Intersectional Stigma, Belongingness, and Suicide: A Novel Approach for Minority Mental Health.

交叉耻辱、归属感和自杀：少数民族心理健康的新方法。

基本信息

批准号：
10156678
负责人：
amelia noor-oshiro
金额：
$ 4.55万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-05-06 至 2023-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10156678
关键词：
Address Adult Age American Asian Americans Asians Attention Attitude Automobile Driving Belief Cause of Death Characteristics Child Cluster Analysis Communities Complex Data Data Analyses Equation Ethnic Origin Ethnic group Etiology Feeling suicidal Fellowship Focus Groups Generations Goals Group Interviews Growth Immigrant Individual Interview Knowledge Latino Link Manuscripts Maps Measures Mediating Mediation Medical Care Costs Mental Depression Mental Health Mental disorders Methodology Methods Minority Minority Groups Modeling Muslim population group Outcome Parents Pathway interactions Patient Recruitments Peer Review Pilot Projects Population Prevention strategy Process Psychometrics Psychosocial Factor Publishing Religion and Spirituality Research Research Design Research Personnel Research Training Risk Sampling Scientific Advances and Accomplishments Scientist Shapes South Asian Stigmatization Stress Structure Subgroup Suicide Suicide prevention Surveys Testing Training United States Woman Work aging population base career concept mapping critical period emerging adult ethnic minority population evidence base experience health disparity inclusion criteria innovation insight men minority health novel novel strategies racial and ethnic racial minority recruit reducing suicide resilience skills social stigma suicide rate theories training opportunity

项目摘要

PROJECT SUMMARY A critical barrier to progress in the fields of suicide research and minority mental health disparities is the lack of appropriate conceptualization of at-risk groups. Past research indicates that immigrant generation is a more meaningful measure of suicidality than racial/ethnic categorization. Based on comprehensive findings from the National Latino and Asian American Study, suicide is a growing concern particularly among second-generation immigrants. Half of all second-generation immigrants are racial/ethnic minorities, namely Latinos and Asians. Asians are the only racial/ethnic group for which suicide is the leading cause of death among early adults age 18-24. Among racial/ethnic minorities, suicide remains a top five leading cause of death until age 55 only in Asians. Despite this disparity, there is a severe dearth of evidence-based research initiatives targeting suicide through an identity-based approach in racial/ethnic minority groups. Past evidence from minority stress theory suggests strong associations between identity-based stigma and suicide. However, minority stress theory lacks an intersectional stigma perspective incorporating multiple minority identities. Adapting this theory to include intersectional stigma enhances its applicability to racial/ethnic minorities, many of whom identify with multiple stigmatized subgroups. Moreover, merging the interpersonal theory of suicide to minority stress allows scientists to investigate the pathway of belongingness to suicide from an intersectional stigma perspective. The proposed study signifies a pressing research opportunity to uncover new insights on understanding suicide through this innovative theoretical framework in a subgroup of Asians. This will be implemented in a pilot study using a novel study design integrating complex methods from multi-level national, community, and individual data. The study purpose is to better understand belongingness as it relates to suicide from the complex perspective of intersectional stigma, particularly in early adult Asians who identify with multiple stigmatized subgroups (ethnicity, immigrant, faith), through the following aims: Aim 1: To test the potential mediating effect of belongingness to intersectional stigma and suicide-related outcomes (stress, depression, suicidal ideation) in a national sample of Asians with multiple stigmatized identities; Aim 2: Identify identity-specific (ethnicity, immigrant, faith) risk and resilience factors of suicidality in an Asian community; Aim 3: Explore the meaning of belongingness from the lived experience of intersectional stigma through in-depth interviews with Asian individuals. The fellowship research objective is to conduct a hypothesis-generating pilot study on the risk and resilience factors of suicide using a novel approach that is especially relevant to racial minorities. The fellowship training goals are to: (1) gain proficiency in advanced methodological skills for mental health and health disparities research; (2) enhance expertise in conducting suicide and mental health research in immigrant racial/ethnic minority groups; and (3) Publish 5 first author peer-reviewed manuscripts to advance an independent research career. The proposed study responds to NIMHD’s recent calls to produce innovative approaches for minority health disparities.

项目摘要自杀研究和少数族裔心理健康差异领域进步的关键障碍是缺乏处于危险群体的适当概念化。过去的研究表明，移民产生更多自杀的有意义的衡量比种族/种族类别。基于来自国家拉丁裔和亚裔美国人的研究，自杀是一个日益关注的问题，尤其是在第二代中移民。所有第二代移民的一半是种族/族裔少数群体，即拉丁裔和亚洲人。亚洲人是唯一一个自杀是早期死亡原因的种族/族裔群体 18-24。在种族/族裔少数民族中，自杀仍然是前五名的死亡原因，直到55岁亚洲人。尽管存在这种差异，但针对自杀的循证研究计划仍有严重死亡通过种族/族裔少数群体中的基于身份的方法。少数民族压力理论的过去证据提出基于身份的污名与自杀之间的密切关联。但是，少数派压力理论缺乏包含多个少数族裔身份的交叉污名视角。适应这个理论包括交叉污名增强了其对种族/族裔少数民族的适用性，其中许多人认同多个污名的亚组。此外，将自杀的人际理论融合到少数派压力中，科学家从相交的污名角度研究归属于自杀的途径。提议研究意味着一个紧迫的研究机会，以发现有关理解自杀的新见解亚洲人亚组中的创新理论框架。这将在试点研究中使用小说实施研究设计整合了来自多层国家，社区和个人数据的复杂方法。研究目的是从复杂的角度更好地理解与自杀有关的归属感相互污名，特别是在早期的亚洲人中，他们认同多个污名的亚组（种族，移民，信仰），通过以下目的：目标1：测试归属感的潜在中介作用在国家样本中具有多种污名身份的亚洲人；目标2：确定特定身份（种族，移民，信仰）风险，并亚洲社区自杀的韧性因素；目标3：探索归属感的含义通过与亚洲人进行深入的访谈，具有交叉污名的生活经验。奖学金研究目标是对自杀的风险和弹性因素进行假设生成的试点研究使用与种族少数群体特别相关的新颖方法。奖学金培训目标是：（1）提高精神健康和健康差异研究的先进方法学技能；（2）增强在移民种族/族裔少数群体中进行自杀和心理健康研究方面的专业知识；（3）出版5个由同行评审的第一作者的手稿，以推进独立的研究职业。提议研究回应了NIMHD最近呼吁为少数族裔健康差异提出创新方法。