Self-injurious Thoughts and Behaviors among Preteens in the Child Welfare System

儿童福利系统中青春期前儿童的自伤思想和行为

• 批准号: 10525884
• 负责人: Lynsay Ayer
• 金额: $ 23.7万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-16 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10525884
• 关键词: Accident and Emergency department; Address; Adolescent; Age; Aggressive behavior; Area; Behavior; Black race; Caregivers; Cause of Death; Characteristics; Child; Child Abuse and Neglect; Child Welfare; Childhood; Data; Data Set; Development; Disease; Equilibrium; Ethnic Origin; Etiology; Exploratory/Developmental Grant; Family; Feeling suicidal; Future; General Population; Home; Individual; Inpatients; Investigation; Link; Literature; Measures; Mediating; Mediator of activation protein; Mental Depression; Mental Health; National Institute of Mental Health; Outcome; Pathway interactions; Pattern; Pediatric Hospitals; Personal Satisfaction; Population; Post-Traumatic Stress Disorders; Prevention; Race; Reporting; Risk; Risk Factors; Sample Size; Science; Series; Severities; Suicide; Suicide prevention; Surveys; System; Therapeutic Intervention; Thinking; Time; Underserved Population; Visit; Vulnerable Populations; Youth; age group; aged; base; comorbidity; conduct problem; data integration; demographics; design; experience; high risk; informant; longitudinal dataset; maltreatment; novel; peer; perpetrators; preadolescence; protective factors; reducing suicide; secondary analysis; sex; social skills; suicidal morbidity; suicidal risk; suicide rate; theories; underserved area

ABSTRACT. Suicide is the eighth leading cause of death in children ages 5-11, and recent evidence suggests that rates of suicide are rising disproportionately in Black children. Further, self-injurious thoughts and behaviors (SITB) – which increase risk for suicide death -- account for a rising proportion of children's hospital emergency department and inpatient visits. Preteens in the child welfare system (CWS) are at even greater risk for suicide than those in the general population. However, few studies have investigated risk and protective factors, adolescent outcomes, or examined change in SITB over time in preteens involved in the CWS. Understanding the pathways between child maltreatment (CM) and SITB in preteens, as well as trajectories and adolescent outcomes of preteen SITB is critical to identify and prevent suicide in CWS-involved children. The proposed exploratory/developmental study will integrate two rich, longitudinal datasets that followed children involved in the CWS, which is the entity that investigates CM when a report is made. These data allow for exploration of risk pathways, outcomes, and longitudinal patterns of change within CWS-involved children. Further, because the two studies were so consistent in design and measures, data integration will allow for more nuanced investigations of preteen SITB in the CWS. The proposed study will identify mechanisms that confer vulnerability to child suicide risk, discover novel targets for future therapeutic intervention, and identify early signs of risk that could represent targets for future prevention and treatment studies. Findings from this study will advance the science on preteen suicide risk—an area urgently in need of investigation. Importantly, the study will help to identify targets for suicide prevention among children in the CWS, a vulnerable and underserved group.

抽象的。 自杀是5-11岁儿童的第八大死亡原因，最近的证据表明 在黑人儿童中，自杀不成比例地增加。此外，自我伤害的思想和行为（SITB） - 这增加了自杀死亡的风险 - 占儿童医院紧急情况比例的增加 部门和住院访问。儿童福利系统中的青春期（CWS）的自杀风险更大 比普通人群。但是，很少有研究调查了风险和受保护因素， 青少年结果或在参与CWS的青春期中随着时间的推移而检查了SITB的变化。理解 儿童虐待（CM）与青春期中的SITB之间的途径以及轨迹和青少年 青春期SITB的结果对于识别和预防CWS涉及儿童的自杀至关重要。提议 探索性/发展研究将整合两个涉及儿童的丰富的纵向数据集 在CWS中，该实体是在提出报告时调查CM的实体。这些数据允许探索 风险途径，结果和纵向变化的儿童的变化模式。此外，因为 这两项研究在设计和措施中是如此一致，数据集成将使您更加细微 对CWS中青春期静坐的调查。拟议的研究将确定会议的机制 易受儿童自杀风险的脆弱性，发现未来治疗干预的新颖目标，并尽早确定 可能代表未来预防和治疗研究目标的风险迹象。这项研究的结果 将促进青春期自杀风险的科学，这是一个迫切需要投资的领域。重要的是， 研究将有助于确定CWS儿童自杀的目标，脆弱的和 服务不足的组。