Factors Associated with American Indian youth Suicide

描述(申请人提供)：这里提出的研究包括：通过焦点小组的定性反馈，以及使用治愈路径项目的纵向数据进行定量分析。我计划与美国印第安人精神健康服务提供者和社区长老共同推动焦点小组会议，讨论他们社区年轻人自杀行为的历史、意识和潜在的解决方案。这些会议的记录，以及对文献所附理论框架的回顾，将为后续的量化分析提供依据，这些分析包括：1)对特定样本的美国印第安人青年(基线年龄为10-12岁)进行自杀风险加剧或降低因素的横断面测试；2)对这些潜在因素进行随时间的纵向数据分析，包括测试多种发展过程(即外化和内化行为、文化认同和历史损失)对整个青春期自杀行为的影响。这项研究将特别考虑自杀在文化上的具体影响。总体而言，这项翻译研究包括我的论文工作，并将在稍后应用于开发适合文化的自杀预防规划。

DESCRIPTION (provided by applicant): The research proposed here includes: qualitative feedback via focus groups, and quantitative analyses using longitudinal data from the Healing Pathways Project. I plan to co-facilitate focus group sessions with American Indian mental health service providers and community elders on the history, awareness, and potential solutions surrounding suicidal behaviors among the youth of their communities. Transcriptions from these sessions, along with a review of the theoretical frameworks accompanying this literature, will inform subsequent quantitative analyses that include: 1) cross-sectional tests of the factors that exacerbate or diminish the risk of suicide among a specific sample of American Indian youth (aged 10-12 at baseline); 2) longitudinal data analyses of these potential factors across time, including a test of the effects of multiple developmental processes (i.e., externalizing and internalizing behaviors, cultural identity, and historical loss) on suicidal behaviors throughout adolescence. This research will include special considerations of culturally specific influences of suicidality. Overall, this translational research consists of my dissertation work and will later be applied toward the development of culturally appropriate suicide prevention programming.