ArticleJournal of adolescence2026
Discordance Between Thoughts of Death and Suicidal Ideation Among Latinx Youth and Caregivers in the United States.
Article in Journal of adolescence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionDespite increasing rates of suicidal thoughts and behavior among Latinx populations in the US, no prior research has examined Latinx youth and caregiver disagreement (discordance) in youth-reported thoughts of death or suicidal thoughts, as well as factors associated with discordance.
methodsData were derived from youth aged 13-17 (M = 14.99 [SD = 1.52]) and caregivers (n = 127 dyads) who identified as Latinx/Hispanic living in a US Midwest city. The youth sample was mostly (61.7%) assigned female at birth; all youth identified as cisgender. Youth thoughts of death and suicidal thoughts were indexed with the Mood and Feelings Questionnaire. Predictors of discordance included demographics (e.g., age), youth psychopathology (e.g., internalizing and externalizing symptoms), caregiver anxiety, interpersonal factors (e.g., family conflict), and ethnic discrimination, identity, and socialization. Percent agreement and Cohen's Kappa were used to describe discordance. Univariable logistic regression was used to examine predictors of discordance calculated in two ways: (1) youth endorsement/caregiver denial, and (2) youth denial/caregiver endorsement.
resultsAmong the final analytic sample of 120 dyads, agreement between caregiver and youth was minimal or weak (κ = 0.24-0.43). Caregiver and youth denial discordance were associated with nearly every predictor domain. For example, greater ethnic socialization was associated with reduced odds of caregiver denial discordance (odds ratio = 0.93, 95% confidence interval = 0.87-0.99).
conclusionsDiscordance between reporters may be crucial for clinical conceptualization. Future research is needed to examine complex longitudinal pathways between family support, ethnic experience and discrimination, and suicidal thoughts discordance among Latinx families.
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