Employing Ecological Momentary Assessment to Study Emotion Regulation, Coping, and Impulsivity among Youth at High-Risk for Suicide

利用生态瞬时评估研究自杀高危青少年的情绪调节、应对和冲动

• 批准号: 9755046
• 负责人: Kevin Kuehn
• 金额: $ 4.5万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-02-01 至 2022-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9755046
• 关键词: Adolescent; Adult; Affective; Age; Behavior; Behavioral; Cause of Death; Cellular Phone; Characteristics; Communities; Coping Behavior; Development; Diagnostic; Distal; Ecological momentary assessment; Educational process of instructing; Emotions; Environment; Event; Exhibits; Feeling; Feeling suicidal; Female; Goals; Health Personnel; Impulsivity; Individual; Laboratories; Lead; Life; Link; Methods; Participant; Persons; Process; Questionnaires; Recording of previous events; Reporting; Research; Research Personnel; Risk; Risk Factors; Sampling; Self-Injurious Behavior; Shame; Stress; Suicide; Suicide attempt; Technology; Testing; Thinking; Time; United States; Work; Youth; base; coping; emotion regulation; experience; high risk; individualized medicine; male; negative affect; prevent; prospective; response; skills; suicidal behavior; suicidal risk; trait

PROJECT SUMMARY Suicide is a leading cause of death among youth and recent reports have detected increases in rates. To date, researchers are not able to reliably predict who is most at-risk for suicide, nor do they know when individuals are at most imminent risk. Much of the prior research has focused on distal predictors of suicide ideation (SI) and self-injurious behaviors (SIB; SI/SIB), in other words relations among demographic or diagnostic information present in the years before someone is most at risk. This information may help researchers identify individuals most likely to be at-risk, but is not helpful in identifying when risk is most imminent. Additionally, much of the research has relied on retrospective recall methods, or asking people about their SI/SIB history months and years after someone experienced SI or engaged in SIB. These methods are likely to lead to inaccurate reports of SI/SIB and factors that may have led to them. This study aims to employ ecological momentary assessment (EMA), or questionnaires administered over smart-phones, to understand high-risk for suicide individuals' emotions, coping behaviors, and impulsivity in the moments leading up to SI/SIB among youth ages 16-20. Participants will answer questions daily, 5 times per day, over the course of 14 days aimed at understanding their thoughts and feelings, in addition to the coping strategies they use to regulate affective states. The goal of this research is to more reliably predict not only who, but when, youth are most at-risk for suicide, and to understand more clearly the processes implicated in order to inform and tailor treatments aimed at preventing the occurrence of SI/SIB.

项目摘要 自杀是青年死亡的主要原因，最近的报告发现自杀率有所上升。到目前为止， 研究人员无法可靠地预测谁最有可能自杀，他们也不知道什么时候个人会自杀。 冒着最大的危险以前的许多研究都集中在自杀意念（SI）的远端预测因子上， 自我伤害行为（SIB; SI/SIB），即人口统计学或诊断信息之间的关系 在最危险的几年前就存在了。这些信息可能有助于研究人员识别个体 最有可能面临风险，但无助于确定风险何时最迫在眉睫。此外，许多 研究依赖于回顾性回忆方法，或询问人们关于他们的SI/SIB历史月份， 在某人经历SI或从事SIB后的几年内。这些方法很可能导致不准确的报告 SI/SIB以及可能导致它们的因素。本研究旨在采用生态瞬时评价法， (EMA)，或通过智能手机进行问卷调查，以了解自杀风险高的个人 情绪，应对行为和冲动的时刻，导致SI/SIB之间的青年年龄16-20。 参与者将在14天内每天回答问题，每天5次，旨在了解 他们的想法和感受，以及他们用来调节情感状态的应对策略。的目标 这项研究不仅是为了更可靠地预测谁，而且是什么时候，年轻人最有可能自杀， 更清楚地了解所涉及的过程，以告知和定制旨在预防的治疗方法， 发生SI/SIB。