Computer Assisted Family Intervention to Treat Self-Harm Disparities in Latinas and Sexual/Gender Minority Youth

抽象项目2 自杀是10 - 24岁青少年死亡的第二大原因，自残包括非致命性伤害。 自杀企图（SA）和非自杀性自伤（NSSI）是普遍存在的，是未来自杀的危险因素 自杀未遂和自杀完成。自我伤害行为对拉丁美洲人和性/性别来说都是不平等的 少数民族青年。本研究旨在完善和测试一个计算机辅助的文化知情和 灵活/适应性干预（CA CIFFTA），以解决这一差距，并减少后勤障碍， 可能导致治疗利用不足。我们专注于拉丁裔和拉丁裔LGBT青年（两者）的研究 男性和女性），因为这两个群体都表现出明显更高的自我伤害行为的风险， 经历独特的压力源（例如，创伤、少数民族地位、与家庭有关的压力和边缘化），如果 如果采用量身定制的适应性干预措施加以解决，可能会造成健康差距。我们力求完善 多组分CA CIFFTA治疗，使其包括新的心理教育模块，旨在服务于 性/性别少数青年。CIFFTA旨在解决与独特文化相关的完整连续体 应激源（例如，文化适应、移民、种族歧视、族裔歧视）、家庭冲突和物质 使用，并将得到加强，以解决独特的生活压力（例如，由于LGBT而被家庭和同伴排斥 生活方式、创伤暴露和边缘化）和临床概况（例如，抑郁，情绪 失调）。该研究调查了混合干预（面对面和基于网络的）的有效性。 与常规治疗相比，对青少年和父母的治疗（干预）。自适应 该框架使治疗能够系统地适应青少年/家庭的独特需求。的 技术的使用有助于避免服务利用的一些后勤障碍， 更吸引人。干预措施将被完善（内容和技术），然后与100名拉丁美洲人进行试点测试。 12 - 18岁的青少年及其家庭。分析将调查：1）干预的有效性 与"同等对待"相比，2）共存问题领域之间的联系（例如，自残，冒险 性行为，物质使用），看看是否有证据的syndemic;和3）文化的关系- 相关变量（例如，文化适应，家庭主义和西班牙裔压力）的关键因素假设， 有助于自我伤害行为（即，抑郁、家庭冲突、物质使用和情绪失调）。 该研究将利用跨CLaRO研究共享的一些措施，并将作为背景， 为一位正在寻求推进其研究计划的年轻研究员（Gattamorta博士）提供指导 拉丁裔/少数族裔青年的家庭进程。

Abstract Project 2 Suicide is the second leading cause of death in youth ages 10-24 and self-harm, which includes nonfatal suicide attempts (SA) and non-suicidal self-injury (NSSI) are prevalent and are risk factors for future suicide attempts and suicide completion. Self-harm behavior is a disparity for Latinas as well as for sexual/gender minority youth. This study seeks to refine and test the efficacy of a computer assisted culturally informed and flexible/adaptive intervention (CA CIFFTA) to address this disparity and to reduce the logistical barriers that may contribute to underutilization of treatment. We focus the research on Latinas and Latino LGBT youth (both males and females) because both groups show significantly higher risk for self-harm behaviors and can experience unique stressors (e.g., trauma, minority status, family-related stress, and marginalization) that if addressed using a tailored and adaptive intervention, can contribute to health disparities. We seek to refine the multicomponent CA CIFFTA treatment so that it includes new psycho-educational modules designed to serve sexual/gender minority youth. CIFFTA was designed to address the full continuum of unique culture-related stressor (e.g., acculturation, immigration, discrimination due to race, ethnicity), family conflict and substance use, and will be enhanced to address unique life stressors (e.g., family and peer rejection due to LGBT lifestyle, exposure to trauma, and marginalization), and clinical profiles (e.g., depression, emotion dysregulation). The study investigates the efficacy of a hybrid intervention (face to face and web-based interventions) delivered to both adolescents and parents when compared to treatment as usual. The adaptive framework allows the treatment to be systematically tailored to the unique needs of the adolescent/family. The use of technology helps to avoid some of the logistical barriers to service utilization and makes the intervention more engaging. The intervention will be refined (content and technology) and then pilot tested with 100 Latino adolescents 12-18 years of age and their families. Analyses will investigate: 1) the efficacy of the intervention compared to Treatment As Usual, 2) the linkages between co-existing problem areas (e.g., self-harm, risky sexual behavior, substance use) to see if there is evidence for a syndemic; and 3) the relationship of culture- related variables (e.g., acculturation, familism, and Hispanic Stress) to the key factors hypothesized to contribute to self-harm behavior (i.e., depression, family conflict, substance use, and emotion dysregulation). The study will utilize a number of measures that are shared across CLaRO studies and will serve as a context for the mentoring of a young investigator (Dr. Gattamorta) who is seeking to advance her program of research on family process among Latino gender/minority youth.