Individual and Community and Organizational Factors for Suicide Risk in the USAF

美国空军自杀风险的个人、社区和组织因素

• 批准号: 9085363
• 负责人: Kerry L Knox
• 金额: $ 50.73万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-08-24 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9085363
• 关键词: Age; Air; Air Force Personnel; American; Beryllium; Communities; Complex; Data; Data Sources; Databases; Department of Defense; Development; Early identification; Effectiveness; Effectiveness of Interventions; Evaluation; Event; Funding; Future; General Population; Goals; Health; Health Policy; Human Resources; Individual; Interpersonal Violence; Intervention; Journals; Leadership; Legal; Life; Link; Location; Marital Status; Measures; Mediating; Mediator of activation protein; Modeling; Modification; Morbidity - disease rate; National Institute of Mental Health; Occupations; Outcome; Pathway interactions; Personal Satisfaction; Phase; Play; Population; Prevention; Prevention program; Preventive; Printing; Privacy; Process; Psychiatric Diagnosis; Public Health; Recovery; Refractory; Research; Research Methodology; Resources; Risk; Risk Factors; Role; Schools; Secure; Services; Social support; Source; Specificity; Stress; Subgroup; Suicide; Suicide attempt; Suicide prevention; Testing; Thinking; Time; United States; Update; Violence; Work; base; cohort; contextual factors; effective intervention; experience; high risk; innovation; interest; intervention program; member; mortality; novel; population based; predictive modeling; programs; reducing suicide; resilience; stressor; suicidal behavior; suicidal morbidity; suicidal risk; suicide rate

DESCRIPTION (provided by applicant): In 2006 we were funded through 1 R01 MH075017 to study the relationship between implementation and reductions in events of suicide in the United States Air Force (AF). In order to do that, we proposed to link individual level data from the AF personnel files for each of the covariates of interest using individual level observations on time from the beginning of service in the AF to an event or non-event of suicide. We were committed from the beginning of the project to de-identifying all data to protect the privacy and confidentiality of all AF personnel before conducting any analyses. We included a number of independent predictors, covariates and time varying dependent variables. Construction of this complex database turned out to be a much greater challenge than we could have ever anticipated. Our time dependent variables include transitions such as deployment and redeployment as well as changes in an individual's life (e.g. age, occupation, marital status, a change in rank, or a change in location). Going into this project, we knew that ultimately the quality of the database would lie in our ability to (1) Obtain access to numerous AF and Department of Defense Data Sources; (2) Develop a secure process for de-identification of all individual level data and (3) Update critical transitions and changes on individual level on a quarterly basis. It took us the better part of four years to feel confident that we had produced a longitudinal, linked database that is secure, and protects the confidentiality and privacy of all Ar Force personnel. We also have a proven, experienced, well-integrated team that has accomplished this work together, and plans to pursue the next phase of this work together if it were to be funded. We are now extremely well poised to pursue the development of new methodological approaches in suicide research, utilizing this powerful and informative longitudinal data with a cohort that starts in 2003 and can be continually updated. We have accomplished our previous aims related to examining the relationship between the level of implementation of the Air Force Suicide Prevention Program across the entire service and have identified which components of the program appear to have the strongest effect (Knox KL, Pflanz S, Talcott GW, Campise RL, Lavigne JE, Bajorska A, Tu X, Caine ED. The Air Force Suicide Prevention Program: Implications for public health policy. American Journal of Public Health; [Epub ahead of print: May 13, 2010, 10.2105]). We have added data from multiple sources and have the opportunity in the future to utilize new data sources to enhance the database. We now are ideally poised to examine the effects and interactions of individual, community and organizational factors on the risk of suicide in the AF. We propose to do this through developing predictive models, using the implementation of new initiatives in the AF to reduce suicide. Key to these new initiatives is to increase resilience in AF personnel and early identification of high risk AF personnel, still delivered through the framework of a public health model of suicide prevention.

描述（由申请人提供）：在2006年，我们通过1 R01 MH075017资助，研究了美国空军（AF）自杀事件的实施与减少事件之间的关系。为了做到这一点，我们提议将来自AF人员文件的单个级别数据链接为每个关注的协变量，从AF中的服务开始时，使用单个级别观察结果将单个级别的观察结果链接到事件或自杀事件或非事件。我们从项目开始就一直致力于取消识别所有数据，以保护所有AF人员在进行任何分析之前的隐私和机密性。我们包括了许多独立的预测变量，协变量和时间变化的因变量。构建这个复杂的数据库是一个比我们预期的要大得多的挑战。我们的时间因变量包括部署和重新部署等过渡以及个人生活的变化（例如年龄，职业，婚姻状况，等级变化或位置变化）。进入该项目，我们知道数据库的质量最终将在于我们（1）获得众多AF和国防部数据源的能力； （2）开发一个安全的过程，以消除所有个人级别数据，（3）每季度更新关键过渡和个人级别的变化。我们花了四年的大部分时间让我们充满信心，我们制作了一个安全的纵向，链接的数据库，并保护所有AR部队人员的机密性和隐私。我们还拥有一个经过验证，经验丰富，整合的团队，共同完成了这项工作，并计划在要资助的情况下共同追求这项工作的下一阶段。现在，我们非常准备在自杀研究中开发新的方法论方法，利用这一强大而有益的纵向数据，该数据从2003年开始，可以不断更新。我们已经实现了以前的目的，与研究整个服务中空军预防计划的实施水平之间的关系有关，并确定了该计划的哪些组成部分似乎具有最强的效果（Knox KL，Pflanz S，Pflanz S，Talcott GW，Campise RL，RL，Lavigne Je，Lavigne Je，Bajorska A，Bajorska A，Tu X，Tu X，Tu X，Tu X，Tu X，Caine Ed of Sielies for Siricies of Sielies for Siricice of Siricice of Siricice of Siicicice equicicice of Siricicice of Siricice of Siicicicice of Siicicicice。健康；我们添加了来自多个来源的数据，并有机会利用新的数据源来增强数据库。现在，我们已经准备好研究个人，社区和组织因素对自杀风险的影响和互动。我们建议通过开发预测模型来实现AF中的新计划以减少自杀。这些新举措的关键是提高AF人员的韧性和对高风险AF人员的早期识别，这仍然是通过预防自杀的公共卫生模型的框架进行的。