Prior suicide attempt serves as one of the strongest predictors of future suicide attempt and risk for death by suicide among youth. Disparities, however, persist in determining which groups have access to services following an attempt. Thus, we compare the experiences of Black youth with a history of lifetime suicide attempt to youth from other race groups who also attempted suicide in efforts to identify both gaps in treatment and promising opportunities for prevention and intervention. This study is a secondary analysis of cross-sectional data from 7704 youth ages 12–17 who participated in the 2004–2019 National Survey on Drug Use and Health (NSDUH). The NSDUH is a national survey of households in the US. Cross-race and within-group sex comparisons for Black youth were assessed across 24 separate indicators of mental health service utilization, school engagement, and religious involvement. Findings indicate that 35.83% of Black youth with a history of lifetime suicide attempt received treatment from a therapist within the past year, while nearly 52% of White youth reported receiving treatment from a therapist within this same timeframe. Notably, 57% of Black youth who attempted suicide were insured through Medicaid or CHIP, though Asian, Multiracial and White youth were more likely to have private insurance. Forty percent of Black youth who previously attempted suicide strongly agreed that their religious beliefs were important to them; this percentage is far greater than reports provided by youth from all other race groups. Black youth also attended religious services more often when compared to youth of other races. Black boys with a history of lifetime suicide attempt were less likely to report seeing a therapist within the past year relative to Black girls. Suicide prevention interventions should integrate concepts that are most important to Black youth to ensure that mental health services are culturally salient, economically feasible, and readily accessible.

先前的自杀未遂是未来自杀未遂和青年自杀死亡风险的最强预测因素之一。然而，在确定哪些群体在尝试后可以访问服务方面仍然存在差异。因此，我们将有终生自杀未遂史的黑人青年的经历与其他种族群体的青年进行了比较，这些青年也曾尝试自杀，以找出治疗方面的差距以及预防和干预的有希望的机会。本研究对参与 2004-2019 年全国药物使用与健康调查 (NSDUH) 的 7704 名 12-17 岁青年的横断面数据进行了二次分析。NSDUH 是一项针对美国家庭的全国性调查。通过 24 个独立的心理健康服务利用指标评估了黑人青年的跨种族和组内性别比较，学校参与和宗教参与。调查结果表明，35.83% 的有终生自杀未遂史的黑人青年在过去一年内接受了治疗师的治疗，而近 52% 的白人青年报告说在同一时间段内接受了治疗师的治疗。值得注意的是，57% 企图自杀的黑人青年通过 Medicaid 或 CHIP 获得保险，尽管亚洲、多种族和白人青年更有可能拥有私人保险。40% 曾企图自杀的黑人青年强烈同意他们的宗教信仰对他们很重要；这个百分比远远高于所有其他种族群体的青年提供的报告。与其他种族的青年相比，黑人青年也更频繁地参加宗教仪式。与黑人女孩相比，有终生自杀未遂史的黑人男孩在过去一年内报告看治疗师的可能性较小。自杀预防干预应整合对黑人青年最重要的概念，以确保精神卫生服务具有文化意义、经济上可行且易于获得。