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

基本信息

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
项目类别：
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

项目摘要

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.

项目概要自杀是美国第十大死因，在男性中排名第八。 17 在美国，大约 75% 的人自杀自杀死亡多为男性。2 自杀死亡中男女性别比例较大，这表明了一种可能的途径了解自杀行为——确定男性自杀率较高的原因可能为科尔曼和有自杀风险的人提供自杀预防和干预的杠杆点。同事们发现，传统男子气概 (HTM) 较高的男性死于自杀的可能性是男性的 2.4 倍7 第一项研究表明了这种联系，并且它与男性气质作用的理论模型是一致的自杀死亡的社会化15,18,19 以及男性和自杀的定性研究。20 如果初步证据 HTM 与自杀死亡7之间的联系被证明是强有力的，它将给性别角色带来新的活力和关注全面社会调查——全国死亡指数（GSS-NDI），本研究的数据来源是一系列年度或每隔一年的全国代表性调查（GSS）与 2011 年开始的死亡记录相匹配。32,33 GSS-NDI 提供了一个无与伦比的机会测试 HTM 与自杀死亡的关系，以提供关于这种关系如何变化的第一个已知信息性别、年龄和种族/民族，并检查 HTM 与自杀死亡关系的可能中介因素包括自杀可接受性和外化行为的大多数研究都是关于男性气质和自杀意念的。尝试使用自我报告措施来认可男性规范或男性意识形态5,6，而我们的研究小组正在开发性别角色取向的间接潜在概率模型（m-f 因子）的使用，对于自杀研究来说是新颖的，但之前也通过 Add Health 数据集用于其他实质性领域48,49 其他大型队列研究。50 在 Coleman 及其同事 2020 年之后，我们将对那些得分为 1 标准的研究进行编码作为 HTM 的 m-f 因子的偏差或更高将用于测试的直接关系。 HTM、人口统计学对 HTM 与自杀关系的调节以及 HTM 与自杀的中介因素 m-f 因素在自杀研究中的新颖应用，以及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影响的潜力。 NDI 为自杀下降者提供了前所未有的年龄、性别和种族/族裔多样性，对男性气概-自杀死亡假说进行了强有力而细致的测试，推进了男性气概和自杀的科学自杀超出了理论联系和初步结果。