09/07/2026
I need to share something that I have to think about every day, all day, in my clinical practice on this Labor Day and September, which is also Su***de Awareness Month.
Between 2015 and 2024, fi***rm su***de rates among Black women rose 169%.
Let me repeat...169%!
The rate for Hispanic/Latina women rose by 57%
The rate for Asian or Pacific Islander women rose by 51%
The rate for Native American or Alaska Native women rose by 19%
For white women during that same period...4%.
That gap (unfortunately) tracks. And it is the result of racism, chronic (di)stress that goes unaddressed, biology that goes uninvestigated, and an unspoken generational survival mechanism of being strong that often leaves no room to say "I am not okay."
The women that worry me the most are not the ones who have obviously collapsed. Instead, they are the ones who are still running, still showing up, still getting things done...and telling no one what's really going on within their mind.
Suicidal crisis in a Black woman rarely looks the way people expect. It can look like emotional flatness, irritability, and exhaustion. Waking up throughout the night. Going ghost, taking a break, or pulling away from her relationships, faith, and the community activities that she used to be the face of.
It can look like a sudden calm, happiness, or an increase in energy!
And there are biological & childhood considerations behind this crisis that aren't always checked, such as ACE score, inflammation, vitamin D deficiency, depleted cortisol (while everyone is looking for high cortisol), weight changes, and deficiencies in fat, protein, carbohydrates, minerals, and vitamins... each one measurable, each one addressable.
This is also what su***de prevention looks like: not ONLY a hotline number, but noticing the subtle clinical changes during an appointment before someone reaches a breaking point.
I wrote a blog post on this.
Read it and share it with the women who don't look like they need it...yet.
👉🏾 https://drdevinnbailey.substack.com
📞 If you or someone you love is not feeling life right now, call or text 988.
It is free, confidential, and available 24 hours a day, 7 days a week.