Preventing Firearm Suicide Deaths Among Black/African American Adults

项目总结/摘要 这是一个K18奖申请博士埃文戈尔茨坦，一位经验丰富的卫生服务研究员， 自杀和医疗保健差异研究的专业知识。K18将为戈德斯坦博士提供支持 有必要通过新技术和三个关键职业的合作来扩大他的研究计划 增强领域：1）发展定性研究技能，以丰富他的定量工作; 2）提高他的 利益攸关方参与进程和社区参与干预措施制定方面的专门知识， 服务不足和代表性不足的人口，重点是黑人/非裔美国人（AA）社区;以及3） 培养和加强他在社区参与枪支自杀预防方面的研究领导技能 research.为了实现他的目标，戈德斯坦博士组建了一个跨学科的导师团队， 希尔博士（导师），在定性和社区参与研究的专家，和希拉里库恩博士（合作， 导师），资深科学家和公认的领导人在自杀研究。三名顾问加入导师团队 (Drs. Eric Seiber，Adam Bress和Laura Prater），提供枪支安全研究方面的额外专业知识， 种族/民族差异，对服务不足人群的干预，混合方法研究和领导力。 超过二分之一的黑人/AA自杀死亡涉及枪支，这是最致命的自杀方法。博士 戈尔茨坦的目标是确定生活情况，特别是在枪支自杀死亡之前， 黑人/AA成年人，并收集来自卫生专业人员和社区成员的反馈意见， 系统可以进行干预，以防止黑人/AA社区的枪支自杀。他建议如下： 具体目标：目标1）确定黑人/AA成年人枪支自杀前的情况;目标2） 与黑人/AA枪支拥有者进行访谈，以更好地了解他们对枪支安全的态度， 他们愿意与卫生专业人员讨论枪支安全问题;目标3）聚集卫生专业人员 关于枪支自杀死亡前的哪些情况可用于调整和提示的反馈 为黑人/AA成年患者提供关于获得致命手段（CALM）的咨询。该提案将回应NIH的 呼吁研究人员确定风险因素，并改善少数种族/族裔的枪支自杀预防 社区，特别关注黑人/AA成年人。 拟议中的研究是重要的，因为它将填补一个关键的需要，确定关键情况 黑人/AA成年人中的枪支自杀死亡事件，并确定潜在的干预方案。的 拟议的研究是创新的，因为它将利用法医/验尸官和执法报告 与社区成员和健康专业人员访谈配对信息，以生成关于 枪支安全和如何使致命手段咨询更多的人口知情和有效的黑色/AA 成人患者。

PROJECT SUMMARY/ABSTRACT This is a K18 award application for Dr. Evan Goldstein, an experienced health services researcher with expertise in suicide and health care disparities research. The K18 will provide Dr. Goldstein with the support necessary to expand his research program through new techniques and collaborations in three key career enhancement areas: 1) Developing qualitative research skills to enrich his quantitative work; 2) Enhancing his expertise in stakeholder engagement processes and community-engaged intervention development with underserved and underrepresented populations, focusing on Black/African American (AA) communities; and 3) Cultivating and strengthening his research leadership skills in community-engaged firearm suicide prevention research. To achieve his goals, Dr. Goldstein has assembled an interdisciplinary mentorship team comprised of Dr. Jennie Hill (Mentor), an expert in qualitative and community-engaged research, and Dr. Hilary Coon (Co- Mentor), a senior scientist and recognized leader in suicide research. Three advisors join the mentorship team (Drs. Eric Seiber, Adam Bress, and Laura Prater), providing additional expertise in firearm safety research, racial/ethnic disparities, interventions with underserved populations, mixed-methods research, and leadership. More than 1 in 2 Black/AA suicide deaths involve firearms, the most lethal suicide method. Dr. Goldstein’s objectives are to identify the life situations specifically preceding firearm suicide deaths among Black/AA adults and gather feedback from health professionals and community members on how health systems can intervene to prevent firearm suicides in Black/AA communities. He proposes the following Specific Aims: Aim 1) Identify circumstances preceding firearm suicide among Black/AA adults; Aim 2) Conduct interviews with Black/AA firearm owners to better understand their attitudes on firearm safety and their willingness to discuss firearm safety with health professionals; and Aim 3) Gather health professional feedback on which circumstances preceding firearm suicide deaths could be used to adapt and prompt Counseling on Access to Lethal Means (CALM) for Black/AA adult patients. This proposal will respond to NIH’s call for researchers to identify risk factors and improve firearm suicide prevention in racial/ethnic minority communities, specifically focusing on Black/AA adults. The proposed research is significant because it will fill a critical need for determining key circumstances preceding firearm suicide deaths among Black/AA adults and identifying potential intervention scenarios. The proposed research is innovative because it will harness medical examiner/coroner and law enforcement report information paired with community member and health professional interviews to generate information about firearm safety and ways to make lethal means counseling more population-informed and effective for Black/AA adult patients.