Discordance Between Thoughts of Death and Suicidal Ideation Among Latinx Youth and Caregivers in the United States
Bibliographic Data
| ID | 21444026 |
|---|---|
| Authors | Lauren M O’Reilly (0000-0002-1023-421X, Department of Psychiatry Indiana University School of Medicine Indianapolis Indiana USA, corresponding author), Trey V Dellucci (0000-0002-3095-808X, Department of Pediatrics Indiana University School of Medicine Indianapolis Indiana USA), Matthew C Aalsma (0000-0001-5952-6785, Department of Pediatrics Indiana University School of Medicine Indianapolis Indiana USA), Natalie Guerrero (0000-0003-3446-7648, Department of Pediatrics Indiana University School of Medicine Indianapolis Indiana USA) |
| Year | 2026 |
| Volume | 98 |
| Issue | 4 |
| Pages | 1311-1321 |
| Publication date | 2026-06-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Adolescence (JOURNAL) |
| Journal identifiers | ISSN: 0140-1971 • E-ISSN: 1095-9254 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1002/jad.70143 |
| PMID | 41873002 |
| OpenAlex | W7140210930 |
| Language | EN |
| References cited | 53 |
INTRODUCTION: Despite increasing rates of suicidal thoughts and behavior among Latinx populations in the US, no prior research has examined Latinx youth and caregiver disagreement (discordance) in youth-reported thoughts of death or suicidal thoughts, as well as factors associated with discordance. METHODS: Data were derived from youth aged 13-17 (M = 14.99 [SD = 1.52]) and caregivers (n = 127 dyads) who identified as Latinx/Hispanic living in a US Midwest city. The youth sample was mostly (61.7%) assigned female at birth; all youth identified as cisgender. Youth thoughts of death and suicidal thoughts were indexed with the Mood and Feelings Questionnaire. Predictors of discordance included demographics (e.g., age), youth psychopathology (e.g., internalizing and externalizing symptoms), caregiver anxiety, interpersonal factors (e.g., family conflict), and ethnic discrimination, identity, and socialization. Percent agreement and Cohen's Kappa were used to describe discordance. Univariable logistic regression was used to examine predictors of discordance calculated in two ways: (1) youth endorsement/caregiver denial, and (2) youth denial/caregiver endorsement. RESULTS: Among the final analytic sample of 120 dyads, agreement between caregiver and youth was minimal or weak (κ = 0.24-0.43). Caregiver and youth denial discordance were associated with nearly every predictor domain. For example, greater ethnic socialization was associated with reduced odds of caregiver denial discordance (odds ratio = 0.93, 95% confidence interval = 0.87-0.99). CONCLUSIONS: Discordance between reporters may be crucial for clinical conceptualization. Future research is needed to examine complex longitudinal pathways between family support, ethnic experience and discrimination, and suicidal thoughts discordance among Latinx families.
Ethnic group · Ideation · Injury prevention · Longitudinal study · Poison control · Suicidal ideation · Suicide prevention · Death Anxiety and Social Exclusion · Grief, Bereavement, and Mental Health · Human Factors and Ergonomics · Suicide and Self-Harm Studies
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| Citation velocity | historical |
|---|---|
| Highly cited | No |