Preventing Firearm Suicide Deaths Among Black/African American Adults

项目摘要/摘要 这是Evan Goldstein博士的K18奖项申请，他是一位经验丰富的卫生服务研究员， 自杀和医疗保健差异研究方面的专业知识。K18将为戈尔茨坦博士提供支持 有必要在三个关键职业中通过新技术和合作来扩大他的研究计划 加强领域：1)发展定性研究技能，丰富其量化工作；2)加强HIS 在利益相关者参与流程和社区参与干预发展方面的专业知识 服务不足和代表性不足的人口，重点是黑人/非裔美国人(AA)社区；以及3) 培养和加强他在社区参与枪支自杀预防方面的研究领导技能 研究。为了实现他的目标，戈尔茨坦博士组建了一个跨学科的指导团队，成员包括 詹妮·希尔博士(导师)，定性和社区参与研究的专家，和希拉里·库恩博士(联合- Mentor)，资深科学家，自杀研究公认的领导者。三位顾问加入了导师团队 (Eric Seiber博士、Adam Bress博士和Laura Prater博士)，提供枪支安全研究方面的额外专业知识， 种族/民族差异、对服务不足人群的干预、混合方法研究和领导力。 超过二分之一的黑人/AA自杀死亡涉及枪支，这是最致命的自杀方式。Dr。 戈尔茨坦的目标是确定在枪击自杀死亡之前的生活状况 黑人/AA成年人，并收集卫生专业人员和社区成员关于如何健康的反馈 系统可以进行干预，以防止黑人/AA社区发生枪支自杀事件。他提出了以下建议 具体目标：目标1)确定黑人/AA成年人枪击自杀前的情况；目标2) 与Black/AA枪支拥有者进行访谈，以更好地了解他们对枪支安全和 他们愿意与卫生专业人员讨论枪支安全问题；以及目标3)聚集卫生专业人员 关于枪击自杀死亡前的哪些情况可以用来适应和提示的反馈 为黑人/AA成年患者提供获得致命手段(平静)的咨询。这项提案将回应美国国立卫生研究院的 呼吁研究人员识别危险因素并加强对少数民族的枪支自杀预防 社区，特别关注黑人/AA成年人。 拟议的研究具有重要意义，因为它将满足确定关键情况的迫切需要 在黑人/再生障碍性贫血成年人的枪击自杀死亡之前，并确定潜在的干预方案。这个 拟议的研究具有创新性，因为它将利用法医/验尸官和执法报告 与社区成员和健康专业人员访谈配对的信息，以生成有关以下方面的信息 枪支安全和使致命手段的方法为黑人/AA提供更多的人口信息和更有效的咨询 成人病人。

PROJECT SUMMARY/ABSTRACT This is a K18 award application for Dr. Evan Goldstein, an experienced health services researcher with expertise in suicide and health care disparities research. The K18 will provide Dr. Goldstein with the support necessary to expand his research program through new techniques and collaborations in three key career enhancement areas: 1) Developing qualitative research skills to enrich his quantitative work; 2) Enhancing his expertise in stakeholder engagement processes and community-engaged intervention development with underserved and underrepresented populations, focusing on Black/African American (AA) communities; and 3) Cultivating and strengthening his research leadership skills in community-engaged firearm suicide prevention research. To achieve his goals, Dr. Goldstein has assembled an interdisciplinary mentorship team comprised of Dr. Jennie Hill (Mentor), an expert in qualitative and community-engaged research, and Dr. Hilary Coon (Co- Mentor), a senior scientist and recognized leader in suicide research. Three advisors join the mentorship team (Drs. Eric Seiber, Adam Bress, and Laura Prater), providing additional expertise in firearm safety research, racial/ethnic disparities, interventions with underserved populations, mixed-methods research, and leadership. More than 1 in 2 Black/AA suicide deaths involve firearms, the most lethal suicide method. Dr. Goldstein’s objectives are to identify the life situations specifically preceding firearm suicide deaths among Black/AA adults and gather feedback from health professionals and community members on how health systems can intervene to prevent firearm suicides in Black/AA communities. He proposes the following Specific Aims: Aim 1) Identify circumstances preceding firearm suicide among Black/AA adults; Aim 2) Conduct interviews with Black/AA firearm owners to better understand their attitudes on firearm safety and their willingness to discuss firearm safety with health professionals; and Aim 3) Gather health professional feedback on which circumstances preceding firearm suicide deaths could be used to adapt and prompt Counseling on Access to Lethal Means (CALM) for Black/AA adult patients. This proposal will respond to NIH’s call for researchers to identify risk factors and improve firearm suicide prevention in racial/ethnic minority communities, specifically focusing on Black/AA adults. The proposed research is significant because it will fill a critical need for determining key circumstances preceding firearm suicide deaths among Black/AA adults and identifying potential intervention scenarios. The proposed research is innovative because it will harness medical examiner/coroner and law enforcement report information paired with community member and health professional interviews to generate information about firearm safety and ways to make lethal means counseling more population-informed and effective for Black/AA adult patients.