Religion and Suicidal Behavior Among Black Americans

美国黑人的宗教与自杀行为

• 批准号: 7664431
• 负责人: SEAN JOE
• 金额: $ 31.29万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-25 至 2011-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7664431
• 关键词: Accounting; Adult; African American; African Caribbean; American; Anxiety; Area; Attention; Centers for Disease Control and Prevention (U.S.); Cessation of life; Church; Clinical; Cox Proportional Hazards Models; Data; Data Set; Demographic Factors; Diagnostic; Dimensions; Equation; Ethnic group; Family; Family member; Female; Goals; Institute of Medicine (U.S.); Intervention; Investigation; Investments; Life; Link; Literature; Logistic Regressions; Mediating; Mental Health; Mental disorders; Modeling; Music; Pathway interactions; Population; Prevention strategy; Preventive Intervention; Probability Samples; Public Health; Reading; Relative (related person); Religion; Religion and Spirituality; Reporting; Research; Research Personnel; Research Priority; Risk; Risk Factors; Risk Reduction; Sampling; Services; Sex Characteristics; Social support; Socioeconomic Status; Specific qualifier value; Specificity; Spirituality; Substance abuse problem; Suicide; Suicide attempt; Suicide prevention; Surveys; United States; age group; clinical practice; cost effectiveness; depressive symptoms; design; epidemiologic data; health disparity; male; member; programs; public health relevance; public health research; reducing suicide; social; stressor; suicidal behavior; suicidal risk; suicide rate

DESCRIPTION (provided by applicant): Remarkably little is known about protective factors that reduce Blacks' risk for suicide or attempted suicide. In particular, the link between religion and suicide risk reduction in blacks has never been demonstrated with a nationally representative sample, particularly one that also takes into account ethnic groups' differences. The death in suicide research among blacks is due primarily to not having data set with large enough numbers of black Americans from which to draw meaningful conclusions. The proposed research aims to provide a comprehensive examination of whether religious participation and spirituality are correlated with reductions in the risk for serious suicidal behavior (e.g., attempted suicide, suicide planning) in a nationally representative sample of 5,191 African Americans and Black Caribbeans. The public health significance lies in specifying religious factors related to lower suicide risk, which will inform subsequent suicide prevention interventions and strategies. The present study is designed to make four important contributions to the advancement of research on religion and spirituality's effects on suicidal behavior among African Americans, namely by: (1) capitalizing on the strengths of a large, nationally representative data set, the National Survey of American Life [NSAL]; (2) determining whether religiosity and spirituality are associated with reductions in the risk for suicide attempts and serious suicide planning by Blacks; and (3) investigating the relative effects of informal social support from both church members and family members on reductions in the risk for suicide attempts and serious suicide planning by Blacks. And whether and through what mechanisms informal social support (e.g., church and family social support) may moderate or mediate the pathways of religiosity to black suicidal behavior. The data analytic approaches to be used include regression, logistic regression, multi-nominal logistic regression, Cox proportional hazard model, and structural equation modeling. PUBLIC HEALTH RELEVANCE: The Institute of Medicine report (2002), "Reducing Suicide: A National Imperative," highlighted understanding the protective factors for suicidal behavior among Blacks, such as religion, as an emergent public health research priority.

描述(由申请者提供)：关于降低黑人自杀或自杀未遂风险的保护性因素，人们知之甚少。特别是，在黑人中，宗教和降低自杀风险之间的联系从未用具有全国代表性的样本来证明，特别是考虑到种族群体差异的样本。黑人自杀研究中的死亡主要是因为没有足够多的美国黑人数据集来得出有意义的结论。这项拟议的研究旨在对具有全国代表性的5191名非裔美国人和加勒比黑人样本进行全面检查，以确定宗教参与和灵性信仰是否与严重自杀行为(如自杀未遂、自杀计划)的风险降低相关。公共卫生的意义在于明确与较低自杀风险相关的宗教因素，这将为后续的自杀预防干预和策略提供依据。本研究旨在为推动关于宗教和灵性对非裔美国人自杀行为影响的研究做出四项重要贡献，即：(1)利用具有全国代表性的大型数据集--美国国家生活调查[NSAL]的优势；(2)确定宗教和灵性是否与黑人自杀企图和严重自杀计划的风险降低有关；以及(3)调查教会成员和家庭成员的非正式社会支持对降低黑人自杀企图和严重自杀计划的风险的相对影响。以及非正式社会支持(例如，教会和家庭社会支持)是否以及通过什么机制可以缓和或调解黑人自杀行为的宗教信仰途径。数据分析方法包括回归、Logistic回归、多名义Logistic回归、Cox比例风险模型和结构方程模型。 公共卫生相关性：医学研究所的报告(2002)《减少自杀：一个国家的当务之急》强调了理解黑人自杀行为的保护因素，如宗教，作为紧急公共卫生研究的优先事项。