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This randomized controlled trial of the online intervention, man therapy (MT), evaluated efficacy to reduce suicidal ideation (SI) and depression among working-aged men.Five-hundred and fifty-four men enrolled and 421 completed all surveys. Control Condition men explored the Healthy Men Michigan (HMM) website and Intervention Condition men explored HMM and MT. Hypotheses included men who used MT would report decreased SI and depression over time compared to Control Condition men.Latent growth curve modeling revealed improvements in SI (slope = -0.23, p 0.001, 95% CI: -0.29, -0.16) and depression (slope = -0.21, p 0.001, 95% CI: -0.23, -0.18) over time for men in both groups; however, there was no difference in slope based on group assignment. Depression, lifetime suicide attempts, and interpersonal needs were associated with SI. Interpersonal needs and poor mental health were associated with depression. No group differences in change in risk and protective factors over time were observed. MT sub-group analyses revealed significant improvements in risk and protective factors.While a direct effect of MT versus HMM on SI or depression was not observed, men in both groups improved. Results suggest online screening might play a role in reducing SI and depression among men and there are potential benefits to MT related to mental health, social support, and treatment motivation.

Adolescence is a challenging time fraught with developmental changes that influence sociocultural identity, psychosocial and biological development. Integrating a sense of ethnic identity into one's personal identity is an important task for Black youth during this developmental stage as it impacts aspirations, ideology, and interpersonal identity. Black youth are not only navigating this critical stage but doing so while traversing issues related to a syndemic of injustice rooted in anti-Black racism that permeates the very fabric of our society. This manuscript describes the syndemic of injustice framework as it relates to the ways in which anti-Black racism contributes to experiences of structural, symbolic and interpersonal violence for Black youth and how these experiences of violent oppression ultimately influence the developmental processes involved in identity formation for Black youth. Implications for social work practice are discussed.

African Americans disproportionately experience homicide. However, validated measures designed to assess the traumatic impact of coping with murder for surviving family members and friends of homicide victims are absent from research. This article describes four studies that contributed to the development and preliminary validation of the Inventory of Stress and Coping for African American Survivors of Homicide Victims (ISCASHV). The ISCASHV is a measure that assesses multicomponents (e.g., stress, appraisals, stigma, coping) of the sociocultural and psychological processes in which African Americans cope with homicide.Studies 2-4 provide strong support for the multicomponent 42-item scale consisting of five factors: cultural trauma, reactions to homicide, culture of homicide, racial appraisal, and coping. The ISCASHV demonstrates strong construct validity evidence and good internal consistency estimates. Each of the five measures demonstrated a high test-retest estimate for a 2-week period, suggesting the temporal stability of the factors.Results suggest that the ISCASHV is a promising multicomponent measure that assesses the racial- and sociocultural-bound manifestation of homicide-related grief for African American survivors of homicide victims. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

African Americans disproportionately experience homicide, and the psychological consequence of experiencing this traumatic event interferes with daily function, often in the form of post-traumatic stress disorder (PTSD). According to the Model of Coping for African American Survivors of Homicide Victims (MCAASHV), African Americans coping with the traumatic impact of homicide are influenced by: the violent nature of the death itself, racial- and cultural-bound experiences (e.g., cultural trauma, the culture of homicide including stigma, blame, shame, and lack of justice) and psychological processes including racial appraisal and coping strategies (e.g., spiritual, collective, meaning making). This study examined the direct and indirect effects racial- and cultural-bound experiences have on PTSD through coping strategies among 304 African American survivors of homicide victims across the United States using Qualtrics Panel collected in March-May 2018. The path analysis model demonstrated strong model fit, and the variables in the model accounted for 34% variance in PTSD. Coping (β = -0.38, p .001) and culture of homicide (β = -0.27, p .001) were negatively related to PTSD. Cultural trauma (β = 0.11, p .014), culture of homicide (β = 0.43, p .001), reactions to homicide (β = 0.11, p .006) and racial appraisal (β = 0.32, p .001) were positively associated with coping (R

IntroductionBlack people are disproportionately impacted by homicide. However, despite this over-representation, research is limited relevant to how black individuals, families and communities cope with the chronic traumatic devastation of homicide. This scoping review will provide an amalgamation of the current literature regarding the coping strategies of black survivors of homicide victims to inform future health and social work practice.Methods and analysisIn this scoping review, Arksey and O’Malley’s five-stage framework will be used to succinctly gather and synthesise previous literature and identify gaps in research relevant to black survivors of homicide victims. This method will allow for a focused process of chosen pertinent databases. The seven databases include OVID (MEDLINE and PsycINFO), ProQuest (Sociological Abstracts, Social Services Abstracts, International Bibliography of Social Sciences), EBSCO (Africa Wide, The Cumulative Index to Nursing and Allied Health Literature). The seven databases were chosen for their relevance to the topic of coping with homicide for black individuals, families and communities. All members of the research team will screen the abstracts and full texts of the literature based on the inclusion criteria. The findings will be charted and synthesised using a qualitative thematic analysis.Ethics and disseminationThe articles chosen for this review will be gathered from peer-reviewed journals and scholarly search engines. Due to this research project’s nature, ethics approval is not warranted. The results of this scoping review will inform culturally responsive approaches to research, policy and practice for first responders (eg, law enforcement, emergency medical technicians) and providers (eg, mental health clinicians, physicians and faith-based communities) who frequently render services to black survivors of homicide victims. The results will be shared through journal article publications, academic and community conferences, as well as professional training opportunities for practitioners who support Black individuals, families and communities.

Recent evidence suggests that police victimization is widespread in the USA and psychologically impactful. We hypothesized that civilian-reported police victimization, particularly assaultive victimization (i.e., physical/sexual), would be associated with a greater prevalence of suicide attempts and suicidal ideation. Data were drawn from the Survey of Police-Public Encounters, a population-based survey of adults (N = 1615) residing in four US cities. Surveys assessed lifetime exposure to police victimization based on the World Health Organization domains of violence (i.e., physical, sexual, psychological, and neglect), using the Police Practices Inventory. Logistic regression models tested for associations between police victimization and (1) past 12-month suicide attempts and (2) past 12-month suicidal ideation, adjusted for demographic factors (i.e., gender, sexual orientation, race/ethnicity, income), crime involvement, past intimate partner and sexual victimization exposure, and lifetime mental illness. Police victimization was associated with suicide attempts but not suicidal ideation in adjusted analyses. Specifically, odds of attempts were greatly increased for respondents reporting assaultive forms of victimization, including physical victimization (odds ratio = 4.5), physical victimization with a weapon (odds ratio = 10.7), and sexual victimization (odds ratio = 10.2). Assessing for police victimization and other violence exposures may be a useful component of suicide risk screening in urban US settings. Further, community-based efforts should be made to reduce the prevalence of exposure to police victimization.

Social defeat has been proposed as the common mechanism underlying several well-replicated risk factors for sub-threshold psychotic experiences (PEs) identified in epidemiological research. Victimization by the police may likewise be socially defeating among vulnerable individuals and, therefore, may be associated with elevated risk for PEs. However, no prior studies have examined the relation between police victimization and PEs. We tested the hypothesis that exposure to police victimization (ie, physical, sexual, psychological, and neglect) would be associated with increased odds for PEs in the Survey of Police-Public Encounters data (N = 1615), a general population sample of adults from 4 US cities. Respondents who reported each type of police victimization were more likely to report PEs in logistic regression analyses (all P < .01), most of which were significant even when adjusting for demographic variables, psychological distress, and self-reported crime involvement (adjusted OR range: 1.30 to 7.16). Furthermore, the prevalence of PEs increased with greater exposure to police victimization in a linear dose-response relation, OR (95% CI) = 1.44 (1.24-1.66). These findings suggest that police victimization is a clinically important and previously unreported risk factor for PEs in the urban US population. These findings support the need for community-based outreach efforts and greater police training to reduce the prevalence of this exposure, particularly in socially disadvantaged urban communities.

Adolescent perspectives on coping are often explored through quantitative methods within a problem-focused paradigm. To better understand how urban adolescents define, perceive, and experience coping, this research used photovoice, a qualitative research method that employs co-creation of meaning and knowledge around photographic images. Twelve adolescents in the 9th-11th grades at a Baltimore City High School photographed images representing coping. They participated in focus groups to discuss how their pictures reflected coping and its relationship to decision-making, development, and academic success. Participants identified different types of coping, as well as strategies and resources in their homes, school, and community. They classified coping as “good” or “bad,” depending on its impact on themselves and others. They described how coping evolves and noted long-term consequences of different coping strategies, suggesting a future-oriented aspect to their understanding of the concept. Students presented these findings to key stakeholders including a congressional representative, the Baltimore City School Board, community members, and their peers. Study findings elucidate the importance of adolescent perspectives to the coping research literature. Moreover, findings can inform the development of school and community-based programs designed to foster coping among urban adolescents.

AimsVictimisation by the police is purported to be widespread in cities in the USA, but there is limited data on police–public encounters from community samples. This is partly due to an absence of measures for assessing police violence exposure from the standpoint of civilians. As such, the demographic distribution and mental health correlates of police victimisation are poorly understood. The aims of this study were to present community-based prevalence estimates of positive policing and police victimisation based on assessment with two novel measures, and to test the hypotheses that (1) exposure to police victimisation would vary across demographic groups and (2) would be associated with depression and psychological distress.MethodsThe Survey of Police–Public Encounters study surveyed adults residing in four US cities to examine the prevalence, demographic distribution and psychological correlates of police victimisation. Participants (N= 1615) completed measures of psychological distress (K-6 scale), depression (Patient Health Questionnaire 9) and two newly constructed measures of civilian-reported police–public encounters. Both measures were developed to assess police victimisation based on the WHO domains of violence, which include physical violence (with and without a weapon, assessed separately), sexual violence (inappropriate sexual contact, including public strip searches), psychological violence (e.g., threatening, intimidating, stopping without cause, or using discriminatory slurs) and neglect (police not responding when called or responding too late). The Police Practices Inventory assesses lifetime history of exposure to positive policing and police victimisation, and the Expectations of Police Practices Scale assesses the perceived likelihood of future incidents of police victimisation. Linear regression models were used to test for associations between police–public encounters and psychological distress and depression.ResultsPsychological violence (18.6%) and police neglect (18.8%) were commonly reported in this sample and a substantial minority of respondents also reported more severe forms of violence, specifically physical (6.1%), sexual (2.8%) and physical with a weapon (3.3%). Police victimisation was more frequently reported by racial/ethnic minorities, males, transgender respondents and younger adults. Nearly all forms of victimisation (but not positive policing) were associated with psychological distress and depression in adjusted linear regression models.ConclusionsVictimisation by police appears to be widespread, inequitably distributed across demographic groups and psychologically impactful. These findings suggest that public health efforts to both reduce the prevalence of police violence and to alleviate its psychological impact may be needed, particularly in disadvantaged urban communities.

This study elicited adolescent perspectives of wellbeing and agency using photovoice, a method that employs co-creation of meaning and knowledge around pictorial images. Participants (n = 12) were Baltimore City high school students in the 9th–11th grades, and diverse in terms of gender and race. Participants used cameras to photograph images that expressed wellbeing and agency. They then discussed, in focus groups, how their pictures reflected those constructs and their relationship to decision-making and academic success. Students highlighted different facets of individual and community wellbeing, as well as where and how wellbeing is fostered in their family, school, and neighborhood environments. Respondents differentiated between good and bad agency. They noted the power of agency as the power to change things, and the obligation that such power carries for themselves and the adults around them. Woven through both domains was respondents' future orientation; many of their observations were derived from the perceived impact on their own and others' academic and life trajectories. This research contributes to the wellbeing and agency research literature by adding the perspectives of urban adolescent youth. Findings also inform the development of more participatory community school-based interventions to foster wellbeing and agency among adolescents.

This cross-sectional study used an ecological framework to understand the risk and protective factors associated with use of violence among African American adolescents ages 12–17 years (N = 2,328). Using data from the 2012 National Survey on Drug Use and Health, the authors study identified different direct paths in predicting use of violence among African American adolescents. The authors then computed a multigroup analysis to determine whether significant gender differences exist in use of violence. Path analysis results suggest micro, meso, and macro factors significantly predicted violence use. The strongest predictor of use of violence among African American youth was parental conflicts. The multigroup analysis suggests that the pathways to use of violence significantly differ between African American boys and girls. Among African American boys, the strongest predictor of increased use of violence was parental conflicts; among African American girls, it was negative peer influence. Findings ...

Rationale Given the widespread availability of firearms, high prevalence of gun violence in the U.S., and the intersection of race, cumulative violence and adverse mental health outcomes, it is important to understand the mental health consequences of exposure to gun violence fatality on racially/ethnically diverse secondary victims. Objective The aims of this study were to examine 1) the prevalence and demographic differences in exposure to gun violence fatality; 2) the associations between exposure and depression, psychological distress, suicidal ideation and psychosis-like experiences; and 3) the interaction between race and exposure in relation to depression, psychological distress, suicidal ideation and psychotic experiences. Methods Participants (n=1615) were adult community residents from Baltimore, New York, Philadelphia, and Washington, D.C, who participated in the online Survey of Police-Public Encounters. Chi-square, linear, and logistic regression were used to test study aims. Results Twenty-four percent of respondents reported exposure to gun violence fatality. Black, Latinx, younger, and those of lower income and education were disproportionately exposed. Exposed respondents had significantly higher levels of psychological distress, depression, suicidal ideation and/or psychotic experiences compared to those not exposed. There was a significantly stronger association between exposure and depression among Latinxs and “other” races relative to Whites. Conclusions Findings suggest that vicarious exposure to gun violence fatality is widespread, disproportionately experienced by racial/ethnic minorities, and related to a higher prevalence of mental health symptoms. Implications of these findings are that clinicians should attend to the mental health needs of people vicariously exposed to gun violence fatality, and that gun violence reduction interventions may positively impact community-level mental health. Given that Blacks and Latinxs are disproportionately exposed to gun violence, a more extensive examination of exposure to gun violence fatality as a social determinant of mental health is warranted using longitudinal and nationally representative data.

African Americans are disproportionately impacted by homicide in the United States. Individuals who have lost a relative to homicide often experience symptoms of complicated grief. The objective of this study was to explore the impact of a culturally tailored psychoeducational pilot intervention whose development was informed by a conceptual model of coping for African American survivors of homicide victims and was designed to (a) educate participants about the manifestation of complicated grief and symptoms and (b) help participants develop ways to cope with their grief. Pre- and post-test results indicate preliminary support for this encouraging intervention in achieving its intended outcomes to help participants identify complicated grief symptoms, supports, and services to help them manage their grief. Implications for posthomicide research and practice are discussed.

The prevalence of suicide suggests social workers will encounter clients at risk for suicide, but research shows social workers receive little to no training on suicide and suicide prevention and feel unprepared to work effectively with clients at risk. Baseline results from a randomized intervention study of the Question, Persuade, and Refer suicide prevention gatekeeper training with 73 advanced master’s of social work student interns show suicide knowledge was average, attitudes about suicide prevention were generally neutral, and use of suicide prevention practice skills was low. These results indicate an opportunity for enhancing student outcomes through training and inform social work education regarding necessary preparation for student interns and new graduates to identify and respond effectively to client suicide risk.

As the largest provider group of outpatient mental health services, social workers are at the forefront of suicide prevention, yet lack formal education to recognize and respond to client suicide risk. The Question, Persuade, and Refer (QPR; Quinnett, 1995) gatekeeper training teaches basic suicide prevention skills, focusing on suicide risk factors, warning signs, and response. Eight advanced MSW students, who completed the QPR training, participated in a face-to-face interview to share perspectives of the training and how they applied skills learned within their social work field placement. Study results provide crucial information about suicide prevention education for social workers.

The disproportionate representation of African American survivors of homicide victims places them at greater risk for compromised mental health. However, an examination of factors that influence how this population copes with this traumatic event is absent from the literature. This article elucidates the importance of sociocultural factors that influence coping resources and strategies for African Americans surviving the homicide of a loved one. A socioculturally responsive model of coping is presented that can be utilized in furthering the development of research and practice that is culturally responsive to the needs of African American survivors of homicide victims.

Methods of incorporating culturally competent practice and social justice curricula often are addressed in a required course or across courses using an infusion model. This research explored multicultural curricula and MSW students' attitudes about race and diversity. Data were collected from 297 MSW students enrolled at two universities. Multivariate analysis of variance revealed significant differences between students in programs with required multicultural coursework and those utilizing an infusion model, with respect to attitudes toward African Americans but not on measures of diversity or social equality and justice. The results indicate the differential outcomes based on curriculum models and support the need for further research in this area.

Problem: Education and research on social work’s role in preventing client suicide is limited. Method: Seventy advanced master of social work students were randomly assigned to either the training ...

This study examined the relations among community violence exposure, inter‐partner conflict and informal social support and the behaviour problems of pre‐schoolers, and explored how mothers' parenting skills and children's social skills may mediate the child outcomes associated with such exposure. Participants were 185 African‐American mothers and female caregivers of Head Start children who completed study measures in a structured interview. Path analyses revealed that greater inter‐partner conflict was associated with more internalizing and externalizing child behaviour problems. Positive parenting was associated with fewer internalizing and externalizing behaviours. Higher levels of child social skills were associated with fewer internalizing and externalizing behaviour problems. Child social skills fully mediated the relationship between community violence and externalizing behaviours as well as between informal support and externalizing behaviours. Social skills partially mediated the relationships between positive parenting and externalizing behaviours. No mediating effect was found on the relationships between inter‐partner conflict and child behaviour problems. Implications of the findings for intervention and future research are discussed.

Research suggests that friendships often aid in the sustainability of longer, healthier lives and contribute to mental well-being. However, comparative research between how African American and White women carry out their friendships is limited. Based on qualitative interviews with 40 women (20 African American and 20 White), this article describes the nature of women's friendships and explores comparisons between these two groups of women. Findings relevant to the formation of friendships and the types of support that they provide can inform the design and implementation of clinical interventions, particularly those focused on relationship building.

The purpose of this cross-sectional study was to discern which individual factors are associated with interracial/ethnic trust among a national probability sample of African Americans, Latinos, and non-Hispanic whites. Using national data from the 2000 Community Benchmark Survey, the multiple regression results indicate that, even after controlling for education and income, African Americans and Latinos reported significantly lower levels of interracial/ethnic trust than did non-Hispanic whites. Additionally, separate regression equations indicate that predictors associated with interracial/ethnic trust varied by racial and ethnic group. Implications and future research are discussed.

The rates of homicide within the African-American community indicate a population overwhelmingly impacted by traumatic grief and loss. A qualitative study was conducted to: (1) discover the support networks that are utilized by African-American family members who are surviving the homicide of a loved one; (2) gain insight relative to understanding the post-homicide experience of African-American surviving family members. A purposive sample of five African-American survivors participated in a semi-structured interview. Findings indicated that the informal social support provided by immediate and extended family, fictive kin and friends was the primary source of support that was used to cope with the homicide of their loved ones. However, respondents indicated a need to incorporate formal social support systems (e.g., therapeutic interventions) to help them cope with their grief. Respondents identified distrust of clinical and research institutions, fear of stigmatization, and level of comfort with...

BACKGROUND: Black men are disproportionately overrepresented among victims of repeat violent injury. However, little is known about the risk factors that influence violent trauma recidivism among black men. We hypothesize that the following risk factors would be significant among black male victims of repeat violent injury: disrespect; being under the influence; being in a fight and using a weapon in the past year; and previous incarceration when comparing trauma recidivists versus nonrecidivists. METHODS: Using secondary data analysis, we identified a sample of 191 (n = 191) urban low-income black men treated by a level I trauma unit in Baltimore for violent injury (e.g., gunshot wound, stabbing, or assault) who participated in a hospital-based violence intervention program from 1998 to 2011. Participants in the program completed a risk factor for violent injury questionnaire to assess: exposure to chronic violence, criminal justice involvement, substance abuse, and disrespect (code of the street). RESULTS: We found that 58% of the sample is characterized as trauma recidivists (defined as hospitalization two or more times for violent injury). Black male patients of violent injury who engage in the following: substance abuse; had previously been in a fight or used a weapon in the past year; perceived disrespect as a precursor to violence; and experienced a previous incarceration were more likely to have multiple hospitalizations for violent injury. CONCLUSIONS: Trauma recidivism among urban black male victims of violent injury is a major public health issue. Hospital-based violence intervention programs should be engaged in reducing trauma recidivism among this population.Copyright © 2016 Elsevier Inc. All rights reserved. Language: en

Racial appraisal is discussed as an integrative approach in response to experiencing violent victimization for African Americans. The research asserts that the process of coping with trauma for direct and indirect victims of violence is both structural and cultural. The paper references sociology and social work research that illustrates the use of racial appraisal to understand the ways in which race-based structural inequality limits and facilitates the interactions and cognitions of victims of violence,thereby impacting the allocation of social, psychological, and cultural resources from which African American survivors can draw upon to manage trauma related symptoms. Implications for research and practice are discussed.

Every day, in the United States, children are removed from their homes and placed into state supervised out-of-home care because of concerns around their safety. These children enter care as a result of child abuse, child neglect, abandonment or some other reasons. Lost in most discussions of out-of-home care is the role that parental incarceration and parental death have on the trajectory of children through the child welfare system. In order to address this gap in the literature, the present study aims to compare youth in foster care as a result of parental death or youth in foster care as a result of parental incarceration with youth in care because of child maltreatment in terms of the length of time to achieve permanency. Holding all other variables constant, entering care as a result of parental death more than doubled the average time to exit (HR = 2.32, SE = 0.22), and these youth were significantly less likely to exit to permanency when compared to children entering care for other maltreatment reasons (OR = 0.35, SE = 0.24). Entering care as a result of parental incarceration led to a 24% longer time to exit (HR = 1.24, SE = 0.09) compared to children entering care for other maltreatment reasons. Findings suggest that a one-size-fits-all approach to policy and practice may not be useful to identifying permanent placements for children entering care as a result of parental death or incarceration.

Research relevant to coping with grief for African American family members of homicide victims is limited. This retrospective study was conducted to determine the effects of gender, length of time since death, the traumatic impact of experiencing the homicide of a loved one, and the use of coping strategies to current grief reactions of African American family members of homicide victims (N = 44). Multiple regression analysis results suggest that gender and level of traumatic stress, related to posttraumatic stress symptomatology, predict current symptoms of grief. Women reported higher levels of current grief symptoms than men. Family members of homicide victims who reported higher levels of posttraumatic stress symptomology reported higher levels of current grief. Implications for research and recommendations for practitioners are discussed.

Suicide and homicide are among the leading causes of death for young African-American men; however, little is known about how family members cope with these types of deaths. This exploratory phenomenological study examines the traumatic loss and coping experiences of a purposive convenience sample of 12 immediate African-American surviving family members with a combined experience of 13 deaths, 8 suicides and 5 homicides. Novel aspects of suicide and homicide survivor phenomenon were identified, including Survivor Responses and Reactions, Coping Strategies, and Survivor Service Needs. The implications for research and for those providing services to surviving African-American families are discussed.

Rates of homicide among African Americans are much higher than those of other racial or ethnic groups. Research has demonstrated that homicide can be psychologically debilitating for surviving family members. Yet, exploring the experiences of homicide victims’ surviving loved ones has received little attention. This study examined the coping strategies of African American survivors of homicide. Qualitative interviews were conducted with 8 African American family members (ages 18-82) of homicide victims. Survivors were recruited from the Massachusetts Office of Victim Services and from homicide survivor support, school, and community groups throughout the New England area. Interviews were conducted using open-ended questions derived from coping, support network, grief, and bereavement literatures. Results indicate that the primary coping strategies utilized by African American survivors of homicide victims are spiritual coping and meaning making, maintaining a connection to the deceased, collective coping and caring for others, and concealment. Implications for research and practice are discussed.