High Traditional Masculinity and Suicide: Testing Direct, Moderation and Mediation Models

高度传统的男子气概与自杀：测试直接、调节和中介模型

• 批准号: 10433110
• 负责人: DANIEL T COLEMAN
• 金额: $ 8.12万
• 依托单位: FORDHAM UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10433110
• 关键词: African American; Age; Anger; Area; Attention; Attitude; Bankruptcy; Behavioral; Categories; Cause of Death; Cessation of life; Code; Cohort Studies; Color; Communities; Confounding Factors (Epidemiology); Country; Data Set; Data Sources; Death Records; Denmark; Elderly; Emotional; Ethnic Origin; Euthanasia; F Factor; Familiarity; Feeling suicidal; Female; Gender; Gender Role; Grouping; Guns; International; Latinx; Link; Longitudinal Studies; Masculine; Measures; Mediating; Mediation; Mediator of activation protein; Mental Depression; Modeling; National Longitudinal Survey of Adolescent to Adult Health; Norway; Overdose; Ownership; Pathway interactions; Patient Self-Report; Play; Population; Prevalence; Public Health; Qualitative Research; Race; Research; Risk Factors; Role; Running; Sampling; Science; Series; Socialization; Source; Statistical Models; Suicide; Suicide attempt; Suicide prevention; Surveys; Terminal Disease; Testing; Theoretical model; Time; United States; Update; Violence; Woman; alcohol-related death; base; behavioral economic analysis; demographics; externalizing behavior; fighting; gender disparity; ideation; indexing; innovation; male; men; middle age; novel; older men; people of color; role model; social; social norm; substance use; suicidal behavior; suicidal morbidity; suicidal risk; suicide model; suicide rate; theories; weapons; young adult; young man

Project Summary Suicide is the tenth leading cause of death in the US, and the eighth in men.17 In the US, approximately 75% of suicide deaths are among men.2 The large male-female gender ratio in suicide deaths points to a possible pathway to understanding suicidal behavior – identifying what accounts for the greater prevalence of male suicides may provide a leverage point for suicide prevention and intervention with those at risk of suicide. Coleman and colleagues’ finding that high traditional masculinity (HTM) men were 2.4 times more likely to die by suicide7 was the first study to show this connection, and it is consistent with theoretical models of the role of masculinity socialization in suicide death15,18,19 and qualitative studies of men and suicidality.20 If the preliminary evidence of a link of HTM to suicide death7 is shown to be robust, it will bring new energy and attention to gender-role informed suicide prevention and intervention. The General Social Survey – National Death Index (GSS-NDI), the data source for this study, is a series of annual or every-other year nationally representative surveys (the GSS) that was matched with death records starting in 2011.32,33 The GSS-NDI provides an unparalleled opportunity to test the relationship of HTM to suicide death, to provide the first known information about how this varies by gender, age and race/ethnicity, and to examine possible mediators of the relationship of HTM to suicide death including suicide acceptability and externalizing behavior. Most research on masculinity and suicidal ideation or attempts uses self-report measures of endorsement of masculine norms or masculinity ideology,5,6 while our research group is developing use of an indirect latent probability model of gender role orientation, the m-f factor, novel to suicide research but previously used in other substantive areas with the Add Health dataset48,49 as well other large cohort studies.50 Following Coleman and colleagues 2020, we will code those scoring 1 standard deviation or higher on m-f factor as HTM. Cox survival modeling will be used to test the direct relationship of HTM, moderation of the HTM – suicide relationship by demographics, and mediators of the HTM-suicide relationship. The novel use of m-f factor in suicide research, paired with the innovation of linking studies to death records, unlocks the potential to study the effect of masculinity on suicide death. The representative sample GSS- NDI delivers an unprecedented diversity of age, gender and race/ethnicity among suicide decedents, providing a robust and nuanced test of the masculinity-suicide death hypothesis, advancing the science of masculinity and suicide beyond theorized linkages and preliminary results.

项目摘要 自杀是美国的第十大死亡原因，是男子的第八个。17在美国，约有75％ 自杀死亡是男性。2自杀死亡中的大男女性别比例指向可能的途径 了解自杀行为 - 确定男性自杀率更高的原因可能 提供预防自杀和干预的杠杆率点。科尔曼和 同事的发现，高传统男性气质（HTM）男性被自杀死亡的可能性高2.4倍。 首次展示这种联系的研究与男性气质作用的理论模型一致 自杀死亡的社会化15,18,19和对男性和自杀的定性研究。20如果初步证据 HTM与自杀死亡的联系7被证明是强大的，它将为性别角色带来新的能量和关注 知情的自杀预防和干预。一般社会调查 - 国家死亡指数（GSS-NDI）， 这项研究的数据来源是一系列年度或每一年的全国代表性调查（GSS） 从2011年开始，这与死亡记录相匹配。32,33GSS-NDI提供了无与伦比的机会 测试HTM与自杀死亡的关系，以提供有关该品种如何通过的第一个已知信息 性别，年龄和种族/种族，并检查HTM与自杀死亡关系的可能调解人 包括自杀可接受性和外在行为。大多数关于男性气质和自杀想法或 尝试使用自我报告的认可​​男性规范或男性化思想，5,6而我们 研究小组正在开发使用性别角色取向的间接潜在潜在概率模型，M-F因子， 新颖至自杀研究，但以前在其他实体领域也使用了添加健康数据集48,49 其他大型队列研究。50在Coleman及其同事2020之后，我们将编写那些得分1标准的人 M-F因子作为HTM的偏差或更高。 COX生存建模将用于测试 HTM，HTM的适度 - 人口统计学的自杀关系和HTM-Suicide的介体 关系。 M-F因子在自杀研究中的新颖使用，与将研究与死亡联系起来的创新 记录，释放了研究男性气质对自杀死亡的影响的潜力。代表性样本GSS- NDI在自杀中提供了前所未有的年龄，性别和种族/种族的多样性 对男性气概死亡假设的强大而细微的测试，推进了男性气质的科学和 自杀超出了理论上的联系和初步结果。