Black college students at elevated risk for suicide: Barriers to mental health service utilization.

To examine differences between Black students who do and do not screen positive for suicide risk; to describe barriers to mental health service utilization (MHSU) among participants with a positive screen and no current MHSU and; to determine if barriers vary by student characteristics. 1,559 Black students (66% female), ages 18 years and older ( = 21 years,  = 2.61) recruited from September 2015 to October 2017 across four universities. Participants completed an online survey assessing demographics, suicide risk, MHSU, and barriers to MHSU. Seventeen percent of students screened positive for risk; 66% of these students were not receiving MHS. Students who screened positive were female and younger. Perceived problem severity (74%) was reported most frequently. Efforts to improve MHSU among Black college students at risk for suicide should address students' awareness of treatable MH problems and time concerns.