Once pediatric primary care providers (PCPs) recognize the importance of having conversations about race with their patients and families, the next question is how to begin.

"The first thing clinicians need to know about racism and discrimination is how important it is to talk about it." Open, honest, and effective conversations about race and racism are crucial to young people's mental health.

As suicidality among adolescents generally has declined in the past three decades, suicide attempts among Black adolescents have risen, according to a November 2019 article in Pediatrics. A report to the Congressional Black Caucus (CBC) says that rates of suicide death have risen more for Black youth than for any other racial or ethnic group. A growing concern is that Black youth are less likely to report suicidal thoughts but more likely to attempt suicide; Black males are more likely to suffer injury or death as a result. Suicidality is also increasing among younger children. The reasons for these changes are not clear. However, the risk factors for suicidality and underlying mental health conditions among Black children and youth are myriad.

As you've dealt with back-to-school (and back-to-sports) visits, you probably have been challenged by the gap between what's needed and what's practical. This visit may be the only time you see this child this year. You know that emotional and mental health is as important as physical health. But you have only so much time for each check-up. Screening tools are a big help...