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Study shows increase in suicide among black youths

FILE PHOTO: Suicides among black children are skyrocketing. Suicide rates among black boys ages 13-19 rose 60% between 2001 and 2017. For females, rates increased 182% during that same period. (Photo: The Atlanta Journal-Constition)

In a sunlit room, an African American mother talks about the moment she learned her then-9-year-old son tried to kill himself.

That isn’t anything you ever want to hear, but at the same time, Charlena E. Jackson realizes how lucky, no, how blessed her family is that Elijah’s attempt wasn’t successful.

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A lot of other moms can't say the same.

For the first time in history, suicides among black children are skyrocketing. The only thing worse than that is no one seems to know for sure why.

According to “The Changing Characteristics of African-American Adolescent Suicides,” published recently in the Journal of Community Health, suicide rates among black boys ages 13-19 rose 60% between 2001 and 2017. For females, rates increased 182% during that same period.

“There is no definite reason known, and we cannot definitively prove or establish cause-and-effect relationships,” said Jagdish Khubchandani, a health science professor at Ball State University and one of the authors of the study. “In general, educational investment, state child poverty and crime and mental health resources need to be looked at in Georgia as they are predictors of suicide over a large geographic area.”

In 2017, 68,528 African American males and 94,760 females made suicide attempts serious enough that they had to be treated by health professionals, the study found. Males were most likely to use firearms (52%) or to hang/suffocate themselves (34%) to commit suicide. Females used hanging/suffocation (56%) or firearms (21%) to commit suicides.

“Earlier, suicide rates for African American youth were lower than white youth but higher than Hispanics and Asians,” said Khubchandani. “Now, the rates are highest for African American youth both regionally and nationally.”

Georgia topped the list of states with the greatest number of African American adolescent suicides  — 64 — between 2015 and 2017, but it was hardly alone. Nine other states — Texas, Florida, North Carolina, Ohio, Illinois, Michigan, Pennsylvania, New York and Missouri — also made the list.

Khubchandani said the total suicide numbers in the United States have been creeping up since the beginning of the 21st century, rising to more than 45,000 deaths and more than 1 million attempts just last year. Fortunately, in Georgia, that number seems to be dropping. According to the Georgia Bureau of Investigation, the state’s youth suicides dropped from 48 to 41 from 2017 to 2018.

Still, the general trend has been disturbing. “This is an overall indicator of our culture, social and psychological well-being, especially for children,” he said.

So why the focus on African American youths?

Khubchandani said that while it is well known that for many black children, early life disadvantages play a role in survival rates, it’s not well known if survival rates have changed for teenagers, especially considering violent risk behaviors and associated death rates.

“We independently assessed suicide rates only for black kids to see if trends are changing irrespective of what happens to youth of other races,” he said.

Jackson, 39, of Atlanta, said the rise in suicide doesn’t surprise her.

“They are not being heard,” she said. “People don’t take what they go through seriously. They are just a number that doesn’t matter.”

Jackson blames her son’s attempt on years of bullying he suffered while in elementary school.

Almost from the moment he started school, Jackson said students poked fun at Elijah, criticizing the way he talked, how he looked and the clothes he wore. They called him ugly. They called him stupid. They hit and kicked him.

When she complained about a student hitting Elijah, one teacher asked her if she knew the difference between someone bullying and someone who simply made a mistake.

Even complaints to school administrators went unanswered, Jackson said.

Two years ago, at age 9, she said Elijah swallowed a bottle of allergy medicine that belonged to his older brother. He was lucky. He lived to see another day.

“I had no idea he was even thinking about suicide,” Jackson said.

For weeks after, she said the family went through therapy, and Elijah, now 11, will head to sixth grade soon.

According to Khubchandani, bullying is consistently and strongly associated with suicides across all youths, especially African American youths.

“That’s why suicide prevention is a complex effort requiring interdisciplinary approaches to mental health, bullying prevention and academic enrichment programs,” he said.

But firearms in the home remain the greatest risk for teens and must be the greatest focus for intervention.

Khubchandani said that research has shown that 75% of elementary school students know where their parents keep their handguns and children as young as 2 years of age have the strength to pull the trigger of a handgun.

“A second form of protection against suicides in adolescents is having ready access to mental health care. African American adolescents are at higher risk than the general population to encounter serious forms of violence.

“Schools are the leading provider of mental health services for youth. Thus, there needs to be a greater emphasis on urban public schools providing adequate screening, treatment and referral services for adolescents with mental health disorders.”