Overview

• Researchers evaluated the convergent, divergent and predictive validity of tools like the MAYSI-2 and APS-SF among adjudicated youth across ethnic groups.
• African American participants scored nearly 0.1 points lower on depression scales and almost 0.2 points lower on suicidality measures compared with white peers.
• Approximately 70% of incarcerated youth have diagnosed mental disorders, with about 30% reporting suicidal thoughts, 12% attempting suicide and 25% experiencing solitary confinement linked to higher suicide risk.
• Unequal screening accuracy may leave African American youth under-identified for depression or suicide risk, risking gaps in treatment and rehabilitation.
• Authors advocate for psychometrically sound, culturally responsive instruments and intake processes that integrate clinical interviews and observational assessments.