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Black Youth Matters: Understanding Mental Health Issues among Black Teens

Black Americans of all ages face serious and profound mental health challenges, many of which are rooted in systemic and historical inequities and marginalization. Understanding the mental health issues that affect Black teens and adolescents today requires acknowledgment of systemic inequality at both the institutional and community levels. It’s easy to dismiss the past as prologue; however, the recent spate of police violence against Black youth, as well as the entrenched political suppression and disproportionate rates of poverty and incarceration, are just a few of the factors contributing to the mental health crisis among African American teens.

9 Minute Read | Published Aug 09 2023 | Updated Jan 16 2024

Mental Health advocacy organization Mental Health America correctly states that “Historical adversity, which includes slavery, sharecropping, and race-based exclusion from health, educational, social, and economic resources, translates into socioeconomic disparities experienced by Black and African American people today. Socioeconomic status, in turn, is linked to mental health: People who are impoverished, homeless, incarcerated, or have substance use problems are at higher risk for poor mental health.”

The organization also states that racism, negative stereotypes, residual marginalization from current unequal policies, mistreatment by authorities, and other factors continue to exacerbate the already-widespread problem.

To compound the issue, even more, there is a growing body of data, including research published in the Journal of the American Academy of Child and Adolescent Psychiatry, that indicates Black teens are less likely to identify their own mental health issues or receive treatment for them as they emerge.

What Issues Affect Black Teen Mental Health?

Mental illness among Black teens is not created in a vacuum. On multiple levels, this community is faced with disproportionate education, family, and quality-of-life burdens that can directly contribute to the onset of moderate to severe mental illness:

  • Scope of Problem – The Substance Abuse and Mental Health Services Administration (SAMHSA) reports that (4.8 million) Black and African American people reported having a mental illness, and 22.4 percent of those (1.1 million people) reported a serious mental illness over the past year.
  • Economic Burden – Data reported from the American Psychological Association (APA) indicates that 39 percent of African-American children and adolescents and 33 percent of Latino children and adolescents are living in poverty, which is more than double the 14 percent poverty rate for non-Latino, White, and Asian children and adolescents.
  • At the same time, Black and African American people living below poverty are twice as likely to report severe psychological distress than those living over two times the poverty level.
  • Family Dynamics – Family has become an integral pillar of social support within the Black American Community. One study published in the Journal of Black Psychology indicates that internal stress-processing through family interactions impacted more than half the participants. In other words, family dysfunction is a major source of stress that can lead to depression and anxiety.
  • Additionally, the CDC reports that Black and African American adults are more likely to have feelings of sadness, hopelessness, and worthlessness than White adults, feelings their children can and often do, internalize and take on themselves.
  • Data from the Economic Policy Institute indicates that African American children growing up poor are at greater risk of disrupted physiological functioning and depressed academic achievement.

Persistent and well-founded mistrust of authority figures due to heightened rates of mistreatment and marginalization continues to perpetuate anxiety and other mental health issues, as well. Police is a tragically common cause of death among young men, especially young men of color.

Data published by Northwestern University indicates that young Black women and men are significantly more likely than White women and men to be killed by police, and that about 1 in every 1,000 black men can expect to be killed by police. The anxiety that this reality engenders can have lasting implications on mental health and anxiety.

Navigating Stigma and Stereotyping in Black and African American Culture

Navigating Stigma and Stereotyping in Black and African American Culture

Other mental health-related risk factors for Black and African American youth include maneuvering through entrenched stereotypes, dated and ignorant perceptions, and malignant elements of toxic masculinity for young males. Expectations of roles and behavior within family and community often get internalized to the point where young people feel they need to live up to them to be worthy of acceptance or validation.

When it comes to Black female mental health, suicide continues to be an increasingly urgent cause for concern. Data reported by the National Black Women’s Justice Institute indicates that suicide death rates for Black girls ages 13 to 19 increased by 182 percent from 2001 to 2017. The organization also reports that children in foster care, a disproportionate majority of whom are Black, face mental health issues at a rate of 42 percent. It’s challenging to make legitimate inroads toward solving the Black youth mental health crisis without systemic bedrock change and institutional reform on multiple levels, including areas of everyday life that can lead to mental health challenges.

Mental Health Resources for Black Youth Who Need Help

Mental Health Resources for Black Youth

It’s challenging to make legitimate inroads toward solving the Black youth mental health crisis without systemic bedrock change and institutional reform on multiple levels, including areas of everyday life that can lead to mental health challenges and addressing the inequities that persist in treatment access. There are, however, many resources for members of the Black and African communities struggling with mental health issues by virtue of their identity. Here are some resources to explore if you or your loved one are struggling:

There are also multiple resources for finding culturally competent care and mental health professionals:

You don’t have to struggle with mental health issues on your own, no matter what your race or cultural identity may be. Lean on people in your support system, practice self-care, and embrace therapy to give yourself perspective and self-awareness. Black youth are at undeniably high risk for mental health challenges; however, through destigmatization, progression toward systemic equality, awareness of these disparities, and better access to treatment, this trend can start to be reversed.


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