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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。

基本信息

批准号：
10449971
负责人：
amelia noor-oshiro
金额：
$ 4.68万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
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/10449971
关键词：
Address Adult Age American Asian Asian Americans Asian population 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 Health Disparities Research Immigrant Individual Interview Knowledge Latino Latino Population Link Manuscripts Maps Measures Mediating Mediation Medical Care Costs Mental Depression Mental Health Mental disorders Methodology Methods Minority Minority Groups Minority Health Research Modeling Muslim population group National Institute on Minority Health and Health Disparities Outcome Parents Pathway interactions Patient Recruitments Peer Review Persons 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 Subgroup Suicide Suicide prevention Surveys Testing Training United States Woman Work aging population base career concept mapping critical period emerging adult ethnic minority ethnic minority population evidence base experience health disparity inclusion criteria innovation insight men minority health disparity minority stress novel novel strategies racial and ethnic racial minority recruit reducing suicide resilience skills social stigma suicide rate theories training opportunity

项目摘要

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.

项目总结