Uncovering proximal antecedents to Black male suicide using real-time approaches

使用实时方法揭示黑人男性自杀的近因

• 批准号: 10643956
• 负责人: Leslie Bernice Adams
• 金额: $ 18.34万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-15 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10643956
• 关键词: 14 year old; 18 year old; Accelerometer; Accident and Emergency department; Acute; Address; Adolescent; Adult; Affect; Age; Area; Automobile Driving; Behavioral; Black race; Caregivers; Cause of Death; Cellular Phone; Data; Data Collection; Death Rate; Detection; Development; Discrimination; Distal; Early Diagnosis; Ecological momentary assessment; Enrollment; Environment; Ethnic Population; Feeling; Feeling hopeless; Feeling suicidal; Future; Health Services Research; Holly; Hospitalization; Hospitals; Interview; Investigation; Joints; K-Series Research Career Programs; Light; Location; Male Adolescents; Measures; Mental Health; Mentored Research Scientist Development Award; Mentors; Mentorship; Methodological Studies; Methodology; National Institute of Mental Health; Participant; Pattern; Phenotype; Policy Maker; Population; Positioning Attribute; Prevention Research; Procedures; Process; Protocols documentation; Psychiatric Diagnosis; Public Health; Race; Recontacts; Research; Research Design; Research Personnel; Risk; Risk Assessment; Risk Factors; Role; Sampling; Shapes; Signal Transduction; Social Environment; Stress; Structure; Suicide; Suicide attempt; Suicide prevention; Surveys; Testing; Time; Training; Translational Research; Variant; Vulnerable Populations; Work; Youth; acceptability and feasibility; aged; biological adaptation to stress; black men; career; cognitive process; cognitive testing; cooking; digital; experience; health disparity; health equity promotion; innovation; insight; interest; longitudinal analysis; longitudinal design; mHealth; member; pediatric emergency; prevent; protocol development; psychological distress; public health priorities; racial population; racism; recruit; retention rate; risk prediction; sensor; skills; social space; sociodemographics; stressor; study population; suicidal behavior; suicidal morbidity; suicidal risk; suicide rate; theories

PROJECT SUMMARY The need for more robust evidence to predict risk and prevent suicide among Black male youth is critical in light of the rapidly rising rates of suicidal behaviors in this population. As the third leading cause of death in Black male youth aged 12-18, the timely identification of suicide risk is a critical public health priority. Yet, there is a fundamental gap in suicide research focused on Black male populations in these transitional developmental stages due to limited investigations of race-related (e.g. discrimination) stress as a unique antecedent to suicide and its potentially synergistic effect on known risk factors. Digital phenotyping platforms offers an innovative opportunity to collect real-time data associated with race-related stressors by integrating active (e.g. ecological momentary assessment-EMA) and passive (e.g. GPS, accelerometer, etc.) data using smartphones. Refined digital phenotyping platforms may provide more granular insights towards Black male youth's proximal suicide risk by assessing time-varying factors as they naturally occur. Thus, the proposed project aligns well with the recent NIMH Notice of Special Interest related to identifying risk and preventing Black youth suicide (NOT-MH-20-055). Specifically, the candidate plans to address the following specific aims: (1) Modify a culturally-adapted digital phenotyping protocol for appropriate use among Black male youth; (2) Conduct a pilot digital phenotyping study among a re-contacted and newly recruited psychiatric sample of Black male youth to determine feasibility and acceptability of real-time assessments of suicidology in the study population. The proposed K01 project enhances the candidate's prior research in mental health disparities and health services research among Black male adolescents, and will uniquely position the candidate to enhance suicide risk detection methodologies using real-time and culturally-responsive digital strategies. To achieve these career objectives, the applicant will work with a highly skilled mentorship team (Drs. Holly Wilcox, Roland Thorpe, Sean Joe, Johannes Thrul, and Hadi Kharrazi) and scientific advisory members (Drs. Leticia Ryan, David Williams, and Benjamin Lê Cook) to build four areas of expertise relevant to this research agenda: (1) intensive longitudinal design and analysis, (2) suicide risk identification, (3) engaged and culturally-responsive recruitment and retention strategies, and (4) translation of research for suitability in youth populations. The K01 award will increase the applicants' capabilities as an independent researcher to develop and test fully-powered real-time smartphone-based approaches to identify and mitigate suicide risk in this population.

项目概要 需要更强有力的证据来预测黑人男性青少年的自杀风险并预防自杀，这一点至关重要 鉴于该人群的自杀行为率迅速上升。作为第三大死因 12-18岁的黑人男性青少年中，及时识别自杀风险是至关重要的公共卫生优先事项。然而，有 是针对这些转型期黑人男性群体的自杀研究中的一个根本性差距 由于对种族相关（例如歧视）压力作为独特因素的调查有限，导致发育阶段 自杀的前因及其对已知危险因素的潜在协同效应。数字表型平台 通过整合，提供了一个创新的机会来收集与种族相关压力源相关的实时数据 主动（例如生态瞬时评估-EMA）和被动（例如GPS、加速度计等）数据使用 智能手机。精致的数字表型平台可以为黑人男性提供更细致的见解 通过评估自然发生的随时间变化的因素来评估青少年的近期自杀风险。因此，建议的 该项目与最近的 NIMH 与识别风险和预防相关的特别兴趣通知非常吻合 黑人青年自杀（NOT-MH-20-055）。具体来说，候选人计划实现以下具体目标： (1) 修改适合文化的数字表型分析方案，以便在黑人男性青年中适当使用； (2) 在重新接触和新招募的精神病样本中进行试点数字表型研究 黑人男性青年确定研究中自杀学实时评估的可行性和可接受性 人口。拟议的 K01 项目加强了候选人之前在心理健康差异方面的研究， 黑人男性青少年的健康服务研究，并将使候选人处于独特的地位，以增强 使用实时和文化响应的数字策略的自杀风险检测方法。达到 为了实现这些职业目标，申请人将与高技能的指导团队合作（Holly Wilcox 博士、Roland Thorpe、Sean Joe、Johannes Thrul 和 Hadi Kharrazi）和科学顾问成员（Leticia Ryan 博士、 David Williams 和 Benjamin Lê Cook）建立了与本研究议程相关的四个专业领域：(1) 深入的纵向设计和分析，(2) 自杀风险识别，(3) 参与和文化响应 招募和保留策略，以及（4）将研究转化为适合青年群体的研究。 K01 该奖项将提高申请人作为独立研究人员开发和测试全功能的能力 基于智能手机的实时方法来识别和降低该人群的自杀风险。

项目成果

When Death Hits You in Your Face, You Have to Listen": A Qualitative Investigation of Peer Bereavement Support Volunteers in Black American Communities.

当死亡击中你的脸时，你必须倾听”：对美国黑人社区同伴丧亲支持志愿者的定性调查。

• DOI: 10.1177/00302228231161816
• 发表时间: 2023
• 期刊: Omega
• 作者: Adams,Leslie;Athey,Alison;Brooks,Kelli;Lazarus,Kimberly;DeVinney,Aubrey;Leaf,PhillipJ
• 通讯作者: Leaf,PhillipJ