| Sumario: | The current study assessed associations between negative experiences with police and self-directed violence (SDV) among a United States (US) sample of Black young adults ages 18–29 reporting lifetime police stops. Data come from the "INtervening on Self-Harm and Policing to Increase Racial Equity" (INSPIRE) survey (N = 672) and were collected between December 2023 and March 2024. This high-risk sample exhibited elevated rates of self-harm ideation or NSSI (27.23%) and attempted suicide (48.22%). Findings also revealed that, net of covariates, both police discrimination and arrest increased the relative risk of self-harm or NSSI by 257% and 242%, respectively. These police experiences also significantly increased the risk of attempted suicide. When examining specific forms of police discrimination, discrimination by race, immigration status, and sexual orientation emerged as significant predictors of one or more SDV outcomes. Results signal a need for SDV screenings among Black young adults with a history of negative experiences with police discrimination and arrest in the US.
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