Abstract
This chapter reviews the available empirical evidence regarding psychosocial treatments tested with or developed for minoritized ethnocultural youth in the United States experiencing self-injurious thoughts and behaviors (SITBs). Addressing the frameworks of evidence-based practice, cultural adaptation, and treatment development, we summarize relevant research across five minoritized ethnocultural groups (Latinx, Black/African American, American Indian/Alaska Native, Asian American, and Middle Eastern/North African [MENA]) according to five categories indicating whether interventions were developed or adapted for particular ethnocultural groups and/or with attention to cultural context. We find limited representation of minoritized ethnocultural youth in psychosocial treatment research for SITBs, with no studies identified for Asian American and MENA youth and one study in progress for American Indian youth. While a relatively greater number of studies have included Latinx and African American youth, evidence of treatment relevance is still low. Evidence of efficacy in reducing SITBs remains limited and studies to replicate findings from small trials are warranted. We expand our review with recommendations for broadening the evidence base on psychosocial treatments from both “top-down” (e.g., cultural adaptations/increase external validity) and “bottom-up” (e.g., treatment development grounded in clinical and community expertise) approaches.
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Notes
- 1.
We use the word Latinx to be inclusive of all genders and refer to people descendant from Latin American and Spanish-speaking countries.
- 2.
In saying “without discussion of ethnocultural context,” we refer to what is provided in the available peer-reviewed literature on the particular intervention.
- 3.
These percentage thresholds are used to determine inclusion into a systematic review and are not meant to indicate the percentage necessary to conduct a statistical analysis of moderation, which would vary based on study characteristics.
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Acknowledgement
Dr. Duarté-Vélez’s work on this chapter was supported by grant number R015R01MD013907-02 from the National Institute on Minority Health and Health Disparities. Dr. Vélez-Grau’s work on this chapter was supported by grant number 3R34MH119290-02S1 from the National Institute of Mental Health. Dr. Álvarez’s work in this chapter was supported by grant number K23MH112841 from the National Institute of Mental Health.
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Duarté-Vélez, Y., Vélez-Grau, C., Álvarez, K. (2021). Psychosocial Treatments for Ethnoculturally Diverse Youth with Suicidal Thoughts and Behaviors. In: Miranda, R., Jeglic, E.L. (eds) Handbook of Youth Suicide Prevention. Springer, Cham. https://doi.org/10.1007/978-3-030-82465-5_19
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