Interpersonal emotion regulation processes in suicidal Nepali youth

项目摘要 目前的建议涉及人际情绪调节与自杀之间的关系， 尼泊尔青年。尽管低收入和中等收入国家（LMIC）的自杀负担过高， 全球精神卫生领域在预测和预防青年自杀方面取得的进展有限。 人际因素与LMIC中的青少年自杀密切相关。然而，路径 人际因素如何影响LMIC中的自杀行为尚不清楚， 预防青少年自杀。情绪调节可能在人际关系之间提供一个有希望的桥梁 LMIC中的因素和自杀。然而，目前的情绪调节在LMIC是微不足道的，其重点有限 以牺牲情感调节发生的更广泛的社会和文化背景为代价。 目前的混合方法研究利用了临床行为科学和动态系统的进展 模型来研究尼泊尔青年的人际情绪调节过程， 自杀本研究的重点是人际情绪调节机制--表达抑制 有着显著的文化特征在本序贯探索性研究中，本研究旨在：（1）采用质性研究方法， 确定尼泊尔青年ES的文化相关行为指标的方法;（2）使用这些指标 在尼泊尔青年二人组之间的结构化实验室观察期间， ES与人际验证、负性情绪和自杀行为之间的关联。通过提供 对自杀所涉及的实时人际关系过程的动态理解，研究结果可用于 为尼泊尔和其他全球自杀流行的LMIC制定文化相关的自杀干预措施 是集中的。调查结果也可以推广到亚裔美国人和尼泊尔裔不丹难民青年， 美国自杀率迅速上升。对人际过程的动态理解自杀 显著提高了我们对研究领域标准“社会传播”结构的理解 并且还可以扩展到其它病症（例如，抑郁、焦虑和创伤后压力）， 人际交往过程也很重要。申请人是理想的定位，以进行这项工作，因为她 强大的全球心理健康研究和出版背景，六年的自杀史， 尼泊尔情绪调节研究，相关内容和方法的良好指导团队 在尼泊尔获得所需的资源和指导。

PROJECT ABSTRACT The current proposal addresses the relationship between interpersonal emotion regulation and suicide in Nepali youth. Despite the disproportionately high suicide burden in low- and middle-income countries (LMIC), the global mental health field has made limited progress in predicting and preventing youth suicide. Interpersonal factors are strongly and consistently linked to youth suicide in LMIC. However, the pathways through which interpersonal factors influence suicidal behaviors in LMIC are unclear and represent a critical gap in youth suicide prevention. Emotion regulation may provide a promising bridge between interpersonal factors and suicide in LMIC. However, current emotion regulation in LMIC is negligible and limited in its focus on the individual at the expense of the broader social and cultural context in which emotion regulation occurs. The current mixed-methods study leverages advances in clinical behavioral science and dynamic systems modeling to investigate interpersonal emotion regulation processes in Nepali youth with rapidly rising rates of suicide. The study focuses on expressive suppression (ES), an interpersonal emotion regulation mechanism with salient cultural dimensions. In this sequential exploratory study, the study aims to: (1) use qualitative methods to identify culturally-relevant behavioral indicators of ES in Nepali youth; and (2) use these indicators to code for ES during a structured laboratory observation between Nepali youth dyads that explores dynamic associations between ES and interpersonal validation, negative emotion, and suicidal behaviors. By providing a dynamic understanding of real-time interpersonal processes implicated in suicide, findings can be used to develop culturally-relevant suicide interventions for in Nepal and other LMIC where the global suicide epidemic is concentrated. Findings can also generalize to Asian-American and Nepali-origin Bhutanese refugee youth in the U.S. with rapidly rising rates of suicide. A dynamic understanding of interpersonal processes suicide significantly improves our understanding of the Research Domain Criteria “Social communication” construct and can also be extended to other disorders (e.g., depression, anxiety, and post-traumatic stress) where interpersonal processes are also central. The applicant is ideally positioned to conduct this work given her strong global mental health research and publishing background, six-year history conducting suicide and emotion regulation research in Nepal, well-situated mentorship team of relevant content and methodological experts, and access to required resources and mentorship in Nepal.