Using Mixed Methods to Examine the Risk and Protective Factors of Suicide Among Justice-Involved Black

项目摘要/摘要 在过去的一年中，黑人青年中的自杀和自杀想法和行为(STB)以惊人的速度增长 十年，比其他任何种族/民族都要快。自杀现在是黑人青年的第三大原因。AS 在RFA-MH-22-141中强调，迫切需要确定自杀和 在黑人青年中传播性传播疾病，这反过来又可以为制定预防和干预办法提供信息。 拟议的研究通过检查理论上和文化上知情的风险和 在一个特别脆弱的群体中，性传播疾病的保护因素：涉及正义的黑人青年。收费率 自杀和性传播疾病在JIBY人群中特别高，超过了普通人群的发病率。研究 考察JIBY在家庭、学校、社区和青少年司法方面的经验很少见，部分原因是司法- 涉及的是难以接触到的人群；在押青年在学校管理的全国范围内的代表性很低 旨在为一般人口收集数据的青年调查数据。此外，关于STB的先前研究在 黑人青年的主要驱动力是以欧洲为中心或种族中立的观点，以及对单一风险的强调 因素，而不是JIBY经常经历的风险因素集中。我们建议利用11年 来自佛罗里达州青少年司法部(总计346,000名黑人青年)的全州纵向数据 (1)确定STB的群体趋势和个人变化，以及(2)确定风险和保护因素 在不同的生活领域交叉，以增加和降低JIBY之间的STB风险。我们将拆分 按年龄、性别、精神健康、滥用药物、家庭环境和其他个人和 环境因素。随着时间的推移，我们还将确定STB的内部趋势。从一个集中的 劣势框架，我们将使用高阶交互作用选择和分类来检验风险如何 跨多个领域的保护因素影响着STB的风险。此外，我们将(3)补充这些 以JIBY的风险和保护因素为中心的定性访谈的定量分析， 他们在分享和沟通性传播疾病以及精神卫生服务经验方面面临障碍。总的来说， 该项目将为自杀风险如何在JIBY的生活背景下展开提供新的见解，并确定 家庭、学校、社区和司法领域中影响STB的压力源的交集 JIBY。这种洞察力将直接为发展响应文化的自杀筛查、预防、 JIBY的干预途径。

PROJECT SUMMARY/ABSTRACT Suicide and suicide thoughts and behaviors (STBs) increased at alarming rates among Black youth over the last decade, faster than any other racial/ethnic group. Suicide is now the third leading cause for Black youth. As highlighted in RFA-MH-22-141, there is an urgent need to identify risk and protective factors for suicide and STBs among Black youth, which in turn can inform the development of prevention and intervention approaches. The proposed research directly addresses that need by examining theoretically- and culturally informed risk and protective factors for STBs in an especially vulnerable group: justice-involved Black youth (JIBY). Rates of suicide and STBs are particularly high among JIBY, exceeding rates among the general population. Studies examining JIBY experiences in family, school, community, and juvenile justice are rare, in part because justice- involved are a hard-to-reach population; youth in custody are poorly represented in school-administered national youth survey data intended to collect data for the general population. Further, prior research on STBs among Black youth has been driven largely by Eurocentric or race-neutral perspectives and an emphasis on single risk factors rather than a concentration of risk factors that JIBY often experience.We propose to leverage 11-years of state-wide, longitudinal data from the Florida Juvenile Justice Department (total N > 346,000 Black youths) to (1) determine group trends and within-person changes in STBs and (2) identify how risk and protective factors in different life domains intersect to increase and decrease the risk of STBs among JIBY. We will disaggregate trends by age, gender, mental health, substance misuse, family environment, and other individual and environmental factors. We also will identify within-person trends in STBs over time. Working from a concentrated disadvantage framework, we will use higher-order interaction selection and classification to examine how risk and protective factors across multiple domains influence risk of STBs. Further, we will (3) supplement these quantitative analyses with qualitative interviews that center JIBY perspectives on risk and protective factors, barriers they face in sharing and communicating STBs, and experiences with mental health services. Overall, this project will provide novel insights into how suicide risk unfolds in the life context of JIBY and identify the intersection of stressors in the family, school, neighborhood, and justice domains that influence STBs among JIBY. Such insights will directly inform the development of culturally responsive suicide screening, prevention, and intervention approaches for JIBY.