factors, and Suicidal Ideation Among Marginalized Adolescents Following Psychiatric Hospitalization.Archives of suicide research : official journal of the International Academy for Suicide Research · 2026
    Article
  11. Review
  12. Article
  13. Article
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  15. Article
  16. Review
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  18. Article
  19. Article
  20. Measurement Choices for Youth Suicidality.Child psychiatry and human development · 2025
    Review

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Kiara AlvarezDisparities Research Unit, Massachusetts General Hospital and Department of Medicine, Harvard Medical School, Boston (Alvarez); Department of Psychology, The New School, New York (Polanco-Roman); PRIME Center for Health Equity, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY (Breslow); Health Equity Research Lab, Cambridge Health Alliance, Cambridge, Mass. (Breslow); Department of Psychological & Brain Sciences, The George Washington University, Washington, D.C. (Molock).
Lillian Polanco-RomanDisparities Research Unit, Massachusetts General Hospital and Department of Medicine, Harvard Medical School, Boston (Alvarez); Department of Psychology, The New School, New York (Polanco-Roman); PRIME Center for Health Equity, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY (Breslow); Health Equity Research Lab, Cambridge Health Alliance, Cambridge, Mass. (Breslow); Department of Psychological & Brain Sciences, The George Washington University, Washington, D.C. (Molock).
Aaron Samuel BreslowDisparities Research Unit, Massachusetts General Hospital and Department of Medicine, Harvard Medical School, Boston (Alvarez); Department of Psychology, The New School, New York (Polanco-Roman); PRIME Center for Health Equity, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY (Breslow); Health Equity Research Lab, Cambridge Health Alliance, Cambridge, Mass. (Breslow); Department of Psychological & Brain Sciences, The George Washington University, Washington, D.C. (Molock).
Sherry MolockDisparities Research Unit, Massachusetts General Hospital and Department of Medicine, Harvard Medical School, Boston (Alvarez); Department of Psychology, The New School, New York (Polanco-Roman); PRIME Center for Health Equity, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY (Breslow); Health Equity Research Lab, Cambridge Health Alliance, Cambridge, Mass. (Breslow); Department of Psychological & Brain Sciences, The George Washington University, Washington, D.C. (Molock).
Cambridge Health Alliance · US

Funding

Early Intervention for Suicide Risk among Immigrant YouthK23MH112841 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI ALVAREZ, KIARA · 2017 to 2021
$821k
Mapping Interventions to Reduce Mental Health Services Disparities among Transgender and Nonbinary AdultsK23MH128582 · NIMH · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI BRESLOW, AARON S · 2022 to 2025
$634k
NIMH NIH HHS K23 MH112841NIMH NIH HHS K23 MH128582
6 · The paper itself

Abstract

Suicide rates among ethnoracially minoritized youth (i.e., youth of color) peak before the age of 30, and striking disparities in access to mental health services have been identified in this age group. However, suicide prevention strategies have yet to fully address structural racism as a mechanism in producing disparities in risk, protective factors, and access to quality effective intervention for youth of color. Such an approach is critical to provide more culturally responsive mental health care. Through an adapted socio-ecological model, the authors propose the Structural Racism and Suicide Prevention Systems Framework and illustrate pathways through which structural racism impacts suicide prevention and intervention for youth of color in the United States. The authors contextualize the impact of structural racism in three key settings where youth suicide prevention occurs: mental health services, schools, and the interface between crisis care and law enforcement. The authors posit that critical attention must be paid to the intersection of mutually reinforcing, interdependent systems rather than to systems in isolation. The authors then propose recommendations to address structural racism in suicide prevention, including macro-level interventions to improve societal conditions, research strategies to inform structural solutions, training approaches to address institutional racism, and clinical approaches to address the impact of racism and racial trauma on youths and families.

Indexed as

RacismSuicide PreventionAdolescentHumansProtective FactorsSchoolsSystemic RacismUnited StatesChild/Adolescent PsychiatryMinority Issues and Cross-Cultural PsychiatryRacismSociopolitical IssuesSuicide and Self-Harm

Identifiers

PMID35599542
PMCPMC9765395
OpenAlexW4281294494

What OpenQuestion holds

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Registered trials

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.