Meza Jocelyn I, Snyder Sean, Shanholtz Caroline
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA, United States.
Department of Psychiatry, Pennsylvania Hospital, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Front Psychiatry. 2022 Oct 25;13:994514. doi: 10.3389/fpsyt.2022.994514. eCollection 2022.
Suicide is the second leading cause of death for adolescents in the United States. Despite the already alarmingly high rates of suicide attempts among adolescents, youth involved in the juvenile legal system (JLS) are up to three times more likely to have suicide attempts than their peers not impacted by the JLS. This public health crisis is also a matter of health equity, knowing that ethnoracially minoritized youth, mainly Black and Latinx youth, have disproportionate contact with the JLS. In order to disrupt the current elevated rates of suicide among Black and Latinx youth involved in the JLS, there needs to be more concerted efforts to improve assessment and suicide prevention efforts in the JLS. There are various potential touch points of care for suicide prevention and the Sequential Intercept Model (SIM), which outlines community-based responses to the involvement of people with mental and substance use disorders in the criminal justice system, can be used as a strategic planning tool to outline possible equitable interventions across these various touch points. Our purpose is to provide a comprehensive picture of gaps and equitable opportunities for suicide prevention across each intercept of the SIM. We provide recommendations of priorities to promote health equity in suicide prevention for ethnoracially minoritized youth impacted by the JLS.
自杀是美国青少年的第二大死因。尽管青少年自杀未遂率已经高得惊人，但参与少年司法系统（JLS）的青少年自杀未遂的可能性是未受该系统影响的同龄人的三倍之多。鉴于少数族裔青少年，主要是黑人和拉丁裔青少年，与少年司法系统的接触不成比例，这一公共卫生危机也是一个健康公平问题。为了降低参与少年司法系统的黑人和拉丁裔青少年目前居高不下的自杀率，需要更加齐心协力地改进少年司法系统中的评估和自杀预防工作。自杀预防有各种潜在的照护接触点，而顺序拦截模型（SIM）概述了针对患有精神疾病和物质使用障碍的人参与刑事司法系统的基于社区的应对措施，可作为一种战略规划工具，勾勒出在这些不同接触点可能采取的公平干预措施。我们的目的是全面呈现顺序拦截模型各阶段自杀预防方面的差距和公平机会。我们针对受少年司法系统影响的少数族裔青少年在自杀预防中促进健康公平的优先事项提出建议。
