Mental Health Help-Seeking for Suicide Ideation on Attempts in Diverse Youth

描述（由申请人提供）：Vincent M. B。Silenzio，MD，MPH是一位学术家庭医学医生和医学民族志学家，在服务不足人群的临床护理以及互联网技术在教学和研究中的应用方面拥有丰富的经验。他是罗切斯特大学自杀研究和预防中心的一名教员，从事心理健康服务研究，研究有自杀风险的青少年和年轻人的求助行为。他的职业目标是成为这一人群中转化心理健康服务研究的领先独立研究员。候选人的职业发展目标将是通过以下领域的结构化培训经验扩展其相关知识和技能：1）心理健康服务研究，2）先进的统计分析，3）先进的网络分析方法和复杂适应网络的计算建模，4）研究信息学和新兴的基于互联网的研究应用，（4）有自杀倾向的青少年的青少年及青年人的发展。这将包括结构化的研究生水平的课程，教程，在这些领域正在进行的研讨会。计划的研究活动和目标包括利用基于互联网的方法接触迄今为止高度孤立的有自杀意念和企图风险的青年人口。我们将在青年的社交网络中使用响应者驱动的抽样技术完成一项基于网络的调查，以研究自杀意念或企图风险增加的青少年和年轻人的心理健康资源使用情况。我们将研究正式与非正式和技术为基础的与面对面的心理健康求助行为的自杀，心理健康耻辱，性取向耻辱和社会网络措施的心理健康求助的相互作用的影响，同伴支持的预测因素的差异。 公共卫生相关性：这项研究将增加我们对影响自杀高危人群求助行为的效应因子的理解。这将加深我们对自杀心理健康求助生态的理解，同时促进我们对互联网等新兴技术在未来心理健康服务研究和服务提供中的作用的理解。

DESCRIPTION (provided by applicant): Vincent M. B. Silenzio, MD, MPH is an academic family medicine physician and medical ethnographer with experience in the clinical care of underserved populations and the application of Internet technology in teaching and research. He is a faculty member in the University of Rochester Center for the Study and Prevention of Suicide pursuing mental health services research in help-seeking behaviors among adolescents and young adults at risk for suicide. His career goal is to become a leading independent researcher in translational mental health services research in this population. The candidate's career development goals will be to expand his relevant knowledge and skills in the following areas through structured training experiences in: 1) mental health services research, 2) advanced statistical analysis, 3) advanced network analysis methods and computational modeling of complex adaptive networks, 4) research informatics and emerging Internet-based research applications, and 4) adolescent and young adult development in youth at risk for suicide. This will include structured graduate-level coursework, tutorials, ongoing seminars in these areas. The planned research activities and aims include using Internet-based approaches to access a heretofore highly-isolated population of youth at risk for suicide ideation and attempts. We will complete a web-based survey using respondent-driven sampling techniques within social networks of youth to study of mental health resource use among adolescents and young adults at increased risk of suicide ideation or attempts. We will examine differences in predictors of formal vs. informal and technology-based vs. face-to-face mental health help-seeking behaviors for suicide, and the interaction effects of mental health stigma, sexual orientation stigma, and social network measures of peer support on mental health help-seeking. PUBLIC HEALTH RELEVANCE: This study will add to our understanding effectors that influence help-seeking behavior in a population at high risk for suicide. This will deepen our understanding of the ecology of mental health help-seeking for suicide while advancing our appreciation of the role of emerging technologies such as the Internet in future mental health services research and service delivery.