Asian American (AA) students in academically high-performing schools are thought to represent a high-risk but underidentified group for mental health need and potential suicide risk. Previous data indicate that internalizing mental health needs among AA students are more likely to go unmet compared with other racial/ethnic groups. This is the first study to examine disparities in rates of follow-up mental health services (MHS) for AA students assessed for suicide risk in schools. We examined rates of parental consent for MHS and ultimate linkage to care following risk assessments for students in an ethnically diverse, high-performing school district. Findings indicated that AA students were underrepresented among suicide risk assessments compared with their district enrollment. Although female students were more often referred for suicide risk assessments, AA boys appeared at heightened risk compared with boys from other racial/ethnic groups at the elementary and middle school levels. In terms of rates of MHS receipt, 43.4% of AA students and 57.1% of Latino students received new or ongoing MHS following risk assessment. Multinomial logistic regressions revealed racial/ethnic disparities in parental consent and linkage to care, such that AA students were at significantly higher risk of having parents decline MHS (relative risk ratio = .26, p < .001) and having no initiation of MHS following risk assessment (relative risk ratio = .55, p < .01) compared with Latino students. Potential barriers to parental consent and aftercare for AA families are discussed, highlighting the need for implementation strategies to reduce racial/ethnic disparities for youth at risk of suicide.

中文翻译：

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亚裔美国青年在学校接受自杀风险评估的后续护理差异。

在学术成绩优异的学校中的亚裔美国人 (AA) 学生被认为代表了一个高风险但在心理健康需求和潜在自杀风险方面身份不明的群体。先前的数据表明，与其他种族/族裔群体相比，AA 学生内化的心理健康需求更有可能得不到满足。这是第一项研究在学校接受自杀风险评估的 AA 学生的后续心理健康服务 (MHS) 比率差异的研究。我们检查了父母对 MHS 的同意率以及在对种族多样化、表现优异的学区的学生进行风险评估后与护理的最终联系。结果表明，与学区入学相比，AA 学生在自杀风险评估中的代表性不足。尽管女学生更常被转介进行自杀风险评估，但与来自其他种族/族裔群体的男孩相比，AA 男孩在小学和中学阶段的风险似乎更高。在 MHS 接受率方面，43.4% 的 AA 学生和 57.1% 的拉丁裔学生在风险评估后接受了新的或正在进行的 MHS。多项逻辑回归揭示了父母同意和护理联系方面的种族/族裔差异，因此 AA 学生父母拒绝 MHS 的风险显着更高（相对风险比 = .26，p < .001）并且在以下情况下没有启动 MHS与拉丁裔学生相比的风险评估（相对风险比 = .55，p < .01）。讨论了父母同意和 AA 家庭善后的潜在障碍，