Mental health experiences and barriers: Black adolescents presenting for suicide risk and their caregivers

Background Health disparities in suicidal behaviors exist for Black youth. There are many barriers that Black adolescents and their caregivers encounter when attempting to access mental health (MH) care. However, there is limited information available concerning their experiences, barriers, and facilitators of MH services. Methods Qualitative interviews were conducted with Black adolescents (ages 10–18) presenting in a pediatric emergency department with past‐year suicidal ideation and/or behaviors and/or their caregivers. The sample consisted of 9 adolescents and 11 caregivers. Qualitative analysis was conducted by structured annotation and thematic analysis. Results Adolescent and caregiver interviews identified seven themes: (1) emotional and behavioral experiences; (2) impact of previous MH treatment; (3) MH barriers; (4) facilitators for future treatment; (5) MH communication; (6) support; and (7) community resources. Conclusion Themes highlighted by both adolescents and caregivers were the impact of previous treatment, MH barriers, facilitators for future treatment, MH communication, and support. Although the interviews are consistent with research literature documenting the negative experiences and barriers to care for Black adolescents, MH experiences can be positive and helpful if provided in a culturally responsive manner.