Social connections preventing suicide ideation during developmental transitions among young sexual minority women

社会关系在年轻性少数女性的发展转变过程中预防自杀意念

• 批准号: 10268224
• 负责人: Eric W Schrimshaw
• 金额: $ 47.66万
• 依托单位: UNIVERSITY OF CENTRAL FLORIDA
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-22 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10268224
• 关键词: Address; Affect; Age; Area; Asians; Bisexual; Data; Development; Distress; Feeling; Feeling suicidal; Female; Funding; Gays; Glean; Health; Heterosexuals; Hispanics; Individual; Interview; Lesbian; Life; Literature; Longitudinal Studies; Love; Mediation; Mental Health; Minority; Minority Groups; Motivation; Participant; Pathway interactions; Persons; Population; Process; Qualitative Methods; Reporting; Research; Research Personnel; Risk; Risk Factors; Sampling; Social support; Stress; Suicide; Suicide attempt; Suicide prevention; Surveys; Testing; Theoretical model; Time; United States National Institutes of Health; Volition; Woman; Youth; aged; college; community involvement; effective intervention; ethnic diversity; experience; health disparity; high risk; high school; insight; male; men; peer; protective factors; psychologic; racial diversity; recruit; sexual identity; sexual minority; sexual role; social; social inclusion; social media; stressor; suicidal behavior; suicidal morbidity; suicidal risk; suicide model; support network; theories

PROJECT SUMMARY Young lesbian, bisexual, and other women who love women (YLBWLW) are more likely to report considering and attempting suicide than their heterosexual female peers, or gay/bisexual male peers. However, most researchers combine lesbians/bisexual women with other sexual minorities, resulting in a paucity of research specific to YLBWLW, and even fewer have examined potential differences between YLBWLW. Further, within the scant protective factor research, YLBWLW are severely under-represented, and no studies have examined relationships between individual identity protective factors or interpersonal social connectedness protective factors specific to YLBWLW and their suicide risk. Another important area of study in suicide research with YLBWLW involves understanding how developmental transition periods (e.g., into high school, college, or the workforce) affect suicide risk since developmental transitions can result in a major loss of social connections that serve as protective factors against minority stress and suicide ideation. To address gaps in the research, we will pursue the following specific aims: (1) Examine the moderating effects of individual and interpersonal sexual identity-specific protective factors on theoretical pathways of risk for suicide ideation among YLBWLW; (2) Test developmental transition periods as a multi-level moderator within the theoretical model; and (3) Explore in-depth the effects of changes in social connections over time, especially during transition periods, on suicide risk. The sample will include a nationwide sample of 780 racially and ethnically diverse YLBWLW aged 14 to 30 recruited through social media platforms. Participants will complete an online survey every three months over an 18-month period. We will address Aim 1 by performing stratified latent variable moderated mediation analyses for YLBWLW separately to test and compare the following hypotheses: a) individual protective factors (identity centrality, authenticity, and affirmation) will moderate the risk relationship of minority stress on entrapment; and b) interpersonal social connectedness factors (social inclusion/belonging, lesbian/bisexual community involvement, social support) will moderate (weaken) the risk conferred by experiences of entrapment on suicide ideation. For Aim 2, we hypothesize that a) compared to those not going through transitions, those going through a transition will experience increased feelings of stress and entrapment; and b) social connectedness and positive identity factors will moderate associations between stress, entrapment, and suicide ideation. Aim 3 will involve conducting individual interviews with a subsample of 70 participants going through a developmental transition and reporting some suicide ideation to glean insights into YLBWLW’s experiences of these transitions and aspects of social connection that were most helpful in reducing their distress. The impact of this research involves identifying modifiable individual identity- and interpersonal social connectedness-level protective factors that will guide suicide prevention efforts across different levels of influence to promote mental health and reduce deaths by suicide among YLBWLW.

项目摘要 年轻的女同性恋，双性恋和其他热爱女性的女性（YLBWLW）更有可能报告 并尝试自杀，而不是其异性恋女同龄人或同性恋/双性恋男性同龄人。但是，大多数 研究人员将女同性恋者/双性恋妇女与其他性少数群体相结合，导致研究很少 特定于YLBWLW，甚至更少检查了YLBWLW之间的潜在差异。此外，内部 受保护因素研究很少，YLBWLW的代表性严重，没有研究任何研究 个人身份保护因素或人际社会联系保护之间的关系 特定于YLBWLW及其自杀风险的因素。自杀研究的另一个重要研究领域 YLBWLW涉及了解发展过渡期（例如，进入高中，大学或 劳动力）影响自杀风险，因为发展过渡可能会导致社会联系的重大丧失 这是防止少数派压力和自杀思想的保护因素。为了解决研究中的差距， 我们将追求以下具体目标：（1）检查个人和人际关系的调节作用 YLBWLW中自杀思想的理论途径的性认同特定的受保护因素； （2）在理论模型中，测试发展过渡期是多级主持人； （3） 深入探索社交联系随着时间的变化的影响，尤其是在过渡期间，对 自杀风险。该样本将包括一个全国性的780个样本，YLBWLW年龄 通过社交媒体平台招募的14至30。参与者将每三个完成一次在线调查 在18个月的时间内。我们将通过执行分层潜在变量调节来解决AIM 1 分别对YLBWLW进行调解分析，以检验和比较以下假设：a） 保护因素（身份中心，真实性和感情）将减轻少数群体的风险关系 压力夹带； b）人际社会联系因素（社会包容/归属， 女同性恋/双性恋社区参与，社会支持）将适度（削弱） 自杀想法陷入困境的经历。对于AIM 2，我们假设a）与不前进的人相比 通过过渡，那些经历过渡的人会经历增加压力的感觉和 夹带； b）社会联系和积极的身份因素将与 压力，夹带和自杀想法。 AIM 3将涉及与子样本进行单独的访谈 在经历发展过渡并报告一些自杀想法的70名参与者中 洞悉YLBWLW对这些过渡和社会联系的各个方面的经历 有助于减少他们的困扰。这项研究的影响涉及确定可修改的个人身份 - 以及人际社会联系级别的受保护因素，这些因素将指导预防自杀的工作 促进心理健康并减少YLBWLW中自杀死亡的不同影响力。