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

描述(申请人提供)：文森特·M·B·西伦西奥，医学博士，公共卫生硕士，是一名学术家庭医学医生和医学人种学家，在服务不足人群的临床护理和互联网技术在教学和研究中的应用方面具有经验。他是罗切斯特大学自杀研究和预防中心的一名教员，致力于青少年和有自杀风险的年轻人的求助行为的心理健康服务研究。他的职业目标是成为这一群体中转化性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有组织的培训经验在以下领域扩大其相关知识和技能：1)精神健康服务研究，2)高级统计分析，3)复杂自适应网络的高级网络分析方法和计算建模，4)研究信息学和新兴的基于互联网的研究应用，以及4)青少年和青年自杀风险的发展。这将包括有组织的研究生水平的课程、教程和正在进行的这些领域的研讨会。计划的研究活动和目标包括利用基于互联网的方法接触到迄今为止高度孤立的有自杀念头和企图的青年群体。我们将完成一项基于网络的调查，在青少年的社会网络中使用受访者驱动的抽样技术，研究自杀意念或企图自杀风险增加的青少年和年轻人使用心理健康资源的情况。我们将检验正式与非正式、基于技术的与面对面的自杀心理健康求助行为预测因子的差异，以及心理健康污名、性取向污名以及同伴支持的社会网络措施对心理健康求助的交互影响。 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影响因素的理解。这将加深我们对自杀寻求精神健康帮助的生态的理解，同时促进我们对互联网等新兴技术在未来精神健康服务研究和服务提供中的作用的认识。

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.