Immigration Policy Enforcement and Latinx Adolescent Mental Health

摘要 拉美裔青少年面临着严重的心理健康差距，包括高度的抑郁症状 (34%)、自杀意念(14%)和自杀未遂(8%)。国家移民政策气候和移民 执法引发了对拉丁裔青少年心理健康的严重公共卫生问题。我们探索了 集体效能和连通性对减少抑郁和自杀意念的潜在作用 拉美裔青少年中的反移民氛围和移民政策执行。我们提出了一个 具有三个目标的收敛混合方法设计：1)应用差分估计技术 在扫描电子显微镜框架内，并使用脆弱家庭和家庭福利研究的数据，检查是否 关联性和集体效能在移民政策氛围与执行之间的关系中起中介作用 对于抑郁和自杀意念，2)使用YPAR的PhotoVoice方法，探索青少年的观点 以及移民政策环境和执行的经验及其与抑郁症和 自杀意念，以及3)我们将探索青少年对联系和联系的感知和体验 在YPAR过程中的集体效能，使用对YPAR参与者的定性深度访谈。这些 形成的、定性的数据将有助于为YPAR作为潜在的社区级别的未来发展提供信息 整合基于互联、集体效能和其他紧急情况的策略的干预措施 社会认知因素作为改变的目标机制。这种混合方法平衡了 国家估计的概括性，结合青少年的背景观点，以理解相关 影响拉美裔青少年心理健康和识别潜力的结构性因素和机制 促进心理健康公平的干预策略。这些目标有望1)填补以下差距 了解结构性环境因素与拉美裔青少年之间的社会认知机制 全国范围内和背景下的抑郁和自杀意念；2)更好地理解YPAR过程， 以社会认知机制为目标，可纳入未来的干预措施，以减轻 青少年抑郁和自杀意念。

ABSTRACT Latinx adolescents face significant mental health disparities including high levels of depressive symptoms (34%), suicide ideation (14%), and attempted suicide (8%). State immigration policy climate and immigration enforcement raises serious public health concerns regarding Latinx adolescents' mental health. We explore the potential role of collective efficacy and connectedness to reduce depression and suicidal ideation related to anti-immigrant climate and immigration policy enforcement among Latinx adolescents. We propose a convergent mixed methods design with three aims: 1) Applying a difference-in-difference estimation technique within an SEM framework, and using data from the Fragile Families and Family Wellbeing Study, examine if connectedness and collective efficacy mediate the relationship of immigration policy climate and enforcement to depression and suicidal ideation, 2) Using photovoice, an YPAR method, explore adolescents' perspectives and experiences of the immigration policy climate and enforcement and its relationship to depression and suicidal ideation, and 3) we will explore adolescent perceptions and experiences of connectedness and collective efficacy in the YPAR process, using qualitative in-depth interviews with YPAR participants. These formative, qualitative data will serve to inform future development of YPAR as a potential community-level intervention that integrates strategies to build on connectedness, collective efficacy, and additional emergent social cognitive factors as targeted mechanisms of change. This mixed-method approach balances the generalizability of national estimates with contextualized adolescent perspectives to understand relevant structural factors and mechanisms that impact Latinx adolescent mental health and identify potential intervention strategies to promote mental health equity. These aims are expected to 1) Address gap in knowledge of social cognitive mechanisms that link structural environment factors and Latinx adolescent depression and suicidal ideation nationally and in context; 2) Better understanding of YPAR processes that can target social cognitive mechanisms that can be included in future interventions to reduce the burden of adolescent depression and suicidal ideation.