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: 10448759
• 负责人: Leslie Bernice Adams
• 金额: $ 18.42万
• 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/10448759
• 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 group; 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; Population; Positioning Attribute; Prevention Research; Procedures; Process; Protocols documentation; Psychiatric Diagnosis; Public Health; Race; Research; Research Design; Research Personnel; Risk; Risk Factors; Role; Sampling; 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; adolescent suicide; aged; base; 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 and ethnic; racism; recruit; retention rate; sensor; 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.

项目总结 需要更有力的证据来预测黑人男性青年的自杀风险并防止他们自杀 鉴于这一人群中自杀行为的比率迅速上升。作为#年第三大死因 对于12-18岁的黑人男性青年来说，及时识别自杀风险是至关重要的公共卫生优先事项。然而，在那里 是关注这些过渡期黑人男性人群的自杀研究中的一个根本差距 由于对与种族有关的(如歧视)压力的调查有限而导致的发展阶段 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 提供了一个创新的机会来收集与种族相关的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、加速计等)数据使用 智能手机。精致的数字表型分析平台可能会为黑人男性提供更细粒度的见解 通过评估自然发生的时变因素来评估青年的近期自杀风险。因此，拟议的 该项目与最近NIMH关于识别风险和预防的特别关注通知很好地一致 黑人青年自杀(非-MH-20-055)。具体而言，候选人计划实现以下具体目标： (1)修改适应文化的数字表型方案，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学样本中进行试点数字表型研究 确定黑人男性青年自杀研究中实时评估的可行性和可接受性 人口。拟议的K01项目加强了候选人先前在心理健康差异和 在黑人男性青少年中进行卫生服务研究，并将独特地定位候选人以增强 使用实时和响应文化的数字策略的自杀风险检测方法。要实现 这些职业目标，申请者将与一个高度熟练的指导团队(博士霍莉·威尔科克斯，罗兰 索普、肖恩·乔、约翰尼斯·斯鲁尔和哈迪·哈拉齐)和科学顾问成员(莱蒂西亚·瑞安博士， 大卫·威廉姆斯和本杰明·L·库克)建立了与本研究议程相关的四个专业领域：(1) 密集的纵向设计和分析，(2)自杀风险识别，(3)参与和文化响应 招聘和保留战略，以及(4)青年人口适宜性研究的翻译。K01 该奖项将提高申请者作为独立研究人员开发和测试全动力发动机的能力 基于智能手机的实时方法，以识别和减轻这一人群的自杀风险。