Interpersonal emotion regulation processes in suicidal Nepali youth

有自杀倾向的尼泊尔青少年的人际情绪调节过程

• 批准号: 10019338
• 负责人: MEGAN RAMAIYA
• 金额: $ 4.02万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-16 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10019338
• 关键词: Address; Age; Anxiety; Asian Americans; Asians; Behavioral; Behavioral Sciences; Bhutanese; Biological Models; Cause of Death; Clinical; Code; Collaborations; Communities; Control Groups; Country; Dimensions; Disease; Economics; Emotions; Epidemic; Family; Focus Groups; Goals; Health Personnel; Income; Individual; Interpersonal Relations; Intervention; Intervention Studies; Laboratories; Lead; Link; Measures; Mental Depression; Mental Health; Mentorship; Methodology; Methods; National Institute of Mental Health; Nepal; Pathway interactions; Population Heterogeneity; Positioning Attribute; Process; Public Health; Publishing; Qualitative Methods; Recording of previous events; Refugees; Research; Research Domain Criteria; Resources; Risk; Risk Factors; Scientific Advances and Accomplishments; Social Interaction; South Asian; Structure; Suicide; Suicide prevention; Symptoms; Systems Theory; Time; Transact; Universities; Validation; Washington; Work; Youth; base; cultural values; design; dynamic system; emotion regulation; ethnic minority population; experience; health goals; health organization; high risk population; improved; innovation; insight; low and middle-income countries; neglect; novel; post-traumatic stress; prevent; protective factors; psychologic; social; social communication; suicidal; suicidal adolescent; suicidal behavior; suicidal risk; suicide rate; theories; therapy development; tool

PROJECT ABSTRACT The current proposal addresses the relationship between interpersonal emotion regulation and suicide in Nepali youth. Despite the disproportionately high suicide burden in low- and middle-income countries (LMIC), the global mental health field has made limited progress in predicting and preventing youth suicide. Interpersonal factors are strongly and consistently linked to youth suicide in LMIC. However, the pathways through which interpersonal factors influence suicidal behaviors in LMIC are unclear and represent a critical gap in youth suicide prevention. Emotion regulation may provide a promising bridge between interpersonal factors and suicide in LMIC. However, current emotion regulation in LMIC is negligible and limited in its focus on the individual at the expense of the broader social and cultural context in which emotion regulation occurs. The current mixed-methods study leverages advances in clinical behavioral science and dynamic systems modeling to investigate interpersonal emotion regulation processes in Nepali youth with rapidly rising rates of suicide. The study focuses on expressive suppression (ES), an interpersonal emotion regulation mechanism with salient cultural dimensions. In this sequential exploratory study, the study aims to: (1) use qualitative methods to identify culturally-relevant behavioral indicators of ES in Nepali youth; and (2) use these indicators to code for ES during a structured laboratory observation between Nepali youth dyads that explores dynamic associations between ES and interpersonal validation, negative emotion, and suicidal behaviors. By providing a dynamic understanding of real-time interpersonal processes implicated in suicide, findings can be used to develop culturally-relevant suicide interventions for in Nepal and other LMIC where the global suicide epidemic is concentrated. Findings can also generalize to Asian-American and Nepali-origin Bhutanese refugee youth in the U.S. with rapidly rising rates of suicide. A dynamic understanding of interpersonal processes suicide significantly improves our understanding of the Research Domain Criteria “Social communication” construct and can also be extended to other disorders (e.g., depression, anxiety, and post-traumatic stress) where interpersonal processes are also central. The applicant is ideally positioned to conduct this work given her strong global mental health research and publishing background, six-year history conducting suicide and emotion regulation research in Nepal, well-situated mentorship team of relevant content and methodological experts, and access to required resources and mentorship in Nepal.

项目摘要 目前的建议解决了人际情绪调节与自杀之间的关系 尼泊尔青年。尽管低收入和中等收入国家的自杀负担高得不成比例， 全球精神卫生领域在预测和预防青少年自杀方面取得的进展有限。 人际关系因素与LMIC中的青少年自杀有强烈和一贯的联系。然而，这些路径 通过哪些人际因素影响LMIC的自杀行为尚不清楚，并代表着一个关键的 在预防青少年自杀方面存在差距。情绪调节可能为人际关系提供一座有希望的桥梁 LMIC中的因素与自杀然而，目前LMIC中的情绪调节是微不足道的，而且其重点是有限的 以牺牲情绪调节发生的更广泛的社会和文化背景为代价，对个人产生影响。 目前的混合方法研究利用了临床行为科学和动态系统的进步 快速增长的尼泊尔青年人际情绪调节过程的建模研究 自杀。研究重点是表达抑制(ES)，这是一种人际情绪调节机制 具有突出的文化层面。在这项连续的探索性研究中，本研究的目的是：(1)使用定性的 方法确定尼泊尔青年中ES的文化相关行为指标；以及(2)使用这些指标 在尼泊尔青年二人组之间的结构化实验室观察期间为ES编码，探索动态 情绪障碍与人际认同、消极情绪和自杀行为之间的关系。通过提供 动态地理解与自杀有关的实时人际过程，研究结果可以用来 在尼泊尔和全球自杀流行流行的其他LMIC制定与文化相关的自杀干预措施 是集中的。研究结果也可以推广到亚裔美国人和尼泊尔裔不丹难民青年 自杀率迅速上升的美国。人际关系过程中自杀的动态理解 显著提高我们对研究领域标准“社会沟通”结构的理解 也可以扩展到其他障碍(例如，抑郁、焦虑和创伤后应激) 人际关系过程也是核心。考虑到申请人是从事这项工作的理想人选 强大的全球心理健康研究和出版背景，六年自杀和 尼泊尔的情绪调节研究，相关内容和方法的良好导师团队 专家以及在尼泊尔获得所需资源和指导的机会。