Religion and Suicidal Behavior Among Black Americans

美国黑人的宗教与自杀行为

• 批准号: 7664431
• 负责人: SEAN JOE
• 金额: $ 31.29万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-25 至 2011-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7664431
• 关键词: Accounting; Adult; African American; African Caribbean; American; Anxiety; Area; Attention; Centers for Disease Control and Prevention (U.S.); Cessation of life; Church; Clinical; Cox Proportional Hazards Models; Data; Data Set; Demographic Factors; Diagnostic; Dimensions; Equation; Ethnic group; Family; Family member; Female; Goals; Institute of Medicine (U.S.); Intervention; Investigation; Investments; Life; Link; Literature; Logistic Regressions; Mediating; Mental Health; Mental disorders; Modeling; Music; Pathway interactions; Population; Prevention strategy; Preventive Intervention; Probability Samples; Public Health; Reading; Relative (related person); Religion; Religion and Spirituality; Reporting; Research; Research Personnel; Research Priority; Risk; Risk Factors; Risk Reduction; Sampling; Services; Sex Characteristics; Social support; Socioeconomic Status; Specific qualifier value; Specificity; Spirituality; Substance abuse problem; Suicide; Suicide attempt; Suicide prevention; Surveys; United States; age group; clinical practice; cost effectiveness; depressive symptoms; design; epidemiologic data; health disparity; male; member; programs; public health relevance; public health research; reducing suicide; social; stressor; suicidal behavior; suicidal risk; suicide rate

DESCRIPTION (provided by applicant): Remarkably little is known about protective factors that reduce Blacks' risk for suicide or attempted suicide. In particular, the link between religion and suicide risk reduction in blacks has never been demonstrated with a nationally representative sample, particularly one that also takes into account ethnic groups' differences. The death in suicide research among blacks is due primarily to not having data set with large enough numbers of black Americans from which to draw meaningful conclusions. The proposed research aims to provide a comprehensive examination of whether religious participation and spirituality are correlated with reductions in the risk for serious suicidal behavior (e.g., attempted suicide, suicide planning) in a nationally representative sample of 5,191 African Americans and Black Caribbeans. The public health significance lies in specifying religious factors related to lower suicide risk, which will inform subsequent suicide prevention interventions and strategies. The present study is designed to make four important contributions to the advancement of research on religion and spirituality's effects on suicidal behavior among African Americans, namely by: (1) capitalizing on the strengths of a large, nationally representative data set, the National Survey of American Life [NSAL]; (2) determining whether religiosity and spirituality are associated with reductions in the risk for suicide attempts and serious suicide planning by Blacks; and (3) investigating the relative effects of informal social support from both church members and family members on reductions in the risk for suicide attempts and serious suicide planning by Blacks. And whether and through what mechanisms informal social support (e.g., church and family social support) may moderate or mediate the pathways of religiosity to black suicidal behavior. The data analytic approaches to be used include regression, logistic regression, multi-nominal logistic regression, Cox proportional hazard model, and structural equation modeling. PUBLIC HEALTH RELEVANCE: The Institute of Medicine report (2002), "Reducing Suicide: A National Imperative," highlighted understanding the protective factors for suicidal behavior among Blacks, such as religion, as an emergent public health research priority.

描述（由申请人提供）：关于降低黑人自杀或自杀的风险的保护因素知之甚少。特别是，宗教与黑人自杀风险之间的联系从未通过全国代表性的样本证明，尤其是考虑到种族群体的差异的样本。黑人自杀研究的死亡主要是由于没有足够多的黑人美国人来得出有意义的结论的数据集。拟议的研究旨在对宗教参与和灵性是否与降低严重自杀行为的风险（例如，未遂自杀，自杀计划）的风险相关，对5,191名非裔美国人和黑人加勒比海人的样本相关。公共卫生的意义在于指定与降低自杀风险有关的宗教因素，这将为随后的自杀预防干预措施和策略提供依据。本研究旨在为宗教研究和灵性对非裔美国人自杀行为的影响的进步做出四项重要贡献，即：（1）利用大型，全国代表性数据集的优势，《美国生活的国民调查》 [nsal]； （2）确定宗教信仰和灵性是否与黑人自杀企图和严重自杀计划的风险的降低有关； （3）调查教会成员和家庭成员非正式社会支持的相对影响对黑人自杀企图和严重自杀计划的风险的减少。以及通过哪些机制非正式的社会支持（例如，教会和家庭社会支持）是否可以调节或调解宗教对黑人自杀行为的途径。要使用的数据分析方法包括回归，逻辑回归，多名逻辑回归，COX比例危害模型和结构方程模型。 公共卫生相关性：医学研究所报告（2002年），“减少自杀：国家命令”，强调理解黑人自杀行为的保护因素，例如宗教，是新兴的公共卫生研究优先事项。