Risk Factors for Suicidal Behavior Among Bhutanese Refugees Resettled in the United States

在美国定居的不丹难民自杀行为的危险因素

• 批准号: 9395507
• 负责人: Jonah Meyerhoff
• 金额: $ 3.42万
• 依托单位: UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-14 至 2019-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9395507
• 关键词: Academic Medical Centers; Age; Bhutanese; Career Choice; Cause of Death; Cessation of life; Clinical; Communities; Development; Feeling suicidal; Future; Individual; Intervention; Modeling; National Research Service Awards; Patient Self-Report; Perception; Persons; Population; Populations at Risk; Prevention; Psychological Theory; Public Health; Refugees; Research; Risk; Risk Assessment; Risk Factors; Sampling; Scientist; Social Alienation; Stigmatization; Suicide; Suicide attempt; Suicide prevention; Testing; Theoretical model; Thinking; Time; Underserved Population; United States; Universities; Vermont; Work; accomplished suicide; base; death anxiety; health disparity; high risk; ideation; improved; migration; novel; screening; social; suicidal; suicidal behavior; suicidal morbidity; suicidal risk; suicide model; suicide rate; theories; therapy design; therapy development; tool

This predoctoral fellowship award supports the PI’s research training in preparation for a career focused on studying the development of, and risk factors for, suicidal behavior in underserved populations. The research project aims to significantly advance understanding of risk factors for suicidal behavior in the Bhutanese refugee population living in the United States. The project aims to test (1) a comprehensive conceptual model of suicidal behavior by examining incremental risk factors for suicide including suicidal desire, suicidal ideation, thwarted belongingness, and perceived burdensomeness in Bhutanese refugees and (2) the relative contributions of suicidal desire and suicidal ideation as risk factors for suicidal behavior in Bhutanese refugees. Based on the Interpersonal Psychological Theory of Suicide (IPTS), the proposed conceptual model posits that (a) higher levels of perceived burdensomeness and higher levels of thwarted belongingness each, independently, predict increases in suicidal desire and ideation. Additionally, the model will examine (b) the extent to which the interaction of perceived burdensomeness and thwarted belongingness contributes to suicidal desire and suicidal ideation, separately. Finally, the model proposes (c) that suicidal desire captures additional risk of suicidal behavior above and beyond suicidal ideation, alone. The proposed conceptual model will provide the necessary preliminary evidence for a cultural adaptation of well-established proximal risk factors of suicidal behavior and will aid in identifying the earliest and most accurate warning signs for suicide risk in Bhutanese refugees to date. This study will lay the groundwork for future longitudinal tests of the proposed risk factors for suicidal behavior and will allow for the development of interventions designed specifically to reduce suicidal behavior among Bhutanese refugees.

该奖学金奖学金奖支持PI的研究培训，以准备工作，专注于研究服务不足人群中自杀行为的发展和风险因素。该研究项目旨在显着提高对居住在美国的不丹难民人口自杀行为的危险因素的理解。该项目的目的是通过检查自杀式风险因素，包括自杀欲望，自杀思想，挫败的归属感以及在不丹难民中的燃烧感以及（2）自杀欲望的相对贡献和自杀的风险因素对Suitical行为的相对贡献。 基于自杀的人际心理学理论（IPTS），拟议的概念模型认为（a）（a）独立的感知谦卑和更高水平的挫败归属感，独立地预测自杀欲望和构思的增加。此外，该模型将研究（b）分别有助于自杀的欲望和自杀思想的感知折磨和挫败的归属感的相互作用的程度。最后，自杀欲望的模型提案（c）仅凭自杀式的想法就捕捉了自杀行为的额外风险。 拟议的概念模型将提供必要的初步证据，以适应良好的自杀行为的替代风险因素，并有助于确定迄今为止不丹难民自杀风险的最早，最准确的警告信号。这项研究将为未来对自杀行为的拟议风险因素进行纵向测试奠定基础，并允许开发专门为减少不丹难民自杀行为而设计的干预措施。