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May 16, 2025

Cover of American Journal of Orthopsychiatry (small) Persistent exposure to highly publicized cases of racial violence—such as the deaths of Ahmaud Arbery, Breonna Taylor, and George Floyd—can result in negative psychological, emotional, and physical outcomes for Black college students in the form of racial battle fatigue (RBF). Unlike general stress, RBF is the cumulative strain and burnout of enduring racial microaggressions, institutional discrimination, and large-scale race-related traumatic events.

In a study published in the American Journal of Orthopsychiatry, Wilson and colleagues examined the mental, physical, and social effects of repeated exposure to racial violence for Black college students. Data were collected from in-depth qualitative interviews with 30 Black undergraduate college students from four Historically Black Colleges and Universities (HBCUs) in the southeastern United States. Wilson and colleagues found that while HBCUs provide crucial spaces for the cultural empowerment of Black students, their walls are not impenetrable to external stressors and the threat of racial violence. Black college students’ repeated exposure to the deaths of unarmed Black Americans through news stories, social media videos, and discussions with loved ones was associated with various psychological and physiological consequences. These consequences included emotional withdrawal, persistent tiredness, hypervigilance, constant worry, and concerns for their physical safety, all of which highlight the deleterious effects of prolonged exposure to racial violence. 

Further, Wilson and colleagues’ analysis revealed the complex interplay between time and grief. For Black college students grieving the losses of unarmed Black people at the hands of police and neighborhood vigilantes, “time” served as a painful reminder of how Black lives, even in death, are minimized and ultimately forgotten. Specifically, students described the societal pressures to move on and resume everyday life in the aftermath of large-scale racial violence, which in turn, shaped their awareness of grief as a societal luxury that Black Americans (1) do not have the time or energy to fully experience and (2) do not feel they deserve due to cultural narratives and internalized beliefs about resilience.

Finally, the maladaptive coping concept known as “John Henryism” was considered by the authors given students’ persistent efforts to stay engaged in social justice efforts—such as sharing posts on social media, attending protests and marches, and signing petitions—despite extreme exhaustion (James, 1994). While noble, such resistance comes with a cost. Unrelenting efforts to challenge injustice and overcome hardship can result in long-term health effects for Black college students. Thus, to counter the pernicious psychological and physical toll of racial violence, students recognized self-care as a critical component of healing and long-term wellness.

This study offers deeper understandings about the acute and chronic stressors posed by racism and the disproportionate health outcomes for Black college students. It underscores the importance of culturally responsive interventions to mitigate the harmful health effects of racial violence exposure. It strongly recommends evidence-based practices, community-driven interventions, and policy reforms that systemically address policing disparities in Black communities.

This article is in the Clinical Psychology topic area.

Citations

James, S. A. (1994). John Henryism and the health of African-Americans. Culture, Medicine and Psychiatry, 18(2), 163–182. https://doi.org/10.1007/BF01379448opens in new window

Wilson, B. L., Smith, A. M., Diversi, M., Wolfer, T. A., & Moore, S. E. (2025). Tired of being tired: Black college students’ experiences of racial battle fatigue from highly publicized anti-Black violence. American Journal of Orthopsychiatry. Advance online publication. https://doi.org/10.1037/ort0000821opens in new window

About the authors

Betty L. Wilson, PhD, is an assistant professor in the College of Social Work at the University of South Carolina. Her research focuses on the trauma-related impacts of police violence exposure, with secondary interests in designing, implementing, and evaluating community-based interventions to enhance mental health outcomes. Contact Betty L. Wilson.   

Angela M. Smith, PhD, is an assistant professor in the Department of Sociology, Anthropology and Social Work at Auburn University–Montgomery. Her research examines Black emerging adults’ interactions with law enforcement and how these experiences impact their mental health. Contact Angela M. Smith.

Marcelo Diversi, PhD, is a professor in the Department of Human Development at Washington State University–Vancouver. His research focuses on decolonizing scholarship and pedagogy, as well as identity development among historically marginalized populations. Contact Marcelo Diversi.

Terry A. Wolfer, PhD, is a professor in the College of Social Work, University of South Carolina. His research focuses on promoting health and reducing risks in congregations, integrating evidence-based practices into faith-based service programs, and examining the role of spirituality in social work practice. Contact Terry A. Wolfer.

Sharon E. Moore, PhD, is a professor emeritus in the Raymond A. Kent School of Social Work and Family Science at the University of Louisville. Her work focuses on the social, mental, and physical health of Black males and the intersection of these issues within Black church settings. Her secondary research explores curriculum development and pedagogy in social work practice. Contact Sharon E. Moore.

Date created: May 2025