The longitudinal and proximal roles of rejection and rejection sensitivity in suicidality and non-suicidal self-injury among sexual minority adolescents.

拒绝和拒绝敏感性在性少数青少年自杀和非自杀自残中的纵向和近端作用。

• 批准号: 10312171
• 负责人: Jennifer Poon
• 金额: $ 7.05万
• 依托单位: EMMA PENDLETON BRADLEY HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-18 至 2023-08-17
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10312171
• 关键词: Address; Adolescence; Adolescent; Age; Area; Award; Behavioral; Bisexual; Cause of Death; Data; Development; Ecological momentary assessment; Emotional; Event; Exposure to; Feeling suicidal; Funding; Future; Gays; Goals; Health; Heterosexuals; Hospitalization; Hospitalized Adolescent; Hospitals; Individual; Inpatients; Interpersonal Relations; Intervention; K-Series Research Career Programs; Lesbian; Life; Measures; Mental Depression; Mental Health; Methods; Minority; National Institute of Mental Health; Parents; Persons; Population; Public Health; Recording of previous events; Research; Research Personnel; Risk Factors; Role; Sampling; Sex Orientation; Stigmatization; Stress; Suicide; Suicide attempt; Suicide prevention; Sum; Time; Training; Youth; bullying; critical developmental period; experience; follow-up; high risk; minority health; non-suicidal self injury; peer; peer victimization; prevent; real time monitoring; sexual minority; social; social culture; social stressor; stressor; suicidal adolescent; suicidal behavior; suicidal risk

Project Summary Suicide is the second leading cause of death among youth ages 10-24, constituting a major public health crisis. Adolescence is also associated with the onset of non-suicidal self-injury (NSSI), which often co-occurs with suicidal thoughts and behaviors (STBs). Importantly, sexual minority (e.g., gay, lesbian, bisexual) adolescents are at increased risk for STBs/NSSI compared to their heterosexual peers. As such, there is a critical need to identify risk factors for STBs/NSSI among sexual minority adolescents. Interpersonal stress, particularly rejection, can have major consequences for mental health during adolescence given the increased salience of interpersonal relationships during this developmental period. Despite support for rejection as a risk factor for STBs/NSSI among adolescents, there are critical gaps in our understanding of these associations including: 1) most research in this area has been cross-sectional, limiting our understanding of the extent to which rejection is associated with changes in STBs/NSSI over time; 2) in addition to experiences of rejection, the extent to which an individual anticipates and worries about future rejection (rejection sensitivity [RS]) may also contribute to STBs/NSSI, but research has yet to examine RS in relation to STBs/NSSI; and 3) sexual minority youth are exposed to unique forms of interpersonal stress related to their stigmatized identities, including being rejected by their peers and parents, but no studies to date have examined identity-specific rejection and RS in relation to STBs/NSSI among sexual minority adolescents. To address these limitations, the goals of the current study are to examine sexual minority status as a moderator of the longitudinal associations between rejection/RS and STBs/NSSI among adolescents, and to examine the associations between daily experiences of sexual orientation-related rejection/RS and STBs/NSSI among sexual minority adolescents. These goals will be accomplished by leveraging data from two NIMH-funded R01s (PI: Liu; Co- Sponsor). As part of the parent studies, psychiatrically-hospitalized adolescents will complete measures of rejection, RS, STBs, and NSSI at baseline and six-months post-hospitalization. They will also complete measures of STBs and NSSI on a daily basis for one-month beginning upon discharge from the hospital. Consistent with NIMHD’s priorities to elucidate interpersonal and sociocultural influences on behavioral disparities among minorities, this project will leverage longitudinal data and real-time monitoring of daily experiences to advance our understanding of risk for STBs/NSSI among sexual minority adolescents and to inform tailored suicide prevention efforts. This award will also support the applicant’s training in adolescent STBs/NSSI, sexual minority health, and intensive longitudinal methods. Findings from the current study will be used to inform a proposal for a K-award focused on developing an intervention to reduce STBs/NSSI among sexual minority adolescents.

项目摘要 自杀是10-24岁青年人死亡的第二大原因，构成了一个主要的公共卫生问题。 危机青春期也与非自杀性自伤（NSSI）的发生有关， 自杀想法和行为（STBs）。重要的是，性少数群体（例如，男同性恋，女同性恋，双性恋） 与异性恋同龄人相比，青少年患性病/非性病感染的风险更高。因此，有一个 迫切需要确定性少数青少年中性传播疾病/非传染性疾病感染的风险因素。人际压力， 特别是拒绝，可能会对青春期的心理健康产生重大影响， 人际关系在这一发展时期的重要性。尽管支持拒绝作为一种风险 青少年中STBs/NSSI的因素，我们对这些关联的理解存在重大差距 包括：1）这一领域的大多数研究都是横截面的，限制了我们对程度的理解， 该拒绝与STB/NSSI随时间的变化相关联; 2）除了拒绝的经历之外， 个人对未来拒绝的预期和担忧程度（拒绝敏感度[RS]）可能 也有助于性传播疾病/非传染性疾病感染，但研究尚未审查RS与性传播疾病/非传染性疾病感染的关系; 少数群体青年面临着与其被污名化的身份有关的独特形式的人际压力， 包括被同龄人和父母拒绝，但迄今为止还没有研究研究过身份特异性 性少数青少年中与性传播疾病/国家艾滋病感染有关的排斥和RS。为了解决这些局限性， 本研究的目的是探讨性少数地位作为一个调节器的纵向 青少年中拒绝/RS和STBs/NSSI之间的关联，并检查 性少数人群中与性取向有关的拒绝/RS和STBs/NSSI的日常经历之间的关系 青少年。这些目标将通过利用来自两个NIMH资助的R 01的数据来实现（PI：Liu; Co， 赞助商）。作为家长研究的一部分，精神病住院青少年将完成以下措施： 基线和住院后6个月时的排斥反应、RS、STB和NSSI。他们还将完成 从出院开始，每天测量STB和NSSI，持续一个月。 与NIMHD的优先事项一致，以阐明人际和社会文化对行为的影响 该项目将利用纵向数据和实时监测， 经验，以提高我们对性少数青少年中性病/非传染性疾病感染风险的认识， 为自杀预防工作提供信息。该奖项还将支持申请人的青少年培训 性传播疾病/国家艾滋病服务倡议、性少数群体健康和强化纵向方法。目前研究的结果将是 用于为K奖提案提供信息，该提案侧重于制定干预措施，以减少 性少数青少年