Sociocultural Processes in Latina Suicide Attempts

拉丁裔自杀未遂的社会文化过程

• 批准号: 6867187
• 负责人: LUIS H ZAYAS
• 金额: $ 34.99万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-03-03 至 2010-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6867187
• 关键词: Hispanic Americans; adolescence (12-20); behavioral /social science research tag; child behavior disorders; clinical research; computer data analysis; culture; depression; disease /disorder proneness /risk; family genetics; family structure /dynamics; female; gender difference; human subject; interview; mental health epidemiology; racial /ethnic difference; sign /symptom; social behavior disorders; social perception; social psychology; socioeconomics; socioenvironment; statistics /biometry; suicide

DESCRIPTION (provided by applicant): Rates of suicide attempts among Hispanic adolescent females (one in five) are higher than for their non- Hispanic counterparts (one in ten), yet little is known about Hispanics' attempts, their antecedents, and why Hispanic girls are more likely than other girls to attempt suicide. Although theoretical and clinical formulations about the reasons for this phenomenon have appeared in the literature, these ideas have not been subjected to empirical scrutiny. Using qualitative methods supplemented by quantitative measures, the proposed project will examine the phenomenon using a conceptual framework that encompasses ecological-developmental systems theory. The study will (1) explore the phenomenology of the suicide attempts from the girls' perspective (e.g., antecedent distress, crisis events, subjective experience); (2) explore parents' understandings of their daughters' suicide attempts (including their hypotheses about preceding crisis events and daughters' motivations); and (3) examine the familial, developmental, and sociocultural experiences that distinguish adolescent Latina attempters and their parents from non-attempters and their parents. One hundred adolescent Latinas who have attempted suicide will be recruited to complete questionnaires. We will also interview parents to get multiple informant perspectives on the suicide attempts. To insure that the factors we explore and identify are indeed unique to attempters rather than simply representing aspects shared by most Hispanic girls and families, we will also interview a matched group of 100 Hispanic nonattempters and their parents. Semi-structured, in-depth interviews will be conducted to explore psychological, family and social experiences preceding suicide attempts; why the attempts become the chosen response; and how the attempts are understood or interpreted by the girls. Objective measures of the sociocultural and familial factors posited in the conceptual model will enrich the qualitative data. This emic, intra-ethnic approach can help explain why some Hispanic teenage girls attempt suicide and others do not, and shed light on the interaction of cultural factors with other factors believed to influence suicide attempts. Key research goals are to determine if, and how, the explanatory factors hypothesized in the literature play a role in the attempts, and to invite the emergence of factors not considered previously.

描述(由申请人提供)：西班牙裔青少年女性的自杀未遂比率(五分之一)高于非拉美裔女性(十分之一)，但人们对拉美裔女性的自杀企图、他们的前科以及为什么拉美裔女孩比其他女孩更有可能试图自杀知之甚少。尽管文献中已经出现了关于这一现象原因的理论和临床公式，但这些想法并没有受到经验的审查。通过使用定性方法并辅之以定量措施，拟议的项目将使用包含生态发展系统理论的概念框架来审查这一现象。 本研究将(1)从女孩的角度探索自杀企图的现象学(例如，先前的痛苦、危机事件、主观经历)；(2)探索父母对女儿自杀企图的理解(包括他们对先前危机事件的假设和女儿的动机)；(3)考察家庭、发展和社会文化经历，以区分拉美裔未遂者及其父母与非未曾企图者及其父母。100名试图自杀的拉丁裔青少年将被招募来完成问卷调查。我们还将采访父母，以获得有关自杀企图的多个线人的观点。为了确保我们探索和确定的因素确实是尝试者所特有的，而不是简单地代表大多数西语裔女孩和家庭共有的方面，我们还将采访100名不尝试尝试者及其父母的配对小组。将进行半结构化的深入访谈，以探索自杀企图之前的心理、家庭和社会经历；为什么自杀企图成为选择的反应；以及女孩如何理解或解释自杀企图。概念模型中假设的社会文化和家庭因素的客观测量将丰富定性数据。这种主要的、种族内的方法可以帮助解释为什么一些西班牙裔十几岁的女孩试图自杀，而另一些女孩不尝试，并揭示了文化因素与其他据信影响自杀企图的因素之间的相互作用。主要的研究目标是确定文献中假设的解释因素是否以及如何在尝试中发挥作用，并邀请以前没有考虑到的因素的出现。