Preventing Suicidal Behavior in Abused Black Women

预防受虐黑人女性的自杀行为

• 批准号: 7015325
• 负责人: NADINE Joy KASLOW
• 金额: $ 29.91万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7015325
• 关键词: African American; behavior modification; behavior therapy; behavioral /social science research tag; clinical research; clinical trials; coping; culture; domestic violence; family structure /dynamics; group therapy; human morbidity; human subject; human therapy evaluation; interview; longitudinal human study; low socioeconomic status; mental health education; outcomes research; questionnaires; social support network; spouse abuse; statistics /biometry; suicide; women' s health

DESCRIPTION (adapted from applicant's abstract): Given the investigator's prior research on the link between intimate partner violence (IPV) and suicide attempts in low income, African American women, secondary preventive interventions are needed for abused women with suicidal ideation to reduce the likelihood of their attempting suicide and decrease associated morbidity. The specific aims are to: (1) evaluate the efficacy of a group empowerment psychoeducational intervention (PEI) versus enhanced treatment as usual (ETAU) at post-intervention and follow-up in reducing suicidal behavior and its correlates; (2) compare the efficacy of PEI versus ETAU at post-intervention and follow-up in reducing IPV; (3) compare the effectiveness of PEI versus ETAU at post-intervention and follow-up in reducing individual, family-social, and community-level risk factors; (4) compare the effectiveness of PEI versus ETAU at post-intervention and follow-up in enhancing individual, family-social, and community-level protective factors; and (5) determine those individual, family-social, and community-level background variables that moderate the group assignment - outcomes link. It is hypothesized that at post-intervention and follow-up, compared to women in the ETAU, women in the PEI will evidence more improvements in suicidal behavior, greater reductions in IPV and risk factors, and more protective factors. It is predicted that background variables will interact with intervention effects. This hybrid efficacy-effectiveness trial uses a mixed model design: between-subjects variable is intervention condition (PEI, ETAU) and within-subjects variable is time (pre-intervention, post-intervention, 6-months and 1-year follow-ups). The sample consists of 2 groups (95 each) of low income, African American women currently in an abusive relationship with suicidal ideation. The ETAU includes a compliance enhancement intervention, treatment as usual in the community, and suicidal and IPV behavior monitoring. The PEI includes the ETAU plus a 10-session culturally-competent and gender-sensitive empowerment group intervention. The data for the first four specific aims will be analyzed using repeated measures multivariate analyses of variance, and the fifth specific aim will be analyzed with multiple linear and logistic regressions. Intent-to-treat analyses also will be conducted. This randomized controlled trial for a preventive intervention is innovative in its focus on suicidal ideation in abused women; its inclusion of low income, African American women; and its use of culturally-competent assessments and interventions.

描述（改编自申请人的摘要）：鉴于研究者之前对低收入非裔美国女性的亲密伴侣暴力（IPV）与自杀企图之间的联系进行的研究，需要对有自杀意念的受虐待女性采取二级预防干预措施，以降低自杀的可能性他们尝试自杀并降低相关发病率。 具体目标是：（1）评估团体赋权心理教育干预（PEI）与常规强化治疗（ETAU）在干预后和随访中在减少自杀行为及其相关因素方面的效果； (2) 比较PEI与ETAU在干预后和随访中降低IPV的功效； (3) 比较 PEI 与 ETAU 在干预后和随访中在减少个人、家庭社会和社区层面风险因素方面的有效性； (4) 比较 PEI 与 ETAU 在干预后和随访中在增强个人、家庭社会和社区层面保护因素方面的有效性； (5) 确定调节小组分配与结果联系的个人、家庭社会和社区层面的背景变量。 据推测，在干预后和随访中，与 ETAU 中的女性相比，PEI 中的女性自杀行为有更多改善，IPV 和危险因素有更多减少，并且保护因素更多。 据预测，背景变量将与干预效果相互作用。 该混合疗效-效果试验采用混合模型设计：受试者间变量为干预条件（PEI、ETAU），受试者内变量为时间（干预前、干预后、6个月和1年随访） ）。 该样本由 2 组（每组 95 名）低收入非裔美国女性组成，她们目前处于虐待关系中并有自杀意念。 ETAU 包括依从性增强干预、社区照常治疗以及自杀和 IPV 行为监测。 PEI 包括 ETAU 以及为期 10 次的文化能力和性别敏感赋权小组干预。 前四个具体目标的数据将使用重复测量多元方差分析进行分析，第五个具体目标将使用多元线性和逻辑回归进行分析。 还将进行意向治疗分析。 这项预防性干预随机对照试验的创新之处在于它关注受虐待妇女的自杀意念。将低收入非裔美国妇女纳入其中；及其对文化能力评估和干预措施的使用。