NEWS Mental Health News Systemic Racism Contributes to Psychosis Risk, Study Finds By Krystal Jagoo Krystal Jagoo Krystal Kavita Jagoo is a social worker, committed to anti-oppressive practice, who has worked for three academic institutions across Canada. Her essay, “Inclusive Reproductive Justice,” was in the Reproductive Justice Briefing Book. Learn about our editorial process Updated on June 22, 2021 Fact checked Verywell Mind content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by Nicholas Blackmer Fact checked by Nicholas Blackmer LinkedIn Nick Blackmer is a librarian, fact-checker, and researcher with more than 20 years’ experience in consumer-oriented health and wellness content. He keeps a DSM-5 on hand just in case. Learn about our editorial process Share Tweet Email Print Key Takeaways A recent study found that ongoing inequitable circumstances subject racialized communities to cumulative stress, which can put them at a heightened risk for psychosis.Research has demonstrated that rates of trauma and adversity are significantly higher in racialized communities.Black women in the U.S. are disproportionately impacted by obstetrical complications, including infections, maternal stress, maternal inflammation, etc, which are associated with increased risk for psychotic disorders. Following the murders of numerous Black individuals at the hands of the police as well as the increase in Asian hate crimes during the pandemic, there has been a growing awareness of how BIPOC communities experience disproportionate harm in the U.S. This is particularly relevant with respect to a recently published study in The American Journal of Psychiatry, which delves into the impact of systemic racism on the risk of psychosis at the individual and community levels. While the mental health of BIPOC individuals has long been negatively impacted by systemic racism, this study is the first to review the social determinants of psychosis in a U.S. context. Understanding Social Determinants of Psychosis in the U.S. In a review of secondary research, the authors draw connections among inequitable social and economic systems within the U.S. that contribute to the risk of psychosis, which refers to hallucinations, delusions, etc. While there can be a variety of contributing factors, this racial analysis found links among neighborhood factors, cumulative trauma, and obstetrical complications, as these experiences continue to be impacted by structural racism, particularly for Black and Latinx communities. The authors recommend community-partnered participatory research (CPPR)—a variant of community-based participatory research (CBPR)—which centers the needs of the community in conducting research by partnering with them to utilize their insights and can be helpful in avoiding such abhorrent violations as the 1932 Tuskegee Experiment. Understanding PTSD With Psychosis With Oppression Comes More Barriers Brittany A. Johnson, LMHC, says, "From reading this article, readers leave with a basic understanding and knowledge around how systemic racism impacts the mental and physical health of the individuals who grow up and remain in the environment. In order for change to occur readers will need more information especially around how to be change agents." Brittany A. Johnson, LMHC Overall, it's important to know that people who have experienced systemic racism are trying to make sense of why it happened to them, why it happens in general and how they can do something different to impact change. — Brittany A. Johnson, LMHC Given how interconnected oppression and privilege can be, Johnson felt that it would be helpful for readers to keep in mind the number of different barriers that make it more difficult for someone to change their situation. Johnson says, "In terms of context, it would be helpful for readers to understand that most people still live or interact with these communities and the stereotypes are still impacting many lives today. Overall, it's important to know that people who have experienced systemic racism are trying to make sense of why it happened to them, why it happens in general and how they can do something different to impact change." An Overview of Psychotic Depression CPPR Approaches Invest in Communities Renato (Rainier) M. Liboro, PhD, describes the following recommendations of the researchers for addressing structural racism and the social determinants of psychosis as implementable: Targeted and strategic funding prioritiesTrauma-informed and culturally competent training of healthcare professionalsDevelopment of empirically-supported intervention and treatment programs While there can be value in research, Liboro cautions that recommendations can be implemented only if taken seriously in the U.S. context. As a practitioner of CBPR who conducts studies that examine social determinants that impact the mental health of minority populations and other underserved communities, Liboro highlights the value of such approaches for the meaningful involvement of stakeholders from the communities that the research is intended to support, which promote: Civic ParticipationCommunity EngagementCollaborationSocial JusticeDiversityInclusionEquity Renato (Rainier) M. Liboro, PhD It promotes shared responsibility, credit, and ownership of knowledge between institutional scholars and the community, generated from collaborative research. — Renato (Rainier) M. Liboro, PhD Liboro says, "The meaningful involvement of racial and ethnic minority key opinion leaders, community stakeholders, and people with lived experience in research is critical in producing on-the-ground, real-world, and sometimes, even almost immediate benefits to relevant individuals and communities." Liboro continues, "It promotes shared responsibility, credit, and ownership of knowledge between institutional scholars and the community, generated from collaborative research that not only contributes to the important scholarly work dedicated to addressing the adverse effects of systemic racism but also provides results that are personally meaningful to the communities the research is meant to help." What This Means For You As this research has demonstrated, systemic racism contributes to the risk of psychosis, which requires a targeted approach at all levels to tackle these inequities. Given how BIPOC communities have been negatively impacted by the pandemic, the need to implement these recommendations for the physical and mental health of folx is crucial and deserves to be made a priority. Racial Disparities Lead to Poor Mental Health Care for Black Americans 2 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Anglin DM, Ereshefsky S, Klaunig MJ, et al. From womb to neighborhood: a racial analysis of social determinants of psychosis in the United States. Am J Psychiatry. Published online May 3, 2021. doi:10.1176/appi.ajp.2020.20071091 Grzanka P, Gonzalez K, Spanierman L. White supremacy and counseling psychology: a critical–conceptual framework. Couns Psychol. 2019;47(4):478-529. doi:10.1177/0011000019880843 By Krystal Jagoo Krystal Kavita Jagoo is a social worker, committed to anti-oppressive practice. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.