Firearm Injury and Mortality Prevention with Project Talent

中年和晚年男性自杀已成为一个重大的公共卫生问题。最 男性自杀涉及枪支，本申请旨在确定与枪支有关的社会化是否 青少年时期接触枪支会给中年和晚年的枪支自杀带来风险。我们假设 与枪支有关的社会化和暴露会增加以后生活中枪支自杀的风险 传统自杀风险因素我们还研究了29-30岁时与枪支有关的职业是否会介导这一点 风险最后，我们考察了青少年的适应性人格特质和解决问题的认知技能是否 作为个人弹性因素，减轻枪支社会化风险。应用程序使用Project 人才，一个“从摇篮到坟墓”的群体，代表了1960年美国所有高中青少年的详细评估（N = 377，000，1/2男性），29岁时随访一个子集（N = 94，000，1/2男性），以及最近完成的死亡率 从1979年至2017年期间收集的29岁队列数据（包括32%的死亡率和 225名男性自杀，其中63%来自枪支）。该应用程序包括计划扩大特定原因 整个基线队列的死亡率数据收集，预计将提供大约4倍的自杀人数 包括550多起枪支自杀事件，并将数据收集窗口扩大到2018-2019年， 该小组由一位经验丰富的自杀学家（康纳）组成， 课程流行病学家查普曼和项目人才队列的领导人（拉帕姆，彼得斯）。

Suicide among men in the middle and later years has emerged as a major public health problem. Most suicides in men involve firearms, and this application seeks to determine whether firearm-related socialization and exposure during adolescence confer risk for firearm suicide in middle and later life. We hypothesize that firearm-related socialization and exposure confer risk for firearm suicide later in life above and beyond traditional suicide risk factors. We also examine whether firearm-related occupations at age 29-30 mediate this risk. Finally, we examine whether adaptive personality traits and problem-solving cognitive skill in adolescence function as individual resilience factors that mitigate firearm socialization risk. The application uses Project Talent, a “cradle-to-grave” cohort representing detailed assessments of teens in all US high schools in 1960 (N = 377,000, ½ male), follow-up of a subset at age 29 (N = 94,000, ½ men), and recently completed mortality data collection from the age 29 cohort spanning the periods of 1979-2017 (including a 32% mortality rate and 225 male suicides, 63% of which are from firearms). The application includes plans to expand cause-specific mortality data collection to the entire baseline cohort, which is expected to provide roughly 4x as many suicides including over 550 firearm suicides, and to expand the data collection window to the 2018-2019 years, as the cohort enters their mid-70s.The team consists of an experienced suicidologist (Conner) collaborating with life course epidemiologist Chapman and leaders of the Project Talent cohort (Lapham, Peters).