A Strengths-Based, Intersectional Approach to Suicide Prevention Among Black Sexual and Gender Minority Youth

基于优势的交叉方法预防黑人性和性别少数青年自杀

• 批准号: 10729105
• 负责人: Stephanie Hazel Cook
• 金额: $ 76.23万
• 依托单位: UNIVERSITY OF CENTRAL FLORIDA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-03 至 2028-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10729105
• 关键词: Address; Affect; Age; Area; Bisexual; Black Populations; Black race; Communities; Data; Development; Discrimination; Ensure; Feeling suicidal; Future; Gender Identity; Glean; Heterosexuals; Individual; Inequity; Intervention; Interview; Laws; Lesbian Gay Bisexual; Lesbian Gay Bisexual Transgender Queer; Longitudinal Studies; Marketing; Mediation; Mental Health; Methodology; Methods; Modeling; Motivation; Participant; Pathway interactions; Persons; Population Intervention; Predictive Factor; Process; Psychopathology; Qualitative Methods; Recommendation; Religion; Religiosity; Reporting; Research; Resistance; Risk; Risk Factors; Sampling; Sexual and Gender Minorities; Sexual and Gender Minority Youth; Social support; Subgroup; Suicide; Suicide attempt; Suicide prevention; Surveys; Time; United States National Institutes of Health; Woman; Youth; age group; aged; black subgroup; cisgender; climate zone; community engagement; community involvement; contextual factors; diaries; educational atmosphere; experience; gender minority community; gender minority group; health disparity; insight; lens; men; minority stress; nonbinary; novel; protective factors; psychologic; racial identity; racism; recruit; response; rural residence; sexual identity; social; social media; structural determinants; suicidal; suicidal behavior; suicidal risk; suicide rate; theories; transgender

PROJECT SUMMARY Black sexual and gender minority (SGM) youth demonstrate higher rates of suicidal ideation and behavior than White SGM youth and Black cisgender heterosexual youth. However, limited research has examined racial, sexual, and gender identities as they co-occur and intersect to result in experiences producing suicide risk and protection among Black SGM youth. Further, suicide research often lacks intercategorical comparisons needed to understand suicide risk and protection across subgroups of Black SGM youth, limited research has examined Black SGM-specific protective factors as moderators of suicide risk, and most research has relied on single method inquiries that limit understanding of the constellation of factors associated with suicide risk among Black SGM youth over time and across a week. We propose to conduct a multi-level, multi-component mixed-methods, longitudinal study to examine how intersectional minority stress and Black SGM-specific protective factors affect active suicide ideation over time, day-to-day, and within specific contexts within and between populations of Black SGM youth. We will pursue the following specific aims: (1) To examine the moderating effects of intersectional Black SGM-specific individual and community protective factors on theoretical pathways of risk, including intersectional minority stress, over time; (2) To identify and describe proximal correlates of suicide risk, including protective factors, among Black SGM youth; and (3) To explore in- depth the effects of contextual factors on suicide risk among Black SGM youth. We will recruit 625 Black SGM youth aged 13 to 26 in the U.S. via social media marketing and impose sampling quotas based on SGM identity (lesbian, gay, bisexual women, bisexual men, transgender/nonbinary) and age (13-17yrs, 18-21yrs, 22- 26yrs). All participants will complete an online survey every 3 months over 18-months. For Aim 1, we will perform stratified latent trajectory moderated mediation analyses for SGM groups separately to examine associations between intersectional discrimination across time as a predictor of change in entrapment and psychopathology, which in turn predicts changes in the trajectory of active suicide ideation across time. We hypothesize that individual protective factors will moderate the trajectory of discrimination across time, while community protective factors will moderate trajectories of psychological vulnerabilities. We also will examine moderating effects of structural factors. For Aim 2, a subsample of 450 participants will complete 1 of 3 daily diary surveys over the study period to examine cross-level interactions between person-level protective factors and day-level risk factors predicting suicide ideation across SGM groups at the daily level. Aim 3 involves conducting individual interviews with a subset of 180 participants across SGM identities and age groups to glean insights into contextual factors associated with increasing/decreasing suicide risk. This research will help address social injustices that characterize mental health disparities among Black SGM youth by identifying modifiable Black SGM-specific protective factors that will inform future tailored strengths-based interventions.

项目摘要 黑人性和性别少数（SGM）青年表现出更高的自杀意念和行为率， 白色SGM青年和黑人顺性异性恋青年。然而，有限的研究已经审查了种族， 性和性别认同，因为它们共同发生和交叉，导致产生自杀风险的经历， 保护黑人SGM青年。此外，自杀研究往往缺乏必要的类别间比较， 为了了解黑人SGM青年亚组的自杀风险和保护，有限的研究 研究了黑人SGM特定的保护因素作为自杀风险的调节因子，大多数研究都依赖于 单一方法调查限制了对与自杀风险相关的一系列因素的了解 在黑人SGM青年中的影响。我们建议进行一次多层次、多成分的 混合方法，纵向研究，以探讨如何交叉少数民族的压力和黑人特定的SGM 保护性因素会随着时间的推移、日常生活的变化以及在特定的环境中影响主动自杀意念， 黑人SGM青年之间的关系我们会致力达致以下的具体目标：（1）研究 交叉黑SGM特定的个人和社区保护因素对 风险的理论途径，包括交叉少数压力，随着时间的推移;（2）识别和描述 自杀风险的近端相关因素，包括保护因素，在黑人SGM青年;和（3）探讨在- 深入研究背景因素对黑人SGM青年自杀风险的影响。我们将招募625名黑人SGM 美国13至26岁的年轻人通过社交媒体营销，并根据SGM实施抽样配额 身份（女同性恋、男同性恋、双性恋女性、双性恋男性、跨性别/非二元）和年龄（13- 17岁、18- 21岁、22- 26岁）。所有参与者将在18个月内每3个月完成一次在线调查。目标1： 分别对SGM组进行分层潜在轨迹调节中介分析， 作为诱捕变化的预测因子的跨时间交叉歧视与 精神病理学，这反过来又预测了随着时间的推移，主动自杀意念的轨迹变化。我们 假设个人的保护因素将随着时间的推移缓和歧视的轨迹，而 社区保护因素将缓和心理脆弱性的轨迹。我们还将研究 结构性因素的调节作用。对于目标2，450名参与者的子样本将每天完成3项中的1项 在研究期间进行日记调查，以检查个人水平保护因素之间的跨水平相互作用 和日水平的风险因素预测自杀意念在SGM组的日常水平。目标3涉及 对SGM身份和年龄组的180名参与者进行单独访谈， 收集与增加/减少自杀风险相关的背景因素的见解。这项研究将帮助 解决社会不公正的特点，心理健康的差距在黑人SGM青年，确定 可修改的黑人SGM特定的保护因素，将告知未来量身定制的力量为基础的干预措施。