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，双性恋和其他爱女人的女人（YLBWLW）更有可能报告考虑 和试图自杀的人数比异性恋女性或同性恋/双性恋男性要多。但大多数 研究人员将联合收割机女同性恋/双性恋妇女与其他性少数群体结合起来，导致研究不足 具体到YLBWLW，甚至更少的人研究了YLBWLW之间的潜在差异。此外，在 缺乏保护因素研究，YLBWLW严重代表性不足，没有研究检查 个人身份保护因素或人际社会联系保护因素之间的关系 YLBWLW及其自杀风险的特定因素。自杀研究的另一个重要领域是 YLBWLW涉及了解发育过渡期（例如，进入高中，大学，或者 劳动力）影响自杀风险，因为发展转型可能导致社会联系的重大损失 作为抵抗少数民族压力和自杀意念的保护因素。为了填补研究中的空白， 我们将追求以下具体目标：（1）检查个人和人际的调节作用 YLBWLW自杀意念理论危险路径的性别特征保护因素; (2)测试发展过渡期作为理论模型内的多层次调节剂;（3） 深入探讨社会关系随时间变化的影响，特别是在过渡时期， 自杀风险样本将包括全国范围内780名种族和民族多样化的YLBWLW年龄 14至30人通过社交媒体平台招募。参与者将每隔三天完成一次在线调查 在18个月的时间里。我们将通过执行分层潜在变量调节来解决目标1 中介分析YLBWLW分别测试和比较以下假设：a）个人 保护性因素（身份中心性、真实性和肯定性）会调节少数群体的风险关系 强调诱捕;和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）将缓和（削弱）的风险， 自杀意念的诱捕经历。对于目标2，我们假设a）与那些不去的人相比， 通过过渡，那些正在经历过渡的人会感到压力增加， 诱捕;和B）社会联系和积极的身份因素将缓和 压力诱捕和自杀意念目标3将涉及与子样本进行个别访谈 70名参与者经历了一个发展的过渡，并报告了一些自杀意念， 深入了解YLBWLW在这些转变中的经历，以及最受欢迎的社会联系方面， 有助于减轻他们的痛苦。这项研究的影响涉及识别可改变的个人身份- 和人际社会联系水平的保护因素，将指导自杀预防工作， 不同程度的影响，以促进心理健康和减少自杀死亡的YLBWLW。