Understanding cultural beliefs to bridge mental health literacy gaps

March 19, 2025

Three Minute Thesis Competition winner Abirami Suthan鈥檚 research looks to open doors for mental health care acceptance in South Asian American communities.

Graduate student and 3MT winner Abirami Suthan
Graduate student Abirami Suthan won the 2025 Three Minute Thesis Competition at 萝莉社-Dearborn. Photo by Annie Barker

Clinical Health Psychology graduate student Abirami Suthan is passionate about mental health. Many times, people can point to an accolade or interest that influenced their career choice. For Suthan, it was a person.

 When Suthan was an undergraduate student and a resident assistant at the University of Toronto, she held weekly meetings. One of Suthan鈥檚 favorite residents, CJ, who was an international student from India, would always be there and ready to help. Then CJ stopped showing up. 鈥淲hen I noticed a shift in her behavior, I reached out. CJ told me she was having suicidal thoughts, but was fearful to seek help. When she was in high school in India, a teacher she confided in suspended CJ after she shared that she was having these thoughts,鈥 says Suthan, who helped CJ make a counseling appointment and walked her to the first session. 鈥淐J has since graduated and is now doing well. Years later, her experience still affects me. Being from the South Asian culture myself, I know how deeply stigma shapes our responses to suicide. I needed to do something more to address this."

Suthan 鈥 who was raised by Sri Lankan parents and grew up in a South Asian American neighborhood in Texas 鈥 says there's a pattern of silence and shame around mental health in her community. To address this, Suthan became focused on educating herself and others. 

Suthan, who started at 萝莉社-Dearborn in Fall 2023 and has an undergraduate degree in psychology and anthropology, is working on her thesis, "Cultural Identity and Suicide in South Asian Americans." She鈥檚 looking at age, cultural perspectives, mental health literacy, societal stigma and more.

To do this, Suthan 鈥 who鈥檚 advised by Psychology Professor Nancy Wrobel 鈥 created a survey that asks a variety of questions aimed at South Asian American-identifying adults aged 18 to 60 to gauge what people believe about mental health and suicide and how it鈥檚 tied to their cultural identities. Her research work is funded by an, which allows Suthan to compensate survey participants for their time.

鈥淚 believe suicide prevention work in a community starts with destigmatization and understanding cultural beliefs,鈥 says Suthan, who chose 萝莉社-Dearborn for graduate school because of the faculty expertise and its clinical-based experiences. 鈥淔or example, if someone believes depression is due to laziness and can be fixed through working harder 鈥 that鈥檚 one belief I鈥檝e heard in my community 鈥 mental health literacy efforts can be made to explain how conditions are biological and psychological.鈥 She鈥檚 also looking at how South Asian and American identities can be at odds with one another 鈥 one is more of a collective mindset and the other is more about the individual, respectively 鈥 and ways to bring those closer together. 鈥淚 want to know, 鈥楬ow can we balance the norms of both cultures?鈥欌

Suthan says her research didn鈥檛 start with suicide in mind. It began with a curiosity about mental health resources and how much they were accessed by South Asian Americans. 鈥淭here was quite a bit of research on this and it says access is minimal because there are lots of stigma barriers,鈥 she says. 鈥淭hen I noticed a huge literature gap on South Asian American beliefs about suicide 鈥 there鈥檚 barely anything out there. I wanted to help find answers.鈥 Data about South Asian Americans and suicide was so scarce that she looked to the United Kingdom, a comparable Western society to the United States, for statistics. Suthan found that South Asians in the UK were three times more likely to commit suicide and South Asian women were 7.8 times more likely to inflict self-harm than their white counterparts. 鈥淚鈥檓 not entirely sure why there is a lack of data in the U.S.,鈥 Suthan says. 鈥淏ut it鈥檚 an issue that needs to be addressed.鈥 

Suthan and her research took first place at the recent Three Minute Thesis Competition at 萝莉社-Dearborn. The competition, run by the Office of Graduate Studies, provides an opportunity for graduate-level students to share their research in three minutes or less in an uncomplicated and easy-to-understand way. Suthan will represent the university at the Midwestern Association of Graduate Schools regional competition from April 2 to 4 in Indianapolis. 鈥淚鈥檓 looking forward to representing 萝莉社-Dearborn and having a larger audience to talk with about this research gap in the South Asian American community and what I plan to do about it,鈥 she says.

Suthan says she has identified participants for her survey, which will be sent out soon. And she鈥檚 hoping the answers show trends that will give insight for next steps in building bridges between the South Asian American community and mental health literacy.

Suthan has seen how education can open conversations to create change in her own family. When she first told her parents 鈥 who lived through the Sri Lankan Civil War 鈥 that she wanted to pursue a career in psychology, they had negative feelings about her working in mental health. But, knowing her parents' story about leaving their country because of a war and relocating nearly 10,000 miles away with nothing but hope for a better life, puts things in perspective. 鈥淗onestly, it helps me understand why mental health was put on the back burner for them. It was just about survival 鈥 it鈥檚 hard to think beyond that when your basic needs aren鈥檛 being met. Many people from South Asian communities have this type of trauma,鈥 Suthan says. 鈥淏ut once things have stabilized, there is an opportunity to go beyond the physical needs.鈥

Now, Suthan says her mother sends her journal and magazine clippings about careers in suicide prevention and mental health. 鈥淚t was once a topic that wasn鈥檛 discussed and now she is sending me articles and making comments on how interesting they are. She is now my biggest supporter. And my father, even though he was skeptical when I first chose this career path, is one of my biggest cheerleaders,鈥 she says.

Suthan says she has hopes that educating the South Asian American community in a way that embraces cultural awareness will open doors for more South Asian therapists, more research studies and an increased acceptance of mental health needs.

These would all help to realize the ultimate goal of suicide prevention. 鈥淚 love my community and I come from some very resilient people. But, even when we don鈥檛 talk about it, trauma still exists,鈥 she says. 鈥淚magine how much better life would be if we took care of each other now 鈥 before it is too late.鈥

Story by Sarah Tuxbury