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.

自杀是青少年的第二大死因，青少年的自杀率一直在下降。 过去10年稳步增长。新出现的人口数据也表明自杀率上升 在青春期前和青少年早期，尤其是女性和非裔美国人中。很遗憾， 青少年自杀率上升和这些令人震惊的人口趋势的根本原因是 还没明白。虽然尚未建立因果关系，但社交媒体的上升趋势 过去十年的使用与自杀率的上升同时发生。在发育时期 童年晚期和青春期，此时个体对社会地位和反馈变得敏锐 从同龄人看来，社交媒体的使用可能会改变人际交往的积极和消极经历 方式，包括更频繁地获得社会支持以及同伴受害和社会 比较。值得注意的是，据报告每天使用社交媒体网站超过 2 小时的青少年 可能会报告不良的心理健康结果，例如心理困扰和自杀意念。 消极向上的社会比较和网络欺凌与抑郁、焦虑、 和青少年的自杀意念。社交媒体的使用、24/7 的可用性也可能有助于睡眠 困难。此 R21 应用程序的目的是检查自杀企图的近因 100 名 10 至 17 岁的青少年因自杀未遂而需要住院治疗， 将他们与因非慢性病或受伤入院的同等数量的对照组进行比较 与自杀企图有关。除了评估已知的风险因素外，本研究还将检查 在指数自杀企图之前使用 SM 的频率、持续时间、时间和内容的模式： 客观地使用创新方法收集带有时间戳的 SM 文本和表情符号，并主观地从 家长和孩子的报告。我们将探讨精神病理学、SM 使用、积极和消极的变化 使用 SM 的后果，以及尝试前各组的自杀意念和行为 尝试前一年。我们还将探讨按年龄划分的差异[（青春期前和青少年早期（10-13 岁） 与中晚期青少年（14-17岁）]、种族、生物性别和自我报告性别 R21 申请中提出的研究是解决科学重大空白的第一步 识别数字风险因素并描述青少年自杀企图者的特征，这些领域可能 导致青少年自杀行为率上升。这项研究的结果将提供可行性 以及未来在更大样本中提交的预期 R01 的初步数据。研究结果可能会增加 对目前已知的自杀行为临床预测因素有显着影响，并有助于早期识别 和自杀风险的管理。