Early Intervention for Suicide Risk among Immigrant Youth

移民青年自杀风险的早期干预

基本信息

批准号：
9754250
负责人：
Kiara Alvarez
金额：
$ 16.42万
依托单位：
MASSACHUSETTS GENERAL HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-08-01 至 2022-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9754250
关键词：
Acculturation Address Adolescent Age Area Attention Behavior Buffers Cause of Death Child Clinical Clinical Psychology Clinical Research Clinical Trials Communication Communities Conflict (Psychology)Data Data Analyses Data Set Development Discrimination Disease Early Intervention Ensure Epidemiology Ethnic Origin Ethnic group Evaluation Family Feeling suicidal Foundations Funding Gender General Hospitals Generations Goals Health Services Research Healthcare Hylobates Genus Immigrant Incidence Intervention Latina Latino Massachusetts Medical center Mental Depression Mental Health Mental Health Services Mental Tests Mental disorders Mentors Mentorship Methodology Minority Groups National Institute of Mental Health Neighborhoods Outcome Parent-Child Relations Parents Population Population Heterogeneity Prevention Prevention Research Prevention program Preventive Preventive Intervention Randomized Randomized Controlled Trials Research Research Personnel Research Priority Research Project Grants Research Training Resources Risk Risk Factors Schools Science Signal Transduction Social Environment Social support Statistical Models Suicide Suicide attempt Suicide prevention Testing Thinking Time Training United States Youth adolescent suicide base career cohesion community setting design early childhood evidence base expectation experience health assessment health care settings health disparity high risk improved innovation intergenerational intervention program longitudinal analysis medical schools parent-child communication peer post-doctoral training prevent protective factors racial and ethnic reducing suicide screening social social integration stressor study population suicidal behavior suicidal risk suicide rate therapy design training opportunity treatment as usual

项目摘要

PROJECT SUMMARY Background. Suicide is the second leading cause of death among 15-24 year olds in the United States, yet there is a dearth of evidence-based prevention programs that explicitly address suicide risk factors prior to the onset of suicide attempts. First and second generation immigrant youth comprise 25% of the U.S. population under 18 and experience specific risk factors for suicidal ideation and attempts. This includes family conflict exacerbated by differing cultural expectations between parents and children and disruptions to parent-child communication. At the same time, family-based preventive interventions focused on enhancing family protective factors show promise for reducing later suicide risk. Research Strategy. The present study focuses on developing and testing a family-based preventive intervention for suicide risk through three interrelated projects. These are: 1) Conducting longitudinal analyses of two existing datasets to identify how social support assets (e.g., experiences of family, peer, and community support) buffer suicide risk for adolescents at high risk of suicidal behavior, and examining how these associations may vary by gender and racial/ethnic group; 2) Utilizing intervention mapping and qualitative data to develop and refine a new preventive intervention, the Early Intervention for Suicide Risk among Immigrant Youth; and 3) Pilot testing the early intervention with first and second generation immigrant Latino/a adolescents screening positive for suicide risk and their families. 40 families will be randomized to the intervention or to usual care. Feasibility, acceptability, and impact on the intervention targets will be assessed. Training Plan. In coordination with the research plan, Dr. Alvarez will pursue training in the following three areas: 1) methodological approaches relevant to development and evaluation of preventive interventions targeting low base rate behaviors; 2) innovative approaches to assessment of suicide risk in clinical research contexts; and 3) design and testing of prevention programs delivered in healthcare, school, and community settings, with a particular focus on suicide prevention. Her research will be based at the Disparities Research Unit in Massachusetts General Hospital, a Harvard Medical School affiliated, major medical center providing access to an abundance of clinical research resources and training opportunities. Mentorship. The project’s mentorship team provides a range of complementary expertise relevant to the research and training aims of this proposal. Dr. Alvarez’s primary mentor, Dr. Alegria, is an expert in health disparities and health services research with extensive experience in mentoring early career investigators, including K awardees. Her co-mentor Dr. Wyman provides expertise in youth suicide prevention and prevention research, and co-mentor Dr. Shrout provides expertise in statistical modeling of longitudinal data and analysis of clinical trial outcomes. A team of advisors provides additional expertise in the epidemiology of depression and suicidal behaviors (Dr. Roberts), adaptive testing for mental health assessment (Dr. Gibbons), family-based preventive intervention design and evaluation (Dr. Pantin), and clinical trials for depression and related disorders (Dr. Alpert). Candidate. Dr. Alvarez is an early career researcher trained in school and child clinical psychology who is completing NIMH-funded postdoctoral training in health disparities and mental health services research focused on culturally diverse populations. This K23 project would provide the foundation to launch her career as a clinical researcher specializing in suicide prevention, with a particular focus on interventions addressing the needs of immigrant youth and on family-based preventive interventions delivered in healthcare and community settings.

项目摘要背景自杀是美国15-24岁的第二大死亡原因缺乏基于证据的预防程序，这些程序会在您之前击败自杀自杀危险因素。自杀企图的发作。 18岁以下并经历了自杀式构想的特定风险因素，并尝试包括家庭冲突。父母和孩子之间的不同期望和chiSruptInt-Child加剧了沟通。保护因素显示出降低后来自杀风险的希望。在开发和测试基于家庭的预防性干预措施以自杀风险三个相互关联这些项目是：1）对两个现有数据集进行纵向分析资产（例如，家庭，同伴和社区支持的经验）对青少年的自杀风险很高有自杀行为的风险，并研究性别和种族/种族的关联如何；利用国际映射和Quallitative数据来开发和完善新的预防性干预措施，早期干预移民青年的自杀风险； 3）以及第二代移民拉丁裔/A青少年对自杀风险及其家人筛查呈阳性。家庭将被随机地进行干预或通常的护理。将评估与研究计划的培训计划。在以下三个领域进行培训：1）与发展相关的方法论方法评估靶向低基础律师的预防性干预； 2）评估临床研究环境中的自杀风险； 3）计划的设计和测试她研究将基于哈佛医学的马萨诸塞州霍斯皮塔尔一般的差异研究部门学校附属的主要医疗中心提供了丰富的临床研究资源和培训机会。与研究和培训培训有关的专业知识。是健康，差异和健康服务研究专家，在指导方面拥有丰富的经验职业调查人员，包括K K奖。预防和预防研究，以及Shroutides博士在统计建模方面的专业知识纵向数据和临床试验结果的分析。剥夺和自杀行为的流行病学（罗伯茨博士），心理健康的自适应测试评估（Gibbons博士），基于家庭的预防性干预设计和评估（Pantin博士）和临床剥夺和相关疾病的试验（Alpert博士）。在学校和儿童临床心理学中接受培训，他们正在核实NIMH资助的博士后健康培训分散和精神卫生服务研究对文化多样化的人群将提供她作为专门用于预防自杀的临床研究人员的职业生涯，特别关注移民青年的名字和家庭在医疗保健和社区环境中提供的预防干预措施。