J Adolesc Health. 2025 Sep 17:S1054-139X(25)00324-6. doi: 10.1016/j.jadohealth.2025.07.019. Online ahead of print.
ABSTRACT
PURPOSE: English language proficiency has been an indicator of social status, social interactions, discrimination, and psychological distress. We examined associations between Limited English Proficiency (LEP) and suicide attempts requiring medical attention in adolescents.
METHODS: We used data from CDC Youth Risk Behavior Surveys (2015-19) (n = 26,668). A multivariable logistic regression model was used to evaluate the association between LEP and suicide attempts, adjusting for covariates that may influence LEP, suicide attempts, or their relationships using survey weights and assessing covariates for inclusion.
RESULTS: Adolescents with LEP (11.7%) had higher reported suicide attempts compared to those without LEP (2.3%). Multivariable logistic analyses revealed that adolescents with LEP were more likely to have made suicide attempts (Adjusted odds ratio: 3.17, 95% confidence interval: 2.14-4.69) than their non-LEP peers.
DISCUSSION: LEP is significantly associated with suicide attempts in adolescents. These findings suggest a need for targeted, culturally, and linguistically appropriate mental health support and interventions.
PMID:40965395 | DOI:10.1016/j.jadohealth.2025.07.019
