Breaking the Silence: Black Families and Youth Suicide Crisis

Let’s get real. Suicide among young people is a tough topic—one we often avoid. But here’s the hard truth: in North Carolina, suicide has become the leading cause of death for children ages 10 to 14. This alarming shift is devastating, and Black youth are disproportionately affected by this crisis. It’s time to break the silence.

What’s driving this surge? What’s being done to address it? And most importantly, what can Black families do right now to protect their children? Let’s explore the harsh statistics, the cultural challenges, and the critical resources that can save lives within our communities.

The Stark Reality: Suicide Among Black Youth in North Carolina

North Carolina is facing a serious youth mental health emergency.

• Suicide is now the leading cause of death for children aged 10 to 14 in the state.
• In 2022 alone, 65 young people between 10 and 18 died by suicide in North Carolina.
• Black youth have experienced one of the sharpest recent increases in suicide rates, despite historically lower rates than their white peers.
• Approximately 17% of Black high school students and over 36% of Black middle schoolers have seriously considered suicide.
• Emergency room visits for suicidal behavior among children have increased five-fold over the past decade.

Adding to the urgency, Black youth face higher risks of firearm-related deaths—whether suicide or homicide—making this crisis even more deadly.

The bottom line? We must do more than talk about this problem. We must out-care it.

Understanding Barriers: Stigma and Mental Health in Black Communities

The biggest barrier to mental health support in Black families isn’t always access—it’s stigma. Cultural values of strength and resilience often mean “don’t talk about your feelings.” Coupled with historical mistrust of health systems, like the legacy of the Tuskegee experiments, reaching out for help is a heavy challenge.

Many parents and grandparents may not recognize a child’s emotional distress—and sadly, less than half of adolescents with major depression receive professional help.

To change this, mental health conversations must become a community effort, inviting trusted voices from churches, elders, and local leaders. Culturally competent outreach is not just a phrase—it’s essential.

The Role of Confidential Support: The 988 Suicide & Crisis Lifeline

One powerful tool is the 988 Suicide & Crisis Lifeline—a confidential, 24/7 service that anyone can call, text, or chat with for immediate mental health support.

North Carolina is actively promoting 988 tailored specifically to Black youth and families, ensuring counselors understand cultural trauma and offer compassionate, no-cost help.

But awareness alone won’t end the silence. Black families must talk openly about 988—as a lifeline and an act of courage.

Statewide Actions: North Carolina’s Holistic Prevention Strategy

Governor Josh Stein is championing comprehensive strategies including:

• Suicide Prevention Week to raise awareness.
• Expanding school-based mental health programs with more counselors.
• Gatekeeper training for educators and coaches to spot warning signs.
• Firearm safety campaigns reducing youth access to guns.
• Partnering with Black churches and community leaders for culturally responsive care.

This combined public and community approach builds the trust and tailored support our youth desperately need.

How Black Grandparents and Parents Can Help

You are on the frontlines. Here’s how to support your children:

1. Recognize warning signs like mood changes, withdrawal, or talk of hopelessness.
2. Open frank conversations—ask directly if they are thinking about self-harm.
3. Introduce resources like the 988 Lifeline as brave steps to seek help.
4. Find culturally affirming therapists who respect Black identity.
5. Stay engaged with their school life, social media, and peer circles.
6. Advocate for mental health education in schools and community groups.

These conversations may feel uncomfortable—but silence is far more dangerous.

A Path Forward: Hope Through Community and Culture

This crisis is not a death sentence. Black families in North Carolina have enduring strength and vibrant community bonds. By breaking the silence, dismantling stigma, and embracing culturally sensitive approaches, we can restore hope.

You—the grandparents, parents, and caregivers—are vital heroes. With tools like 988 and community support growing stronger every day, the future can be brighter, where no young life feels invisible.

Resources for Support and Further Reading

• North Carolina Department of Health and Human Services Black Youth Suicide Prevention Action Plan
• 988 Suicide & Crisis Lifeline
• NC Child – Prevent Youth Suicide
• BrightPath Behavioral Health Teen Mental Health Resources

Remember, discussing mental health isn’t weakness; it’s the strongest love you can show your family. So pick up that phone, start the conversation, and be the change that saves a life.

If you’re still reading—thank you. Now go tell someone you love that you see them. It might just save their life.