The Role of Perceived Hyper-Surveillance in Adolescent Suicide Risk.
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| Title: | The Role of Perceived Hyper-Surveillance in Adolescent Suicide Risk. |
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| Authors: | Castro-Ramirez, Franchesca (AUTHOR), McGuire, Taylor C. (AUTHOR), Al-Suwaidi, Maha (AUTHOR), Ricard, Jordyn R. (AUTHOR), Ricard, Jocelyn A. (AUTHOR), Herrmann, Felipe (AUTHOR), Chambers, Kilando Q. (AUTHOR), Shang, Melissa (AUTHOR), Jones, Grant (AUTHOR), Nock, Matthew K. (AUTHOR) |
| Source: | Journal of Clinical Child & Adolescent Psychology. Jul/Aug2026, Vol. 55 Issue 4, p731-743. 13p. |
| Subjects: | Suicidal ideation, Teenage suicide, Human behavior, Mental illness, Mental status examination, Racial inequality, Public health, Delinquent behavior |
| Abstract: | Objective: Adolescent suicide is a worsening public health crisis. Amid rising authoritarian policies that disproportionately target minoritized youth, the psychological costs of hyper-surveillance (targeted, punitive monitoring) remain unexamined. This study provides an initial operationalization of perceived hyper-surveillance to examine its relationship with suicide ideation (SI) severity, suicide attempts, and antisocial behavior, beyond the effects of discrimination and violence exposure. Method: In a cross-sectional study of 476 adolescents (13–17 years; 63% Black; 55% male-identifying) recruited online and in community settings. Hyper-surveillance was operationalized using items from validated measures that captured experiences across community and school settings. Multivariable regression models tested associations between traumatic-stress symptoms, hyper-surveillance, SI severity, suicide attempts, and antisocial behavior. Thematic analysis explored how adolescents believed hyper-surveillance contributed to suicide risk. Results: Traumatic-stress symptoms and hyper-surveillance were independently associated with increased SI severity and suicide attempts (ps <.001). Hyper-surveillance moderated associations between traumatic-stress symptoms and both SI severity and antisocial behavior. Those with darker skin tones experienced disproportionately more hyper-surveillance independent of antisocial behavior. Over half (58.3%) of adolescents with SI reported that hyper-surveillance contributed to their desire to die; qualitative themes reflected negative affect and beliefs about themselves, others, and the world. Conclusion: Amid expanding surveillance infrastructure in schools and communities (with known disparities in how these systems operate), these findings provide initial evidence that perceived hyper-surveillance functions as a modifiable risk factor for youth suicide. Clinical assessment of punitive surveillance experiences should be integrated into suicide risk evaluation for adolescents. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Objective: Adolescent suicide is a worsening public health crisis. Amid rising authoritarian policies that disproportionately target minoritized youth, the psychological costs of hyper-surveillance (targeted, punitive monitoring) remain unexamined. This study provides an initial operationalization of perceived hyper-surveillance to examine its relationship with suicide ideation (SI) severity, suicide attempts, and antisocial behavior, beyond the effects of discrimination and violence exposure. Method: In a cross-sectional study of 476 adolescents (13–17 years; 63% Black; 55% male-identifying) recruited online and in community settings. Hyper-surveillance was operationalized using items from validated measures that captured experiences across community and school settings. Multivariable regression models tested associations between traumatic-stress symptoms, hyper-surveillance, SI severity, suicide attempts, and antisocial behavior. Thematic analysis explored how adolescents believed hyper-surveillance contributed to suicide risk. Results: Traumatic-stress symptoms and hyper-surveillance were independently associated with increased SI severity and suicide attempts (ps <.001). Hyper-surveillance moderated associations between traumatic-stress symptoms and both SI severity and antisocial behavior. Those with darker skin tones experienced disproportionately more hyper-surveillance independent of antisocial behavior. Over half (58.3%) of adolescents with SI reported that hyper-surveillance contributed to their desire to die; qualitative themes reflected negative affect and beliefs about themselves, others, and the world. Conclusion: Amid expanding surveillance infrastructure in schools and communities (with known disparities in how these systems operate), these findings provide initial evidence that perceived hyper-surveillance functions as a modifiable risk factor for youth suicide. Clinical assessment of punitive surveillance experiences should be integrated into suicide risk evaluation for adolescents. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 15374416 |
| DOI: | 10.1080/15374416.2026.2660292 |