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Population Risk Factors

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  • Among Black/African American students, anxiety is a key risk factor for suicide. Also, the behavioral risk factors of suicide, like those discussed on the previous screen, may be more pronounced.[1] Additionally, experiences of discrimination, racism, and systemic oppression have been linked as risk factors for suicide.[2]
  • The pressure of adjusting to an unfamiliar culture (called acculturative stress) is a risk factor common to many diverse groups, especially recent immigrants, including Asian[3], Latino/a[4], and Middle Eastern and Arab[5] students. Acculturative barriers for international students can include homesickness and culture shock, language barriers, feeling isolated, less financial opportunity, experiences with prejudice, and fear of seeking out mental health services.
  • Mental health struggles, such as post traumatic stress disorder (PTSD) and substance use, are common risk factors among returning veterans.[6]
  • Among students with mobility impairments and learning and emotional disabilities, all of the risk factors listed on the previous screen have been found to be more pronounced.[7]
  • Studies show that college students who identify as Latino/a, Asian/Pacific Islander, and multiracial exhibited more severe depressive symptoms (including hopelessness) on student health questionnaires.[8]
  • Members of the LGBTQ+ community often experience higher rates of discrimination, harassment, and victimization, which can contribute to major depression, anxiety disorders, and substance use.[9] This also greatly increases the risk for suicide, and students of minority sexual orientation and gender identity report higher rates of suicidal thoughts and attempts.[10]

Additionally, cultural sensitivity issues (e.g., sensitivity of the mental health provider) can be significant barriers to seeking help for students in racial/ethnic minority groups.18

It is important to note that college students are incredibly diverse and may hold multiple identities within groups that are historically marginalized, disenfranchised, underserved, and under-resourced (including those defined by sex, race/ethnicity, religion, gender identity, socioeconomic status, (dis)ability, body size, or sexual orientation). Some students may experience compounding effects of disparity and/or systemic inequality. Research shows that college students with multiple marginalized identities face particular challenges that may cause or exacerbate mental health symptoms and make seeking and receiving treatment more difficult.[11]


Do you or someone you know need help now?

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  1. Suicide among racial/ethnic populations in the U.S.: Blacks, 2013; Goldston et al., 2008
  2. Castle et al., 2011
  3. Chen et al., 2019
  4. Suicide among racial/ethnic populations in the U.S.: Hispanics, 2013; Duarte-Velez & Bernal, 2007
  5. El-Sayed, Tracy, Scarborough, and Galea, 2011
  6. Haney & O’Neil, 2012
  7. Salvatore et al., 2016; Russel, Turner, & Joiner, 2009
  8. Chen et al., 2019
  9. SAMHSA, Prevention and Treatment of Anxiety, Depression, and Suicidal Thoughts and Behaviors Among College Students, 2021
  10. Thompson, 2016; Kaplan, Huguet, McFarland, & Newsom, 2007
  11. Thompson, 2016; Kaplan, Huguet, McFarland, & Newsom, 2007

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Ask, Listen, Refer: Online Suicide Prevention Training Program Copyright © by Cathleen ONeal. All Rights Reserved.

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