2/2 - Suicide Prevention in Chinese Older Adults

描述(由申请人提供)：这两个网站(拉什大学和西北大学)联手重新提交R34MH100443合作申请，旨在设计一种文化定制和社区参与的干预措施，以减少美国华人老年人的自杀念头，美国华人老年人的自杀率高于其他任何种族/民族。尽管存在这种健康差距，但我们对中国人自杀的文化问题缺乏了解，这直接阻碍了干预努力。因此，我们寻求支持一名在老龄化、心理健康和中国文化方面具有专业知识的老年医生(董)和一名在使用社区卫生工作者进行临床试验方面具有专业知识的干预者(Simon)，以减少少数族裔人口之间的健康差距。更具体地说，我们的目标是1)扩大协同的学术和社区合作伙伴关系；2)反复设计和改进具有文化意义的试点干预措施，以减少自杀念头；3)进行试点随机对照试验；4)在多个层面严格评估拟议干预措施的文化可接受性。这项研究将为下一个R01的应用奠定基础，以全面测试针对文化定制的干预措施在中国老龄人口中减少自杀念头的有效性。到2030年，中国老年人口将占全球老龄化人口的四分之一。尽管在美国的中国人口迅速增长，但中国老年人之间存在着显著的健康差距，研究中国人口，特别是在自杀想法问题上的复杂语言和文化细微差异，进一步加剧了这一差距。此外，没有足够和可持续的社区支持，以增强华人社区作为平等合作伙伴充分参与研究的能力。在这项申请中，一名双语和双文化的首席研究员和一个跨学科的调查团队利用了基于社区的参与性研究(CBPR)的原则，建立在我们之前由NIH资助的CBPR项目的基础上，与芝加哥华人社区建立协同和可持续的合作伙伴关系，以克服这些挑战，并为本提案奠定基础。研究结果将为临床医生、研究人员、社区、社会服务和政策制定者提供信息：a)提高我们对自杀相关文化问题的深入了解；b)使社区在精神健康研究中成为平等的合作伙伴；c)指导下一项R01干预研究；以及d)为中国老年人自杀护理的实践和政策提供信息。

DESCRIPTION (provided by applicant): This two-site (Rush University and Northwestern University) linked re-submission of R34MH100443 collaborative application aims to design a culturally tailored and community- engaged intervention to reduce suicidal thoughts in US Chinese older adults, who have the highest suicide rate than any other racial/ethnic groups. Despite this health disparity, we have great paucity in our understanding of cultural issues surrounding suicide in Chinese populations, and this has directly hampered the intervention efforts. Accordingly, we seek to support a geriatrician (Dong) with expertise in aging, mental health and Chinese culture, and an interventionist (Simon) with expertise in clinical trials using community health workers to reduce health disparities among minority populations. More specifically, we aim to 1) expand synergistic academic and community partnerships; 2) iteratively design and refine a culturally meaningful pilot intervention to reduce suicidal thought; 3) conduct a pilot randomized controlled trial; and 4) rigorously evaluate the cultural acceptability of the proposed intervention at multiple levels. This study will set the cornerstone for the next R01 application to fully test the efficacy of a culturally tailored intervention to reuce suicidal thoughts in Chinese aging populations. By 2030, Chinese older adults will account for a quarter of the world's aging populations. Despite the rapid growth of Chinese populations in the US, there are marked health disparities among Chinese older adults, which are further exacerbated by the complex linguistic and cultural nuances in studying Chinese populations, particularly on issues of suicidal thoughts. Moreover, there has been inadequate and sustainable community support necessary to empower the Chinese community to be fully engaged as equal partners in research. In this application, a bilingual and bicultural principal investigator and an interdisciplinary investigative team have leveraged the principles of community-based participatory research (CBPR), building on our prior NIH funded CBPR projects to partner synergistically and sustainably with the Chicago Chinese community in order to overcome these challenges and set the foundation for this proposal. The study findings will inform clinicians, investigators, communities, social services and policy makers to: a) improve our in-depth understanding of cultural issues surrounding suicide; b) empower community to be equal partners in mental health research; c) guide the next R01 intervention study; and d) inform practice and policy on suicide care in Chinese older adults.