Social Media as a Predictor of Proximal Risk in Youth Suicide Attempt Study

社交媒体作为青少年自杀未遂研究中近期风险的预测因子

• 批准号: 10563225
• 负责人: Jamie Zelazny
• 金额: $ 23.85万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-02-04 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10563225
• 关键词: Acute; Address; Admission activity; Adolescence; Adolescent; Adult; African American population; Age; Algorithms; Anxiety; Cause of Death; Cessation of life; Characteristics; Child; Childhood; Clinical; Communities; Data; Development; Early identification; Family; Feedback; Feeling suicidal; Female; Frequencies; Future; Gender; Hospitalization; Hour; Individual; Injury; Machine Learning; Medical; Mental Depression; Mental Health; Methods; Natural Language Processing; Outcome; Parents; Patient Self-Report; Pattern; Persons; Psychopathology; Race; Recording of previous events; Reporting; Research; Risk; Risk Factors; Sampling; Science; Site; Sleep; Sleep disturbances; Social status; Social support; Socioeconomic Status; Suicide; Suicide attempt; Teenagers; Testing; Text; Time; Trauma; Variant; Victimization; Youth; adolescent suicide; age difference; age group; biological sex; clinical predictors; comparison control; cyberbullying; demographics; digital; experience; indexing; innovation; peer; peer victimization; preadolescence; prospective; psychological distress; sleep difficulty; social; social media; suicidal adolescent; suicidal behavior; suicidal morbidity; suicidal risk; suicide attempter; suicide rate; trend

Suicide is the second leading cause of death among young people and suicide rates in youth have been steadily increasing over the past 10 years. Emerging demographic data also point to rising suicide rates in pre-teens and early adolescents, particularly among females and African Americans. Unfortunately, the underlying reasons for the rising rates of youth suicide and these alarming demographic trends are not yet understood. While no causal association has been established, the upward trend in social media usage over the past decade coincides with the rise in suicide rates. During the developmental periods of late childhood and adolescence, when individuals become acutely attuned to social status and feedback from peers, social media use may transform interpersonal experiences in both positive and negative ways, including more frequent opportunities for social support as well as peer victimization and social comparison. Notably, teens who report using social media sites greater than 2 hours a day are more likely to report poor mental health outcomes, such as psychological distress and suicidal ideation. Negative upward social comparison and cyberbullying have been associated with depression, anxiety, and suicidal ideation in adolescents. Social media use, 24/7 availability, may also contribute to sleep difficulties. The objective of this R21 application is to examine proximal antecedents of suicidal attempt in 100 youth between the ages of 10-17 with suicide attempts requiring medical hospitalization and compare them to an equal number of controls who were admitted for non-chronic illness or injury not related to suicide attempt. In addition to assessment of known risk factors, this study will examine patterns in the frequency, duration, timing and content of SM use prior to the index suicide attempt: objectively using innovative methods to collect time-stamped SM text and emojis, and subjectively from parent and child report. We will explore variations in psychopathology, SM use, positive and negative consequences of SM use, and suicidal ideation and behavior prior to attempt across the groups over the year prior to attempt. We will also explore differences by age [(pre-and early adolescents (age 10-13) vs. middle and late adolescents (age 14-17)], race, biological sex and self-reported gender The research proposed in this R21 application is the first step to address a major gap in the science by identifying digital risk factors and characterizing youth suicide attempters in domains that may contribute to increased rates of youth suicidal behavior. Findings from this study will provide feasibility and preliminary data for a future prospective R01 submission in a larger sample. The findings could add significantly to currently known clinical predictors of suicidal behavior and aid in earlier identification and management of suicidal risk.

自杀是年轻人中的第二大死亡原因，青年自杀率一直是 在过去的十年中，稳步增长。新兴的人口统计数据也指出自杀率上升 在青春期和早期青少年，尤其是在女性和非裔美国人中。很遗憾， 青年自杀率上升和这些令人震惊的人口趋势的基本原因是 尚未理解。尽管尚未建立因果关系，但社交媒体的上升趋势 在过去的十年中，使用与自杀率的上升相吻合。在发展期 童年和青春期晚期，当个人敏锐地适应社会地位和反馈时 从同龄人那里，社交媒体使用可能会改变正面和负面的人际交往经验 方式，包括更频繁的社会支持机会以及同伴受害和社会 比较。值得注意的是，每天使用社交媒体网站报告的青少年更多 可能会报告心理健康状况不佳，例如心理困扰和自杀念头。 负面的社会比较和网络欺凌与抑郁，焦虑， 和青少年的自杀念头。社交媒体使用，24/7的可用性也可能有助于睡眠 困难。该R21应用的目的是检查自杀企图的近端先例 在10-17岁之间的100名青年中，需要医疗化和 将它们与因非少女疾病或受伤而被录取的相等数量的对照 与自杀企图有关。除了评估已知危险因素外，本研究还将检查 在索引自杀之前，SM使用的频率，持续时间，时间和内容的模式： 客观地使用创新方法来收集时间戳记的SM文本和表情符号，并从主观上 父母和子女报告。我们将探讨心理病理学，SM使用，正面和负面的变化 SM使用的后果以及自杀的构思和行为，然后尝试跨越各组 尝试前一年。我们还将探索年龄的差异[（早期和早期青少年（10-13岁） 与中后期青少年（14-17岁）]，种族，生物学和自我报告的性别 R21应用程序中提出的研究是解决科学上主要差距的第一步 确定数字危险因素并表征在可能的领域中的青年自杀案件 有助于提高青年自杀行为的比率。这项研究的发现将提供可行性 以及在较大样本中提交未来的前瞻性R01提交的初步数据。发现可能会添加 显着对当前已知的自杀行为临床预测指标，并有助于早期识别 和自杀风险的管理。