Intersectional Stigma, Belongingness, and Suicide: A Novel Approach for Minority Mental Health.

交叉耻辱、归属感和自杀：少数民族心理健康的新方法。

• 批准号: 10156678
• 负责人: amelia noor-oshiro
• 金额: $ 4.55万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-06 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10156678
• 关键词: Address; Adult; Age; American; Asian Americans; Asians; Attention; Attitude; Automobile Driving; Belief; Cause of Death; Characteristics; Child; Cluster Analysis; Communities; Complex; Data; Data Analyses; Equation; Ethnic Origin; Ethnic group; Etiology; Feeling suicidal; Fellowship; Focus Groups; Generations; Goals; Group Interviews; Growth; Immigrant; Individual; Interview; Knowledge; Latino; Link; Manuscripts; Maps; Measures; Mediating; Mediation; Medical Care Costs; Mental Depression; Mental Health; Mental disorders; Methodology; Methods; Minority; Minority Groups; Modeling; Muslim population group; Outcome; Parents; Pathway interactions; Patient Recruitments; Peer Review; Pilot Projects; Population; Prevention strategy; Process; Psychometrics; Psychosocial Factor; Publishing; Religion and Spirituality; Research; Research Design; Research Personnel; Research Training; Risk; Sampling; Scientific Advances and Accomplishments; Scientist; Shapes; South Asian; Stigmatization; Stress; Structure; Subgroup; Suicide; Suicide prevention; Surveys; Testing; Training; United States; Woman; Work; aging population; base; career; concept mapping; critical period; emerging adult; ethnic minority population; evidence base; experience; health disparity; inclusion criteria; innovation; insight; men; minority health; novel; novel strategies; racial and ethnic; racial minority; recruit; reducing suicide; resilience; skills; social stigma; suicide rate; theories; training opportunity

PROJECT SUMMARY A critical barrier to progress in the fields of suicide research and minority mental health disparities is the lack of appropriate conceptualization of at-risk groups. Past research indicates that immigrant generation is a more meaningful measure of suicidality than racial/ethnic categorization. Based on comprehensive findings from the National Latino and Asian American Study, suicide is a growing concern particularly among second-generation immigrants. Half of all second-generation immigrants are racial/ethnic minorities, namely Latinos and Asians. Asians are the only racial/ethnic group for which suicide is the leading cause of death among early adults age 18-24. Among racial/ethnic minorities, suicide remains a top five leading cause of death until age 55 only in Asians. Despite this disparity, there is a severe dearth of evidence-based research initiatives targeting suicide through an identity-based approach in racial/ethnic minority groups. Past evidence from minority stress theory suggests strong associations between identity-based stigma and suicide. However, minority stress theory lacks an intersectional stigma perspective incorporating multiple minority identities. Adapting this theory to include intersectional stigma enhances its applicability to racial/ethnic minorities, many of whom identify with multiple stigmatized subgroups. Moreover, merging the interpersonal theory of suicide to minority stress allows scientists to investigate the pathway of belongingness to suicide from an intersectional stigma perspective. The proposed study signifies a pressing research opportunity to uncover new insights on understanding suicide through this innovative theoretical framework in a subgroup of Asians. This will be implemented in a pilot study using a novel study design integrating complex methods from multi-level national, community, and individual data. The study purpose is to better understand belongingness as it relates to suicide from the complex perspective of intersectional stigma, particularly in early adult Asians who identify with multiple stigmatized subgroups (ethnicity, immigrant, faith), through the following aims: Aim 1: To test the potential mediating effect of belongingness to intersectional stigma and suicide-related outcomes (stress, depression, suicidal ideation) in a national sample of Asians with multiple stigmatized identities; Aim 2: Identify identity-specific (ethnicity, immigrant, faith) risk and resilience factors of suicidality in an Asian community; Aim 3: Explore the meaning of belongingness from the lived experience of intersectional stigma through in-depth interviews with Asian individuals. The fellowship research objective is to conduct a hypothesis-generating pilot study on the risk and resilience factors of suicide using a novel approach that is especially relevant to racial minorities. The fellowship training goals are to: (1) gain proficiency in advanced methodological skills for mental health and health disparities research; (2) enhance expertise in conducting suicide and mental health research in immigrant racial/ethnic minority groups; and (3) Publish 5 first author peer-reviewed manuscripts to advance an independent research career. The proposed study responds to NIMHD’s recent calls to produce innovative approaches for minority health disparities.

项目摘要 在自杀研究和少数民族心理健康差异领域取得进展的一个关键障碍是缺乏 对风险群体的适当概念化。过去的研究表明，移民一代是一个更 有意义的衡量自杀倾向比种族/民族分类。根据联合国难民事务高级专员办事处 全国拉丁裔和亚裔美国人研究，自杀是一个越来越多的关注，特别是在第二代 移民.所有第二代移民中有一半是少数种族/族裔，即拉丁美洲人和亚洲人。 亚洲人是唯一的种族/民族群体，自杀是早期成年人死亡的主要原因。 18-24.在少数种族/族裔中，自杀仍然是55岁之前的五大主要死亡原因， 亚洲人尽管存在这种差异，但针对自杀的循证研究举措严重缺乏 在种族/族裔少数群体中采用基于身份的方法。少数民族压力理论的过去证据 表明基于身份的耻辱感和自杀之间有很强的联系。然而，少数民族压力理论缺乏 一个交叉的污名化的角度纳入多种少数民族的身份。根据这一理论， 交叉污名化增强了其对种族/族裔少数群体的适用性，其中许多人认同多重歧视。 被污名化的亚群体。此外，将自杀的人际关系理论与少数民族压力相结合， 从交叉污名的角度探讨自杀倾向的路径。拟议 这项研究意味着一个紧迫的研究机会，通过这一研究发现理解自杀的新见解。 创新的理论框架在亚洲人的一个小组。这将在一项试点研究中实施， 研究设计整合了来自多层次国家、社区和个人数据的复杂方法。研究 目的是从复杂的角度更好地理解自杀与自杀的关系， 交叉污名，特别是在早期成年亚洲人谁认同多个污名亚组（种族， 移民，信仰），通过以下目的：目的1：测试潜在的中介效果的亲切感， 交叉污名和自杀相关的结果（压力，抑郁，自杀意念）在一个国家的样本， 具有多重污名化身份的亚洲人;目标2：识别特定身份（种族、移民、信仰）风险， 亚洲社区自杀倾向的弹性因素;目的3：从 通过对亚洲人的深入访谈，了解交叉污名的生活经历。研究金 研究目的是就自杀的风险及复原力因素进行初步假设研究 使用一种新颖的方法，特别是与少数民族有关的方法。研究金培训的目标是：（1） 熟练掌握心理健康和健康差异研究的先进方法技能;（2）提高 在移民种族/少数民族群体中进行自杀和心理健康研究的专业知识;以及（3） 发表5篇第一作者同行评审的手稿，以推进独立的研究生涯。拟议 这项研究响应了NIMHD最近的呼吁，即为少数民族的健康差异制定创新方法。