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Intersectional marginalized identities as predictors of time until first reported suicide attempt among preadolescent youth using survival analysis.

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Title: Intersectional marginalized identities as predictors of time until first reported suicide attempt among preadolescent youth using survival analysis.
Authors: Mournet, Annabelle M., Kellerman, John K., Hamilton, Jessica L., Kleiman, Evan M.
Source: Journal of Child Psychology & Psychiatry. May2025, Vol. 66 Issue 5, p677-685. 9p.
Subjects: Suicide risk factors, Ethnic groups, Sexual orientation, Group identity, Early medical intervention, Data analysis, Gender identity, Psychology of LGBTQ+ people, Probability theory, People of color, Descriptive statistics, Chi-squared test, White people, Intersectionality, Attitude (Psychology), Suicidal behavior, Race, Questioning people, Surveys, Kaplan-Meier estimator, Statistics, Analysis of variance, Cisgender people, Heterosexuals, Minorities, Sexual minorities, Confidence intervals, Survival analysis (Biometry), Psychosocial factors, Proportional hazards models, Children
Abstract: Background: Suicide attempts and deaths among children are increasing in the United States, yet suicide in this preadolescent population remains understudied. A clearer understanding of which youth experience early onset of suicidal behavior is crucial for predicting risk and identifying youth best suited to early intervention. This paper examines how intersectional marginalized identities may predict the onset of suicidal behaviors among preadolescent youth. Methods: The Adolescent Brain and Cognitive Development (ABCD) Study is a prospective cohort study with annual assessments of youth ages 9 and 10 and their caregivers. Lifetime suicide attempts and preparatory suicidal behaviors were assessed annually. Survival models examined overall trends and demographic differences in the onset of suicidal behaviors. Results: The final sample included 11,223 participants (mean age = 9.9 years old, SD = 7.5 months). 5,280 (47%) reported a minoritized racial/ethnic identity, and 1,410 (12.6%) were categorized as sexual or gender minorities. 208 suicide attempts and 143 instances of preparatory suicidal behaviors were reported across the study period. An interaction effect was found such that youth who hold multiple minoritized identities (i.e., sexual and gender minority youth from minoritized racial/ethnic backgrounds) were at elevated risk for onset of both suicide attempts (HR = 2.97, 95% CI = 1.59–5.56, p =.001) and preparatory suicidal behaviors (b = 3.09, 95% CI = 1.38–6.93, p =.006). Conclusions: Intersectional marginalized identities were associated with earlier onset of suicide attempts and preparatory suicidal behaviors. Findings suggest that early interventions for minoritized youth may be important to reduce the rapidly increasing suicide rate among preadolescent youth. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Child Psychology & Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Intersectional marginalized identities as predictors of time until first reported suicide attempt among preadolescent youth using survival analysis.
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  Data: <searchLink fieldCode="AR" term="%22Mournet%2C+Annabelle+M%2E%22">Mournet, Annabelle M.</searchLink><br /><searchLink fieldCode="AR" term="%22Kellerman%2C+John+K%2E%22">Kellerman, John K.</searchLink><br /><searchLink fieldCode="AR" term="%22Hamilton%2C+Jessica+L%2E%22">Hamilton, Jessica L.</searchLink><br /><searchLink fieldCode="AR" term="%22Kleiman%2C+Evan+M%2E%22">Kleiman, Evan M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Child+Psychology+%26+Psychiatry%22">Journal of Child Psychology & Psychiatry</searchLink>. May2025, Vol. 66 Issue 5, p677-685. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Suicide+risk+factors%22">Suicide risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnic+groups%22">Ethnic groups</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+orientation%22">Sexual orientation</searchLink><br /><searchLink fieldCode="DE" term="%22Group+identity%22">Group identity</searchLink><br /><searchLink fieldCode="DE" term="%22Early+medical+intervention%22">Early medical intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+identity%22">Gender identity</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+LGBTQ%2B+people%22">Psychology of LGBTQ+ people</searchLink><br /><searchLink fieldCode="DE" term="%22Probability+theory%22">Probability theory</searchLink><br /><searchLink fieldCode="DE" term="%22People+of+color%22">People of color</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22White+people%22">White people</searchLink><br /><searchLink fieldCode="DE" term="%22Intersectionality%22">Intersectionality</searchLink><br /><searchLink fieldCode="DE" term="%22Attitude+%28Psychology%29%22">Attitude (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+behavior%22">Suicidal behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Questioning+people%22">Questioning people</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Kaplan-Meier+estimator%22">Kaplan-Meier estimator</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Cisgender+people%22">Cisgender people</searchLink><br /><searchLink fieldCode="DE" term="%22Heterosexuals%22">Heterosexuals</searchLink><br /><searchLink fieldCode="DE" term="%22Minorities%22">Minorities</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+minorities%22">Sexual minorities</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Survival+analysis+%28Biometry%29%22">Survival analysis (Biometry)</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Proportional+hazards+models%22">Proportional hazards models</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Suicide attempts and deaths among children are increasing in the United States, yet suicide in this preadolescent population remains understudied. A clearer understanding of which youth experience early onset of suicidal behavior is crucial for predicting risk and identifying youth best suited to early intervention. This paper examines how intersectional marginalized identities may predict the onset of suicidal behaviors among preadolescent youth. Methods: The Adolescent Brain and Cognitive Development (ABCD) Study is a prospective cohort study with annual assessments of youth ages 9 and 10 and their caregivers. Lifetime suicide attempts and preparatory suicidal behaviors were assessed annually. Survival models examined overall trends and demographic differences in the onset of suicidal behaviors. Results: The final sample included 11,223 participants (mean age = 9.9 years old, SD = 7.5 months). 5,280 (47%) reported a minoritized racial/ethnic identity, and 1,410 (12.6%) were categorized as sexual or gender minorities. 208 suicide attempts and 143 instances of preparatory suicidal behaviors were reported across the study period. An interaction effect was found such that youth who hold multiple minoritized identities (i.e., sexual and gender minority youth from minoritized racial/ethnic backgrounds) were at elevated risk for onset of both suicide attempts (HR = 2.97, 95% CI = 1.59–5.56, p =.001) and preparatory suicidal behaviors (b = 3.09, 95% CI = 1.38–6.93, p =.006). Conclusions: Intersectional marginalized identities were associated with earlier onset of suicide attempts and preparatory suicidal behaviors. Findings suggest that early interventions for minoritized youth may be important to reduce the rapidly increasing suicide rate among preadolescent youth. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Journal of Child Psychology & Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/jcpp.14075
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 9
        StartPage: 677
    Subjects:
      – SubjectFull: Suicide risk factors
        Type: general
      – SubjectFull: Ethnic groups
        Type: general
      – SubjectFull: Sexual orientation
        Type: general
      – SubjectFull: Group identity
        Type: general
      – SubjectFull: Early medical intervention
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Gender identity
        Type: general
      – SubjectFull: Psychology of LGBTQ+ people
        Type: general
      – SubjectFull: Probability theory
        Type: general
      – SubjectFull: People of color
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: White people
        Type: general
      – SubjectFull: Intersectionality
        Type: general
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: Suicidal behavior
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      – SubjectFull: Race
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      – SubjectFull: Questioning people
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      – SubjectFull: Statistics
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      – SubjectFull: Analysis of variance
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      – SubjectFull: Cisgender people
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      – SubjectFull: Sexual minorities
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Survival analysis (Biometry)
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      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Proportional hazards models
        Type: general
      – SubjectFull: Children
        Type: general
    Titles:
      – TitleFull: Intersectional marginalized identities as predictors of time until first reported suicide attempt among preadolescent youth using survival analysis.
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            – D: 01
              M: 05
              Text: May2025
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              Y: 2025
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