2/2 - Suicide Prevention in Chinese Older Adults

描述（由申请人提供）：这两个研究中心（Rush University和Northwestern University）联合重新提交R34 MH 100443合作申请，旨在设计一种文化定制和社区参与的干预措施，以减少美国华裔老年人的自杀想法，他们的自杀率高于任何其他种族/族裔群体。尽管存在这种健康差异，但我们对中国人群自杀的文化问题缺乏了解，这直接阻碍了干预工作。因此，我们寻求支持一位具有老龄化、心理健康和中国文化专业知识的老年病学家（董），以及一位具有临床试验专业知识的干预专家（西蒙），利用社区卫生工作者减少少数民族人口的健康差距。更具体地说，我们的目标是：1）扩大协同学术和社区合作伙伴关系; 2）迭代设计和改进具有文化意义的试点干预措施，以减少自杀念头; 3）进行试点随机对照试验; 4）在多个层面上严格评估拟议干预措施的文化可接受性。这项研究将为下一个R 01申请奠定基础，以充分测试文化定制的干预措施在中国老年人群中减少自杀念头的有效性。 到2030年，中国老年人将占世界老龄人口的四分之一。尽管在美国的华人人口迅速增长，但中国老年人的健康状况存在明显差异，这进一步加剧了研究中国人口时复杂的语言和文化细微差别，特别是在自杀想法问题上。此外，华人社区作为平等的研究伙伴充分参与研究所需的社区支持也不充分，也不可持续。在本申请中，一位双语和双文化的首席研究员和一个跨学科的研究团队利用了基于社区的参与性研究（CBPR）的原则，在我们之前的NIH资助的CBPR项目的基础上，与芝加哥华人社区进行协同和可持续的合作，以克服这些挑战，并为本提案奠定基础。研究结果将告知临床医生、研究人员、社区、社会服务和政策制定者：a）提高我们对自杀相关文化问题的深入理解; B）使社区成为精神健康研究的平等伙伴; c）指导下一个R 01干预研究; d）为中国老年人自杀护理的实践和政策提供信息。

DESCRIPTION (provided by applicant): This two-site (Rush University and Northwestern University) linked re-submission of R34MH100443 collaborative application aims to design a culturally tailored and community- engaged intervention to reduce suicidal thoughts in US Chinese older adults, who have the highest suicide rate than any other racial/ethnic groups. Despite this health disparity, we have great paucity in our understanding of cultural issues surrounding suicide in Chinese populations, and this has directly hampered the intervention efforts. Accordingly, we seek to support a geriatrician (Dong) with expertise in aging, mental health and Chinese culture, and an interventionist (Simon) with expertise in clinical trials using community health workers to reduce health disparities among minority populations. More specifically, we aim to 1) expand synergistic academic and community partnerships; 2) iteratively design and refine a culturally meaningful pilot intervention to reduce suicidal thought; 3) conduct a pilot randomized controlled trial; and 4) rigorously evaluate the cultural acceptability of the proposed intervention at multiple levels. This study will set the cornerstone for the next R01 application to fully test the efficacy of a culturally tailored intervention to reuce suicidal thoughts in Chinese aging populations. By 2030, Chinese older adults will account for a quarter of the world's aging populations. Despite the rapid growth of Chinese populations in the US, there are marked health disparities among Chinese older adults, which are further exacerbated by the complex linguistic and cultural nuances in studying Chinese populations, particularly on issues of suicidal thoughts. Moreover, there has been inadequate and sustainable community support necessary to empower the Chinese community to be fully engaged as equal partners in research. In this application, a bilingual and bicultural principal investigator and an interdisciplinary investigative team have leveraged the principles of community-based participatory research (CBPR), building on our prior NIH funded CBPR projects to partner synergistically and sustainably with the Chicago Chinese community in order to overcome these challenges and set the foundation for this proposal. The study findings will inform clinicians, investigators, communities, social services and policy makers to: a) improve our in-depth understanding of cultural issues surrounding suicide; b) empower community to be equal partners in mental health research; c) guide the next R01 intervention study; and d) inform practice and policy on suicide care in Chinese older adults.