![]() We propose that understanding risk factors for depression, particularly its intergenerational reach, requires accounting for structural racism that is routinely experienced by racially and ethnically minoritized individuals ( 23). The purpose of this review is to conceptualize how structural racism and cumulative trauma can be fundamental drivers of the intergenerational transmission of depression. Although researchers have described how social determinants affect depression along the life course ( 22), little attention has been paid to how structural racism and its consequences may contribute to the intergenerational transmission of depression. Similar to those among adults, factors associated with the increase in depressive sequelae among African American youths are multifactorial ( 18– 21). Further, the suicide death rate among Black children ages 5–12 years is increasing faster than among any other racial/ethnic group in the United States ( 16, 17). high school students found that from 1991 to 2017 African American adolescents experienced a 73% increase in suicide attempts, while the suicide attempt rate decreased 9% among White youths during the same period ( 15). A study with a nationally representative sample of U.S. Other contributors to this treatment gap include underdetection by providers ( 10), unreliable medical systems ( 11), and treatment settings perceived as punitive and inaccessible ( 12– 14).įrequency of suicidal thoughts and behaviors, which are often associated with depression, is increasing among African American youths. These inequities are increasingly linked to social, economic, and environmental determinants such as low income, underresourced educational opportunities, inadequate housing, and lack of access to quality mental health treatment ( 6– 9). In sum, the burden of depression appears to be higher among African Americans compared with White Americans ( 2).Īfrican American adults are less likely to receive depression treatment than are their White counterparts ( 4, 5). For example, African American adults with depression rate their symptoms as more severe, have a longer course of illness, and experience greater disability ( 2, 3). In light of the profoundly different experiences of African Americans who experience depression (i.e., a more persistent course of illness and greater disability), it is critical to examine whether an emerging explanation for some of these differences is the intergenerational transmission of this disorder due to structural racism.ĭepression among individuals who have been racially and ethnically minoritized in the United States can be vastly different from that seen in White Americans ( 1). The authors propose that understanding risk factors for depression, particularly its intergenerational reach, requires accounting for structural racism. The purpose of this review was to conceptualize how structural racism and cumulative trauma can be fundamental drivers of the intergenerational transmission of depression. For example, African American adults who have depression rate their symptoms as more severe, have a longer course of illness, and experience more depression-associated disability. With George Floyd, the Black Lives Matter uprisings, and the pandemic–we’re seeing our communities come together across racial and economic lines to support and uplift one another.Depression among individuals who have been racially and ethnically minoritized in the United States can be vastly different from that of non-Hispanic White Americans. While this list of goals may seem daunting, the intersectional nature of these issues provides an incredible opportunity for Asian Americans to grow and thrive. And they are confronting intergenerational trauma, seeking healing for themselves and their communities. They are trying to show up in solidarity with #BLM. They are trying to move through this pandemic. Yuna and other young Asian leaders are being challenged on many fronts. So the challenge I see ahead is: how do we heal?” We’re not raising Hmong men to be fathers, to come back home. “We’re raising boys to become soldiers to fight in some war. Yuna connects this toxic behavior to the history of war and displacement experienced by the Hmong refugee community. … We ask you: at what cost and who are you protecting in the end if you are being violent towards the women leaders who are speaking out about anti-Blackness in our community?” Yuna says. “We know your families and your loved ones are hurting.
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