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.

该博士前奖学金支持 PI 的研究培训，为专注于研究服务不足人群自杀行为的发展和风险因素的职业做好准备。该研究项目旨在显着增进对不丹难民自杀行为风险因素的了解。该项目旨在通过检查自杀的增量风险因素（包括自杀欲望、自杀意念、受挫的归属感和感知的负担）来测试（1）自杀行为的综合概念模型。不丹难民和（2）自杀欲望和自杀意念作为不丹难民自杀行为危险因素的相对贡献。 基于自杀的人际心理理论（IPTS），提出的概念模型认为（a）更高水平的感知负担和更高水平的受挫归属感各自独立地预测自杀欲望和意念的增加此外，该模型还将进行检查。 （b）感知的负担和受挫的归属感的相互作用在多大程度上分别导致自杀欲望和自杀意念。最后，该模型提出（c）自杀欲望。除了自杀意念之外，还有其他自杀行为的风险。 拟议的概念模型将为已确定的自杀行为近端风险因素的文化适应提供必要的初步证据，并将有助于识别迄今为止不丹难民自杀风险的最早和最准确的警告信号。为未来对拟议的自杀行为风险因素进行纵向测试奠定基础，并将允许制定专门旨在减少不丹难民自杀行为的干预措施。