Methods: This study analyzed data from The Healthy Minds Study, a national survey on college student mental health, using responses from 87,615 students aged 18–29. A moderated mediation model (PROCESS Macro Model 7) was employed, where racial discrimination (IV) affects suicidal ideation (DV) via Anti-Racism Engagement (M), with racial identity (W) as a moderator. Bootstrapping (N = 5,000) was used to estimate confidence intervals for conditional effects. Control variables included sex at birth, education level, age, depression and anxiety symptoms, and LGBTQ+ identity.
Results: The analysis revealed that racial discrimination was positively associated with suicidal ideation (β = 0.3040, p < .001). Anti-racism engagement partially mediated this relationship (β = 0.0823, p < .001), indicating that students who reported higher levels of anti-racism engagement tended to report lower suicidal ideation despite facing discrimination. However, the strength of this mediating effect varied across racial groups. Non-Hispanic White students exhibited the strongest association (0.0830, 95% CI [0.0670, 0.1005]), followed by Non-Hispanic Black (0.0756, 95% CI [0.0601, 0.0922]), Hispanic (0.0689, 95% CI [0.0550, 0.0836]), and Asian students (0.0697, 95% CI [0.0478, 0.0932]). American Indian or Alaska Native (AIAN) and Native Hawaiian or Other Pacific Islander (NHPI) students showed the weakest indirect effect (0.0509, 95% CI [0.0400, 0.0629]), suggesting that Anti-Racism Engagement was less strongly associated with reduced suicidal ideation in these groups. Further, racial identity moderated the link between discrimination and Anti-Racism Engagement. AIAN/NHPI (β = -0.3899, p < .001) and Non-Hispanic Black students (β = -0.1707, p = .0213) exhibited weaker associations, suggesting that systemic barriers and historical factors may influence their engagement in anti-racism efforts as a protective mechanism.
Conclusion: Anti-racism engagement was linked to lower suicidal ideation via a reappraisal pathway, though effect sizes varied by race. Weaker effects among AIAN/NHPI and Black students suggest systemic inequities in how efforts are experienced. Findings support integrating anti-racism into campus mental health strategies through culturally responsive approaches. This direction aligns with SSWR 2026’s theme of translating social work science into equitable, transformative policy.
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