Firearm Injury and Mortality Prevention with Project Talent

中老年男性自杀已成为一个主要的公共卫生问题。多数 男性自杀涉及枪支，这项申请旨在确定与枪支有关的社会化 而青春期的暴露增加了中老年持枪自杀的风险。我们假设 与枪支有关的社交和暴露增加了以后生活中枪支自杀的风险 传统的自杀危险因素。我们还研究了29-30岁与枪支相关的职业是否会对此起到调节作用。 风险。最后，我们考察了青春期适应性人格特征与问题解决认知技能之间的关系。 作为降低枪支社会化风险的个人复原力因素。该应用程序使用Project Talent，一个代表1960年美国所有高中青少年详细评估的“从摇篮到坟墓”队列 =377,000人，1/2男性)，29岁时对一个子组的随访(N=94,000，1/2男性)，以及最近完成的死亡率 从29岁队列收集的数据跨越1979-2017年(包括32%的死亡率和 225名男性自杀，其中63%来自枪支)。该应用程序包括扩展特定原因的计划 将死亡率数据收集到整个基线队列，预计这将提供大约4倍的自杀人数 包括550多起枪支自杀事件，并将数据收集窗口扩大到2018-2019年，因为 该团队由一位经验丰富的自杀学家(康纳饰)组成，与生活合作 课程流行病学家查普曼和项目人才队列的领导人(拉帕姆，彼得斯)。

Suicide among men in the middle and later years has emerged as a major public health problem. Most suicides in men involve firearms, and this application seeks to determine whether firearm-related socialization and exposure during adolescence confer risk for firearm suicide in middle and later life. We hypothesize that firearm-related socialization and exposure confer risk for firearm suicide later in life above and beyond traditional suicide risk factors. We also examine whether firearm-related occupations at age 29-30 mediate this risk. Finally, we examine whether adaptive personality traits and problem-solving cognitive skill in adolescence function as individual resilience factors that mitigate firearm socialization risk. The application uses Project Talent, a “cradle-to-grave” cohort representing detailed assessments of teens in all US high schools in 1960 (N = 377,000, ½ male), follow-up of a subset at age 29 (N = 94,000, ½ men), and recently completed mortality data collection from the age 29 cohort spanning the periods of 1979-2017 (including a 32% mortality rate and 225 male suicides, 63% of which are from firearms). The application includes plans to expand cause-specific mortality data collection to the entire baseline cohort, which is expected to provide roughly 4x as many suicides including over 550 firearm suicides, and to expand the data collection window to the 2018-2019 years, as the cohort enters their mid-70s.The team consists of an experienced suicidologist (Conner) collaborating with life course epidemiologist Chapman and leaders of the Project Talent cohort (Lapham, Peters).